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---
type: "Bill"
title: "AN ACT TO AMEND TITLE 16 OF THE DELAWARE CODE RELATING TO THE DELAWARE HEALTH CARE COMMISSION AND STATE OF DELAWARE HEALTH CARE SPENDING AND QUALITY BENCHMARKS."
description: "Delawares per capita health care spending consistently ranks in the top ten highest spending states and has historically outpaced economic growth in Delaware. Enhanced transparency and shared accountability for spending and quality targets have been used to accelerate changes in our health care delivery system, creating benefits for employers, state government and health care consumers. House Joint Resolution 7 of the 149th General Assembly and Executive Order Nineteen tasked the Delaware Department of Health and Social Services (DHSS) with the establishment of annual health care spending and quality benchmarks as a strategy to address the unsustainable growth in health care spending while also measuring aspects of health care quality. This Act serves to replace Executive Order Twenty-Five which established Delawares Spending and Quality Benchmark initiative in 2018. The codification of these benchmarks supports the continuation of Delawares Road to Value by improving the transparency of health care spending and quality, as well as providing attainable goals needed to achieve better health care, lower costs, and healthier communities."
jurisdiction: "us/states/de"
legislature: "Delaware General Assembly"
session: "151"
identifier: "HB 442"
citation: "Delaware HB 442 (151)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Bryan Townsend", "David Bentz", "Sarah McBride"]
version_count: 2
action_count: 9
vote_count: 2
first_action: "2022-06-02"
last_action: "2022-08-19"
source: "openstates"
source_identifier: "ocd-bill/cdbd2701-4c3b-41ea-ae4c-0a8589c3c4ee"
source_url: "https://legis.delaware.gov/BillDetail?LegislationId=109583"
source_hash: "700f695b8dc951535b6a326ef66d816f933ff8490383af8b8c8695355001160a"
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 442 (151) — AN ACT TO AMEND TITLE 16 OF THE DELAWARE CODE RELATING TO THE DELAWARE HEALTH CARE COMMISSION AND STATE OF DELAWARE HEALTH CARE SPENDING AND QUALITY BENCHMARKS.
Delawares per capita health care spending consistently ranks in the top ten highest spending states and has historically outpaced economic growth in Delaware. Enhanced transparency and shared accountability for spending and quality targets have been used to accelerate changes in our health care delivery system, creating benefits for employers, state government and health care consumers. House Joint Resolution 7 of the 149th General Assembly and Executive Order Nineteen tasked the Delaware Department of Health and Social Services (DHSS) with the establishment of annual health care spending and quality benchmarks as a strategy to address the unsustainable growth in health care spending while also measuring aspects of health care quality. This Act serves to replace Executive Order Twenty-Five which established Delawares Spending and Quality Benchmark initiative in 2018. The codification of these benchmarks supports the continuation of Delawares Road to Value by improving the transparency of health care spending and quality, as well as providing attainable goals needed to achieve better health care, lower costs, and healthier communities.
## 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=109583&legislationTypeId=1&docTypeId=2&legislationName=HB442)
2. **HA 1 to HB 442** (committee substitute) — [source](http://legis.delaware.gov/json/BillDetail/GeneratePdfDocument?legislationId=129690&legislationTypeId=5&docTypeId=2)
## Votes
- SM — **210** (pass) · upper
- SM — **400** (pass) · lower
## Sponsors
- Bryan Townsend — primary (person)
- David Bentz — primary (person)
- Sarah McBride — primary (person)
- David P. Sokola — cosponsor (person)
- Edward S. Osienski — cosponsor (person)
- Eric Morrison — cosponsor (person)
- Stephanie L. Hansen — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2022-06-02** Introduced and Assigned to Health & Human Development Committee in House `introduction, referral-committee`
- **2022-06-08** Reported Out of Committee (Health & Human Development) in House with 2 Favorable, 7 On Its Merits `committee-passage, committee-passage-favorable`
- **2022-06-13** Amendment HA 1 to HB 442 - Introduced and Placed With Bill `amendment-introduction`
- **2022-06-14** Amendment HA 1 to HB 442 - Passed In House by Voice Vote `amendment-passage`
- **2022-06-14** Passed By House. Votes: 40 YES 1 ABSENT `passage`
- **2022-06-14** Assigned to Health & Social Services Committee in Senate `introduction, referral-committee`
- **2022-06-22** Reported Out of Committee (Health & Social Services) in Senate with 3 Favorable, 3 On Its Merits `committee-passage, committee-passage-favorable`
- **2022-06-23** Passed By Senate. Votes: 21 YES `passage`
- **2022-08-19** 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/cdbd2701-4c3b-41ea-ae4c-0a8589c3c4ee`. Confidence: reported (aggregated from official Delaware legislature records).