republic-os/legislation/us/states/de/151/hb-33.md

---
type: "Bill"
title: "AN ACT TO AMEND TITLE 24 OF THE DELAWARE CODE RELATING TO PHYSICIAN ASSISTANTS."
description: "This bill changes the relationship between physicians and physician assistants from supervisory to collaborative, in recognition of the evolving role of physician assistants and reflecting the education, training, and experience required for licensing, which emphasizes the team-based practice model. The bill retains a 1:4 ratio of physician assistants to physicians, unless a regulation of the Board increases or decreases the number. This limit of 1:4 does not apply to physicians and physician assistants who practice in the same physical office or facility building, such as an emergency department. This bill adds 2 physician assistants members recommended by the Regulatory Council for Physician Assistants to the Board of Medical Licensure and Discipline in lieu of 2 public members. The bill authorizes physician assistants to participate as uncompensated volunteers in public or community events."
jurisdiction: "us/states/de"
legislature: "Delaware General Assembly"
session: "151"
identifier: "HB 33"
citation: "Delaware HB 33 (151)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Kendra Johnson", "S. Elizabeth Lockman"]
version_count: 3
action_count: 12
vote_count: 3
first_action: "2020-12-11"
last_action: "2021-04-13"
source: "openstates"
source_identifier: "ocd-bill/d4d75861-974c-453c-acf7-9432fa9a5717"
source_url: "https://legis.delaware.gov/BillDetail?LegislationId=48215"
source_hash: "e879525ccacd8febd47a0d9df36c569ff1c2d6a8df1e48554e957c7212f4b4f3"
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 33 (151) — AN ACT TO AMEND TITLE 24 OF THE DELAWARE CODE RELATING TO PHYSICIAN ASSISTANTS.

This bill changes the relationship between physicians and physician assistants from supervisory to collaborative, in recognition of the evolving role of physician assistants and reflecting the education, training, and experience required for licensing, which emphasizes the team-based practice model. The bill retains a 1:4 ratio of physician assistants to physicians, unless a regulation of the Board increases or decreases the number. This limit of 1:4 does not apply to physicians and physician assistants who practice in the same physical office or facility building, such as an emergency department. This bill adds 2 physician assistants members recommended by the Regulatory Council for Physician Assistants to the Board of Medical Licensure and Discipline in lieu of 2 public members. The bill authorizes physician assistants to participate as uncompensated volunteers in public or community events.

## 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=48215&legislationTypeId=1&docTypeId=2&legislationName=HB33)
2. **HA 1 to HB 33** (committee substitute) — [source](http://legis.delaware.gov/json/BillDetail/GeneratePdfDocument?legislationId=48466&legislationTypeId=5&docTypeId=2)
3. **SA 1 to HB 33** (committee substitute) — [source](http://legis.delaware.gov/json/BillDetail/GeneratePdfDocument?legislationId=48515&legislationTypeId=5&docTypeId=2)

## Votes

- SM — **41–0** (pass) · lower
- SM — **41–0** (pass) · lower
- SM — **21–0** (pass) · upper

## Sponsors

- Kendra Johnson — primary (person)
- S. Elizabeth Lockman — primary (person)
- Debra Heffernan — cosponsor (person)
- Eric Morrison — cosponsor (person)
- John L. Mitchell — cosponsor (person)
- Krista Griffith — cosponsor (person)
- Larry Lambert — cosponsor (person)
- Laura V. Sturgeon — cosponsor (person)
- Lyndon D. Yearick — cosponsor (person)
- Melissa Minor-Brown — cosponsor (person)
- Michael F. Smith — cosponsor (person)
- Michael Ramone — cosponsor (person)
- Paul S. Baumbach — cosponsor (person)
- Ruth Briggs King — cosponsor (person)
- Sean M. Lynn — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2020-12-11** Introduced and Assigned to Sunset Committee (Policy Analysis & Government Accountability) Committee in House `introduction, referral-committee`
- **2021-01-27** Reported Out of Committee (Sunset Committee (Policy Analysis & Government Accountability)) in House with 3 Favorable, 1 On Its Merits `committee-passage, committee-passage-favorable`
- **2021-03-16** Amendment HA 1 to HB 33 - Introduced and Placed With Bill `amendment-introduction`
- **2021-03-18** Amendment HA 1 to HB 33 - Passed By House. Votes: 41 YES `amendment-passage`
- **2021-03-18** Passed By House. Votes: 41 YES `passage`
- **2021-03-18** Assigned to Health & Social Services Committee in Senate `introduction, referral-committee`
- **2021-03-24** Reported Out of Committee (Health & Social Services) in Senate with 3 Favorable, 2 On Its Merits `committee-passage, committee-passage-favorable`
- **2021-03-25** Amendment SA 1 to HB 33 - Introduced and Placed With Bill `amendment-introduction`
- **2021-03-25** Amendment SA 1 to HB 33 - Passed By Senate. Votes: 21 YES `amendment-passage`
- **2021-03-25** Passed By Senate. Votes: 21 YES `passage`
- **2021-03-30** Passed By House. Votes: 41 YES `passage`
- **2021-04-13** 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/d4d75861-974c-453c-acf7-9432fa9a5717`. Confidence: reported (aggregated from official Delaware legislature records).