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SB274 - Amends Titles 16 and 21 - Delaware Medical Orders for Scope of Treatment

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Summary

Delaware Governor signed SB274 into law, amending Titles 16 and 21 of the Delaware Code to establish Delaware Medical Orders for Scope of Treatment (MOST). The bill defines qualifying patients as seriously ill or injured individuals with life-limiting conditions or residents of nursing/assisted living facilities. The legislation directs the Division of Public Health to create and approve MOST forms and requires healthcare providers and emergency responders to honor these orders.

What changed

SB274 enacts the Delaware Medical Orders for Scope of Treatment Act, amending Titles 16 and 21 of the Delaware Code. The bill establishes a standardized MOST form for patients with serious illness or injury and those in nursing/assisted living facilities, to be developed and approved by the Division of Public Health.

Healthcare providers, nursing facilities, assisted living facilities, hospice providers, and emergency responders must recognize and comply with properly executed MOST orders. Facilities should update intake procedures, clinical documentation systems, and staff training to ensure compliance with the new statutory requirements.

What to do next

  1. Review current patient treatment directive protocols against SB274 requirements
  2. Update procedures for completing and honoring MOST forms
  3. Train clinical and administrative staff on new requirements

Archived snapshot

Apr 10, 2026

GovPing captured this document from the original source. If the source has since changed or been removed, this is the text as it existed at that time.

ChangeBridge / Delaware / SB274 Signed by Governor SB274 Senate Bill Signed by Governor 2026-04-09

An Act To Amend Title 16 And Title 21 Of The Delaware Code Relating To Delaware Medical Orders For Scope Of Treatment.

Bill Details

State Delaware

Session 153rd General Assembly

Chamber Senate

Committee Health & Social Services

Official Source legis.delaware.gov/BillDetail?LegislationI...

LegiScan View on LegiScan

Sponsors

Marie Pinkney (Sen - D) Kamela Smith (Rep - D) Larry Lambert (Rep - D) Eric Morrison (Rep - D)

Action History

2026-04-09 S Introduced and Assigned to Health & Social Services Committee in Senate

Committee Referrals

2026-04-09 S Health & Social Services

Bill Text Versions

0000-00-00 Draft Legislative data powered by LegiScan (CC BY 4.0)

Named provisions

Delaware Medical Orders for Scope of Treatment

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Last updated

Classification

Agency
DE Legislature
Published
April 9th, 2026
Instrument
Rule
Legal weight
Binding
Stage
Final
Change scope
Substantive
Document ID
DE SB274 (2025)

Who this affects

Applies to
Healthcare providers Hospitals & Health Systems Government agencies
Industry sector
6211 Healthcare Providers
Activity scope
Patient medical orders Healthcare documentation Emergency medical services
Threshold
Qualifying patients: seriously ill/injured with life-limiting conditions or residents of nursing/assisted living facilities
Geographic scope
US-DE US-DE

Taxonomy

Primary area
Healthcare
Operational domain
Legal
Topics
Healthcare Public Health Emergency Services

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