HB 200: AN ACT TO AMEND TITLE 18, TITLE 29, AND TITLE 31 OF THE DELAWARE CODE RELATING TO INSURANCE COVERAGE FOR TREATMENT TO PREVENT HIV INFECTION.

Official summary

Abstract published by the legislature (via Open States). Text as published by the legislature; reproduced verbatim.

This Act is a substitute for HB 200 and differs from HB 200 by requiring health insurance coverage only for pre-exposure prophylaxis (“PrEP”) medication and post-exposure prophylaxis (“PEP”) medication. This Act also makes technical corrections including updating section numbers and updating the applicability date so insurance companies can file rates that include the cost of the coverage required under this Act. This Act requires individual health insurance plans, group and blanket health insurance plans, the state employee health plan, and state Medicaid insurance to cover medically necessary PrEP medication for the prevention of human immunodeficiency virus (“HIV”) infection before possible HIV exposure and medically necessary PEP medication for the prevention of HIV infection after possible HIV exposure. The coverage must include must be provided without any of the following: 1. Cost-sharing requirements, including deductibles, coinsurance, copayments, and out-of-pocket expenses. 2. Prior authorization or step therapy requirements. 3. Unreasonable delay in coverage determination. This Act applies to all policies, contracts, or certificates that are renewed, modified, altered, amended, or reissued after December 31, 2027.

Sponsors

Sponsors by party (alphabetical): Democratic 14

“Support” is shown only as formal sponsorship recorded by the legislature. Roll-call votes are available on the official bill page.

Recent official actions

1. August 31, 2026Signed by Governor
2. June 25, 2026Passed By House. Votes: 39 YES 2 ABSENT
3. June 24, 2026Passed By Senate. Votes: 21 YES
4. June 24, 2026Amendment SA 1 to HS 1 - Passed By Senate. Votes: 20 YES 1 ABSENT
5. June 23, 2026Amendment SA 1 to HS 1 - Introduced and Placed With Bill
6. April 22, 2026Reported Out of Committee (Banking, Business, Insurance & Technology) in Senate with 1 Favorable, 5 On Its Merits
7. March 26, 2026Assigned to Banking, Business, Insurance & Technology Committee in Senate
8. March 26, 2026Passed By House. Votes: 39 YES 1 NOT VOTING 1 ABSENT
9. March 26, 2026Amendment HA 1 to HS 1 - Passed In House by Voice Vote
10. March 17, 2026Amendment HA 1 to HS 1 - Introduced and Placed With Bill
11. March 17, 2026Reported Out of Committee (Economic Development/Banking/Insurance & Commerce) in House with 2 Favorable, 8 On Its Merits
12. January 8, 2026Adopted in lieu of the original bill HB 200, and Assigned to Economic Development/Banking/Insurance & Commerce Committee in House