HB 74 Summary

• Establishes the Delaware Health Security Authority to implement a single-payer health care system providing comprehensive coverage to all Delaware residents and eligible workers without out-of-pocket expenses.

• Creates a 15-member governing Board comprising the Secretary of Health and Social Services, four legislative members, five health professional representatives, and five consumer organization representatives.

• Funds the system through consolidated state and federal health appropriations, employer payroll taxes (4-9% based on company size), individual income tax of 2.5%, and a 2.5% surtax on income exceeding $250,000 ($500,000 for joint filers).

• Covers comprehensive health services including preventive care, treatment, mental health, dental, prescription drugs, rehabilitation, and emergency services with no balance billing for covered services.

• Authorizes the Authority to negotiate provider reimbursement rates, establish prospective and retrospective payment systems, and oversee four operational divisions (Administrative, Planning, Quality Assurance, and Benefits).