Transcript Highlights:

• So, clearly, what this bill does: first, it updates the name of the program from MOST to POLST, which
• It reflects a model form that has been promoted by the National POLST Collaborative as best practices
• A model form that has been promoted by the National POLST Collaborative as best practices, improving

Bills: SB274, SB301, SB249

Keywords: healthcare, life-sustaining treatment, patient preferences, POLST, advance directive, medical orders, hospital discharge, pregnancy, patient care, discharge planning, healthcare policy, substance use, harm reduction, syringe services, needle exchange, overdose prevention, naloxone, opioid antagonist, drug paraphernalia, syringe

Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.

Transcript Highlights:

• Unlike general planning documents, POLST is designed for individuals whose serious or advanced illness
• It is important to note that POLST is different from an advanced directive.
• POLST translates a patient's current medical condition and treatment preferences into a physician- or
• POLST translates a patient's current medical condition and treatment preferences into a physician- or
• The need for POLST was first brought to my attention by Dr.

Summary: The Senate convened with prayer, the Pledge of Allegiance, committee reports, and approval of the prior journal. Members also granted several leaves of absence and welcomed a number of guests, including Ireland’s Consul General and Deputy Consul General, student shadows, an intern, and the Neshaminy High School baseball team, which was recognized for winning the 2026 PIAA Class 6A state championship. The chamber then recessed briefly for an Education Committee meeting and party caucuses before returning to session. On the floor, the Senate advanced several measures. Senate Bill 362, addressing SNAP skimming, passed 49-0 after remarks about protecting food assistance benefits from theft. Senate Bill 469, providing discounted fishing and hunting licenses for current and retired law enforcement, also passed 49-0 after an amendment was withdrawn. Senate Bill 730, codifying Pennsylvania POLST forms for end-of-life medical orders, saw a tabled amendment from Senator Boscola on physician-assisted dying after a 28-21 vote, then passed 49-0. The Senate also adopted an amendment to Senate Bill 1206 clarifying a temporary license pending FDA approval, and sent House Bill 1344 and Senate Bill 1377 to the House after unanimous final passage. Other bills were moved to appropriations or held in order, including Senate Bill 49, House Bill 96, Senate Bill 535, Senate Bill 536, House Bill 538, Senate Bill 743, Senate Bill 1262, Senate Bill 1273, House Bill 1286, and Senate Bill 1372. House Bill 1862 and House Bill 2017 each received amendments and were re-referred to the Appropriations Committee. The Senate also agreed to consider newly reported committee bills, including measures from Finance, Judiciary, Veterans Affairs and Emergency Preparedness, and Education. In petitions and remonstrances, Senators Tartaglione and Costa focused on minimum wage and utility affordability, urging action on consumer protections, LIHEAP funding, data center energy costs, and related energy policy. The session concluded with the signing of House Bill 1877 in the presence of the Senate and a recess until June 24, 2026, at 11:00 a.m., unless recalled earlier.