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---
type: "Bill"
title: "AN ACT TO AMEND TITLE 18, TITLE 29, AND TITLE 31 OF THE DELAWARE CODE RELATING TO COVERAGE FOR TREATMENT OF PEDIATRIC AUTOIMMUNE NEUROPSYCHIATRIC DISORDERS ASSOCIATED WITH STREPTOCOCCAL INFECTIONS AND PEDIATRIC ACUTE ONSET NEUROPSYCHIATRIC SYNDROME."
description: "This Act requires that individual, group, State employee, and public assistance insurance plans provide coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome. This Act suspends this requirement for individual and group insurance plans if, under the Affordable Care Act, the State is required to assume the cost of this coverage."
jurisdiction: "us/states/de"
legislature: "Delaware General Assembly"
session: "149"
identifier: "HB 386"
citation: "Delaware HB 386 (149)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Ernesto B Lopez", "Michael Ramone", "Nicole Poore", "Paul S. Baumbach"]
version_count: 1
action_count: 7
vote_count: 2
first_action: "2018-04-25"
last_action: "2018-08-29"
source: "openstates"
source_identifier: "ocd-bill/abe8b557-c9e3-42cf-a2f6-34aefbca520b"
source_url: "https://legis.delaware.gov/BillDetail?LegislationId=26550"
source_hash: "a7ad694d3339903d8b150debc4483f579e0515baff528012d0dab7787d4297c1"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-de"]
---
# Delaware HB 386 (149) — AN ACT TO AMEND TITLE 18, TITLE 29, AND TITLE 31 OF THE DELAWARE CODE RELATING TO COVERAGE FOR TREATMENT OF PEDIATRIC AUTOIMMUNE NEUROPSYCHIATRIC DISORDERS ASSOCIATED WITH STREPTOCOCCAL INFECTIONS AND PEDIATRIC ACUTE ONSET NEUROPSYCHIATRIC SYNDROME.
This Act requires that individual, group, State employee, and public assistance insurance plans provide coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome. This Act suspends this requirement for individual and group insurance plans if, under the Affordable Care Act, the State is required to assume the cost of this coverage.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Bill Text** (committee substitute) — [source](https://legis.delaware.gov/json/BillDetail/GenerateHtmlDocument?legislationId=26550&legislationTypeId=1&docTypeId=2&legislationName=HB386)
## Votes
- SM — **190** (pass) · upper
- SM — **307** (pass) · lower
## Sponsors
- Ernesto B Lopez — primary (person)
- Michael Ramone — primary (person)
- Nicole Poore — primary (person)
- Paul S. Baumbach — primary (person)
- Gerald L. Brady — cosponsor (person)
- John A. Kowalko — cosponsor (person)
- Stephanie L. Hansen — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2018-04-25** Introduced and Assigned to Economic Development/Banking/Insurance/Commerce Committee in House `introduction, referral-committee`
- **2018-05-09** Reported Out of Committee (Economic Development/Banking/Insurance/Commerce) in House with 1 Favorable, 8 On Its Merits `committee-passage-favorable, committee-passage`
- **2018-06-14** Passed By House. Votes: 30 YES 7 NO 4 ABSENT `passage`
- **2018-06-14** Assigned to Banking, Business & Insurance Committee in Senate `introduction, referral-committee`
- **2018-06-21** Reported Out of Committee (Banking, Business & Insurance) in Senate with 3 On Its Merits `committee-passage`
- **2018-06-26** Passed By Senate. Votes: 19 YES 2 ABSENT `passage`
- **2018-08-29** Signed by Governor `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/abe8b557-c9e3-42cf-a2f6-34aefbca520b`. Confidence: reported (aggregated from official Delaware legislature records).