DelawareDelaware law bars yearly and lifetime therapy visit caps for spine care
Health plans may not cap these visits for covered spine care, and Delaware Medicaid follows the same rule when federal requirements allow.
What it does
Health coverage plans may not set yearly or lifetime visit caps on chiropractic or physical therapy for the spine and related nerves, muscles, or limbs.
Delaware Medicaid may not set yearly or lifetime visit caps on this care when federal rules allow it.
Argument forPeople who need ongoing care for their spine or related nerves, muscles, or limbs could keep receiving covered visits after a plan's usual yearly or lifetime limit.
Argument againstHealth plans and Medicaid may have less ability to manage how often people receive this care by visit count, which could make spending harder to predict.
More detail
Health coverage plans may not set yearly or lifetime visit caps on chiropractic or physical therapy for the stated conditions. This applies to disability, health, accident, and sickness insurance plans, and contracts from health service corporations and health maintenance organizations. The care must treat the spine or related nerves, muscles, or limbs. The chiropractor or physical therapist must be legally allowed to provide the service. This applies to policies, contracts, or certificates issued, renewed, changed, or reissued after December 31, 2026.
Delaware Medicaid may not set yearly or lifetime visit caps on chiropractic or physical therapy for the stated conditions. This applies to Medicaid care for the spine or related nerves, muscles, or limbs. Federal requirements must allow the ban. Medicaid assistance still depends on eligibility and state and federal rules.
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Where it stands
- Introduced
- Passed Senate
- Passed House
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Apr 28Signed by Governor Matt MeyerBecame Law
- Apr 23Passed By Senate. Votes: 16 YES 5 ABSENTMajor
- Vote recorded Passage. Result: pass.Upper
- Vote recorded Passage. Result: pass.Lower
- Apr 23Suspension of Rules in Senate
- Apr 23Passed By House. Votes: 33 YES 3 NO 5 ABSENTPassed House
- Apr 23Amendment HA 1 to SB 238 - Passed In House by Voice VoteMajor
- Apr 23Amendment HA 1 to SB 238 - Introduced and Placed With BillMinor
- Apr 21Reported Out of Committee (Economic Development/Banking/Insurance & Commerce) in House with 12 On Its MeritsMinor
- Apr 9Assigned to Economic Development/Banking/Insurance & Commerce Committee in HouseMinor
- Mar 26Passed By Senate. Votes: 20 YES 1 ABSENTPassed Senate
- Vote recorded Passage. Result: pass.Upper
- Mar 26Amendment SA 1 to SB 238 - Passed By Senate. Votes: 19 YES 2 ABSENTMajor
- Mar 11Amendment SA 1 to SB 238 - Introduced and Placed With BillMinor
- Mar 11Reported Out of Committee (Health & Social Services) in Senate with 7 Favorable, 1 On Its MeritsMinor
- Feb 19Introduced and Assigned to Health & Social Services Committee in SenateIntroduced
Healthcare