HB 392 Summary

• Establishes the Delaware Health Security Act, creating a single-payer health care system administered by a 15-member Delaware Health Security Authority within the Department of Health and Social Services.

• Guarantees comprehensive health care coverage for all Delaware citizens and eligible non-residents (including those working 20+ hours per week in Delaware) with no co-payments, deductibles, or supplemental insurance required.

• Funding sources include all current state and federal health care appropriations, employer payroll taxes (4-9% based on company size), a 2.5% health security income tax on all Delaware income tax filers, and a 2.5% surtax on income exceeding $250,000 ($500,000 for joint filers).

• Creates four operational divisions (Administrative, Planning, Quality Assurance, and Benefits) and three county advisory councils to implement and oversee the system.

• Covered services include preventive care, hospital and emergency care, prescription drugs, dental, mental health, long-term care, rehabilitation, and other medically necessary services, with payments negotiated directly with eligible health care providers and facilities.