reglab/statecodes huggingface dataset:
2023 Delaware Code › Title 16 - Health and Safety › Chapter 98. PARAMEDIC SERVICES › § 9808. Role of county governments.

§ 9808. Role of county governments.
(a) Each county shall participate in the operation and funding of the statewide paramedic services program, and shall provide the Office with all necessary information requested by the Secretary of the Department of Health and Social Services in the time frames and in the format prescribed.
(b) Any paramedic employed by a county or its subcontractor must be certified by the Administrator and the State Paramedic Medical Director in accordance with the standards of the Board. Direct initial training costs shall be paid partially at state expense, based on the results of an annual needs assessment conducted by the Office.
(c) The counties shall be bound by the rules, regulations, requirements and procedures established pursuant to this chapter.
(d) The authority to select, discipline and terminate a paramedic or any administrative staff authorized as a shared expense shall reside with the county or its subcontractor, except that suspension or revocation of a paramedic certification for reasons covered by § 9811 of this title shall be conducted in accordance with this chapter.
(e) A county may choose to operate its own paramedic service using regular county employees entirely, or it may contract portions of its service to other governmental entities.
(f) If a county elects in the design of its paramedic service to exceed the training standards, minimum number of paramedic staff hours, or otherwise exceed the requirements established in accordance with this chapter, the county shall be 100% liable for any additional cost. At a minimum, a county shall deploy the number of paramedics and paramedic units determined to be necessary to meet the operational requirements of this chapter.
67 Del. Laws, c. 152, §  6;  71 Del. Laws, c. 300, §  5;  72 Del. Laws, c. 137, §§  29, 31;  77 Del. Laws, c. 84, §  178;  78 Del. Laws, c. 310, §  4;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 98. PARAMEDIC SERVICES › § 9809. Certification.

§ 9809. Certification.
(a) No individual shall represent that individual's own self as a paramedic certified by this State unless the person so represented is in fact certified by the Board.
(b) No person nor governmental agency shall represent itself as a paramedic service, emergency medical service, or similar type of service certified by this State unless such person or governmental agency is in fact certified by the Department.
(c) No person shall provide, offer nor advertise to provide advanced life support services outside a hospital, unless so authorized by law.
(d) Notwithstanding any other provision of this chapter, any paramedic who has been certified by the Board of Medical Licensure and Discipline prior to the effective date of this chapter shall automatically be certified under this chapter, and shall be deemed to have complied with all the requirements of this chapter.
(e) Pending formal approval of paramedic certification by the Board, the executive director of the Board may issue a temporary certification to a paramedic whose application establishes to the satisfaction of the executive director that the applicant has met all requirements and standards for certification. Such temporary certification shall be valid for not greater than 90 days.
67 Del. Laws, c. 152, §  6;  70 Del. Laws, c. 186, §  1;  71 Del. Laws, c. 369, §  1;  73 Del. Laws, c. 368, §  4;  77 Del. Laws, c. 319, §  1;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 98. PARAMEDIC SERVICES › § 9810. Reciprocity.

§ 9810. Reciprocity.
Where a person applies for a certification as a paramedic and has already been licensed or certified as such in another state, the Administrator shall accept a true copy of such license or certificate, or evidence of any examination scores issued by a testing service or professional paramedic association, which shows that the applicant has met requirements in the previous state which are equal to those required in this State; such applicant shall be required to meet such written and practical examinations as determined by the medical directors; and the Board shall certify such person to be a paramedic in the State.
67 Del. Laws, c. 152, §  6;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 98. PARAMEDIC SERVICES › § 9811. Violations; disciplinary procedure.

§ 9811. Violations; disciplinary procedure.
(a) The Administrator may at any time upon the Administrator's own motion; and shall, upon verified written complaint of any person, request an investigation be conducted by the Executive Director of the Board of Medical Licensure and Discipline to determine whether or not there are grounds to recommend suspension, revocation or any other penalty upon a person certified under the provisions of this chapter. The Administrator shall recommend to the Board to suspend or revoke any certificate if after a hearing it is found that the holder thereof has:
(1) Obtained such certificate by means of fraud or deceit;
(2) Demonstrated gross negligence, or has proven otherwise to be grossly incompetent; or
(3) Violated or aided or abetted in the violation of any provision of Chapter 17 of Title 24.
(b) If a paramedic's physical or mental capacity to safely perform the paramedic's duties and responsibilities is at issue, the County may order such paramedic to submit to a reasonable physical or mental examination. Failure to comply with this order shall render such paramedic liable to suspension or revocation of the paramedic's certificate.
(c) Nothing in this subsection shall prohibit a member of the public from filing a complaint directly to the Division of Professional Regulation. Upon receipt of a complaint by the Division of Professional Regulation, the Administrator shall be notified in the interest of public safety.
67 Del. Laws, c. 152, §  6;  70 Del. Laws, c. 186, §  1;  73 Del. Laws, c. 368, §§  5-8;  77 Del. Laws, c. 319, §  1;  80 Del. Laws, c. 418, §  1;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 98. PARAMEDIC SERVICES › § 9812. Suspension, revocation and other penalties.

§ 9812. Suspension, revocation and other penalties.
(a) For purpose of the public health, safety and welfare, and notwithstanding any other statute or provision of law, the Administrator may recommend to a county or the Board that any of the following penalties, singly or in combination, be imposed:
(1) That a letter of reprimand be issued;
(2) That a paramedic be placed on probationary status with limited responsibilities and be required to:
a. Regularly report to the county upon the matters which are the basis of the probation;
b. Limit all paramedical activities to those areas specifically recommended by the Administrator; and/or
c. Take either remedial or continuing education until the required degree of skill has been attained in those areas which are the basis of the probation;
(3) That a paramedic's certification be suspended; or
(4) That a paramedic's certification be revoked.
(b) No penalties shall be imposed upon a paramedic's certification without provisions for a hearing. Hearings shall be established in accordance with the provisions of the Medical Practices Act, Chapter 17 of Title 24.
(c), (d) [Repealed.]
67 Del. Laws, c. 152, §  6;  73 Del. Laws, c. 368, §  9;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 98. PARAMEDIC SERVICES › § 9813. Liability; limitations.

§ 9813. Liability; limitations.
(a) Physician instructions. — No emergency physician or designee of such physician who in good faith gives instructions to a paramedic shall be liable for any civil damages which may occur as the result of issuing such instructions; unless the conduct of the physician or the designee of such physician in issuing such instructions rises to the level of willful and wanton, reckless or grossly negligent conduct.
(b) Paramedics. — (1) No paramedic who in good faith attempts to render or facilitate emergency medical care authorized by this chapter shall be liable for any civil damages which occur as a result of any act or omission of the paramedic in the rendering of such care; unless such paramedic is guilty of wilful and wanton, reckless or grossly negligent conduct.
(2) No paramedic shall be subject to civil liability, based solely upon failure to obtain consent in rendering emergency medical services to any individual, regardless of age, where the person is unable to give consent for any reason, and where there is no other person reasonably available who is legally authorized to give or refuse to give consent, if the paramedic has acted in good faith, without knowledge of facts negating consent, and without any act or omission constituting wilful and wanton or grossly negligent conduct.
(c) Educational programs. — No university, college, medical facility or other entity participating as part of an educational program, nor any faculty member of any such entity, nor any student of such entity who is enrolled in a course of instruction approved by the Administrator, shall be liable for any civil damages as the result of any primary or continuing educational practice conducted under proper supervision, unless such university, college or other entity or faculty member or student is guilty of wilful and wanton, reckless or grossly negligent conduct.
(d) Health facilities. — No health facility which assists a physician in giving instructions to a paramedic in accordance with this chapter shall be liable for any civil damages as the result of such instructions, unless such health facility is guilty of wilful and wanton, reckless or grossly negligent conduct.
67 Del. Laws, c. 152, §  6;  80 Del. Laws, c. 189, §  1;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 98. PARAMEDIC SERVICES › § 9815. Implementation of REPLICA.

§ 9815. Implementation of REPLICA.
(a) The Department of Health and Social Services, in collaboration with the Delaware State Fire Commission and the Division of Professional Regulations, shall promulgate regulations for implementation of the REPLICA Compact, Chapter 98A of this title.
(b) The Division of Public Health, the State Fire Commission, and the Division of Professional Regulations shall enter into a memorandum of understanding to identify roles and responsibilities of the partnering agencies under the REPLICA Compact, Chapter 98A of this title.
81 Del. Laws, c. 178, §  3;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 98. PARAMEDIC SERVICES › § 9816. Emergency care of police dogs.

§ 9816. Emergency care of police dogs.
(a) A paramedic or other EMS provider may provide emergency medical services to an injured police dog at the scene of an emergency that has resulted in the police dog's injury.
(b) A paramedic or other EMS provider may transport the police dog to a designated veterinary facility and provide emergency medical services to the police dog during transport to the facility, if the paramedic or EMS provider deem it necessary for the police dog's survival. The handler, if available, must be present during the provision of emergency medical services and transport to the veterinary facility.
(c) A paramedic or other EMS provider who in good faith attempts to render or facilitate emergency medical services to an injured police dog is not liable for civil damages which occur as a result of any act or omission by the paramedic or EMS provider in the rendering of the services; unless it is established that the paramedic or EMS provider caused injuries or death wilfully, wantonly, or recklessly or by gross negligence.
(d) A paramedic or other EMS provider may not provide emergency medical services to a police dog if their services are needed concurrently to provide services to an individual, and the care of the police dog would hinder the care of the individual.
84 Del. Laws, c. 165, § 2;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 98A. Recognition of Emergency Medical Services Personnel Licensure Interstate Compact Act (“REPLICA”) › § 98A-100. Adoption of REPLICA.

§§ 98A-100. Adoption of REPLICA.
The Recognition of Emergency Medical Services Personnel Licensure Interstate Compact Act (“REPLICA”) is hereby enacted into law and entered into with all other jurisdictions legally joining therein in form substantially in this chapter.
81 Del. Laws, c. 178, §  1;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 98A. Recognition of Emergency Medical Services Personnel Licensure Interstate Compact Act (“REPLICA”) › § 98A-101. Purpose.

§§ 98A-101. Purpose.
The purpose of this Compact is to protect the public through verification of competency and ensure accountability for patient care related activities of all states' licensed emergency medical services (EMS) personnel, such as emergency medical technicians (EMTs), advanced EMTs, and paramedics. This Compact is intended to facilitate the day-to-day movement of EMS personnel across state boundaries in the performance of their EMS duties as assigned by an appropriate authority and authorize state EMS offices to afford immediate legal recognition to EMS personnel licensed in a member state. This Compact recognizes that states have a vested interest in protecting the public's health and safety through their licensing and regulation of EMS personnel and that such state regulation shared among the member states will best protect public health and safety. This Compact is designed to achieve the following purposes and objectives:
1. Increase public access to EMS personnel.
2. Enhance the states' ability to protect the public's health and safety, especially patient safety.
3. Encourage the cooperation of member states in the areas of EMS personnel licensure and regulation.
4. Support licensing of military members who are separating from an active duty tour and the spouses of military members.
5. Facilitate the exchange of information between member states regarding EMS personnel licensure, adverse action, and significant investigatory information.
6. Promote compliance with the laws governing EMS personnel practice in each member state.
7. Invest all member states with the authority to hold EMS personnel accountable through the mutual recognition of member state licenses.
81 Del. Laws, c. 178, §  1;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 98A. Recognition of Emergency Medical Services Personnel Licensure Interstate Compact Act (“REPLICA”) › § 98A-103. Home state licensure.

§§ 98A-103. Home state licensure.
A. Any member state in which an individual holds a current license is deemed a home state for purposes of this Compact.
B. Any member state may require an individual to obtain and retain a license to be authorized to practice in the member state under circumstances not authorized by the privilege to practice under the terms of this Compact.
C. A home state's license authorizes an individual to practice in a remote state under the privilege to practice only if the home state meets all of the following requirements:
1. Currently requires the use of the National Registry of Emergency Medical Technicians (NREMT) examination as a condition of issuing initial licenses at the EMT and paramedic levels.
2. Has a mechanism in place for receiving and investigating complaints about individuals.
3. Notifies the Commission, in compliance with the terms of the Compact, of any adverse action or significant investigatory information regarding an individual.
4. No later than 5 years after activation of the Compact, requires a criminal background check of all applicants for initial licensure, including the use of the results of fingerprint or other biometric data checks compliant with the requirements of the federal bureau of investigation, with the exception of federal employees who have suitability determination in accordance with 5 CFR § 731.202, and submits documentation of the requirement as promulgated in the rules of the Commission.
5. Complies with the rules of the Commission.
81 Del. Laws, c. 178, §  1;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 98A. Recognition of Emergency Medical Services Personnel Licensure Interstate Compact Act (“REPLICA”) › § 98A-104. Compact privilege to practice.

§§ 98A-104. Compact privilege to practice.
A. Member states shall recognize the privilege to practice of an individual licensed in another member state that is in conformance with § 98A-104 of this title.
B. To exercise the privilege to practice under the terms and provisions of this Compact, an individual must meet all of the following:
1. Be at least 18 years of age.
2. Possess a current, unrestricted license in a member state as an EMT, AEMT, paramedic, or state recognized and licensed level with a scope of practice and authority between EMT and paramedic.
3. Practice under the supervision of a medical director.
C. An individual providing patient care in a remote state under the privilege to practice shall function within the scope of practice authorized by the home state unless and until modified by an appropriate authority in the remote state, as may be defined in the rules of the Commission.
D. Except as provided in this section, an individual practicing in a remote state is subject to the remote state's authority and laws. A remote state may, in accordance with due process and that state's laws, restrict, suspend, or revoke an individual's privilege to practice in the remote state and may take any other necessary actions to protect the health and safety of its citizens. If a remote state takes action, the remote state shall promptly notify the home state and the Commission.
E. if an individual's license in any home state is restricted or suspended, the individual is not eligible to practice in a remote state under the privilege to practice until the individual's home state license is restored.
F. If an individual's privilege to practice in any remote state is restricted, suspended, or revoked, the individual is not eligible to practice in any remote state until the individual's privilege to practice is restored.
81 Del. Laws, c. 178, §  1;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 98A. Recognition of Emergency Medical Services Personnel Licensure Interstate Compact Act (“REPLICA”) › § 98A-105. Conditions of practice in a remote state.

§§ 98A-105. Conditions of practice in a remote state.
An individual may practice in a remote state under a privilege to practice only in the performance of the individual's EMS duties as assigned by an appropriate authority, as defined in the rules of the Commission, and under the following circumstances:
1. The individual originates a patient transport in a home state and transports the patient to a remote state.
2. The individual originates in the home state and enters a remote state to pick up a patient and provide care and transport of the patient to the home state.
3. The individual enters a remote state to provide patient care or transport within that remote state.
4. The individual enters a remote state to pick up a patient and provide care and transport to a third member state.
5. Other conditions as determined by rules promulgated by the Commission.
81 Del. Laws, c. 178, §  1;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 98A. Recognition of Emergency Medical Services Personnel Licensure Interstate Compact Act (“REPLICA”) › § 98A-106. Relationship to emergency management assistance compact.

§§ 98A-106. Relationship to emergency management assistance compact.
Upon a member state's governor's declaration of a state of emergency or disaster that activates the Emergency Management Assistance Compact (EMAC), Chapter 34 of Title 20, all relevant terms and provisions of EMAC shall apply, and to the extent any terms or provisions of this Compact conflict with EMAC, the terms of EMAC shall prevail with respect to any individual practicing in the remote state in response to such declaration.
81 Del. Laws, c. 178, §  1;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 98A. Recognition of Emergency Medical Services Personnel Licensure Interstate Compact Act (“REPLICA”) › § 98A-107. Veterans, service members separating from active duty military, and their spouses.

§§ 98A-107. Veterans, service members separating from active duty military, and their spouses.
A. Member states shall consider a veteran, active military service member, and member of the National Guard and Reserves separating from an active duty tour, and a spouse of the veteran or member, who holds a current, valid, and unrestricted NREMT certification at or above the level of the state license being sought, as satisfying the minimum training and examination requirements for licensure.
B. Member states shall expedite the processing of licensure applications submitted by veterans, active military service members, and members of the National Guard and Reserves separating from an active duty tour, and their spouses.
C. All individuals functioning with a privilege to practice under this section remain subject to the adverse actions provisions of § 98A-108 of this title.
81 Del. Laws, c. 178, §  1;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 98A. Recognition of Emergency Medical Services Personnel Licensure Interstate Compact Act (“REPLICA”) › § 98A-108. Adverse actions.

§§ 98A-108. Adverse actions.
A. A home state shall have exclusive power to impose adverse action against an individual's license issued by the home state.
B. If an individual's license in any home state is restricted or suspended, the individual is not eligible to practice in a remote state under the privilege to practice until the individual's home state license is restored.
1. All home state adverse action orders shall include a statement that the individual's Compact privileges are inactive. The order may allow the individual to practice in remote states with prior written authorization from both the home state and remote state's EMS authority.
2. An individual currently subject to adverse action in the home state shall not practice in any remote state without prior written authorization from both the home state and remote state's EMS authority.
C. A member state shall report adverse actions and any occurrences that the individual's Compact privileges are restricted, suspended, or revoked to the Commission in accordance with the rules of the Commission.
D. A remote state may take adverse action on an individual's privilege to practice within that state.
E. Any member state may take adverse action against an individual's privilege to practice in that state based on the factual findings of another member state, so long as each state follows its own procedures for imposing an adverse action.
F. A home state's EMS authority shall investigate and take appropriate action with respect to reported conduct in a remote state as it would if the conduct had occurred within the home state. In these cases, the home state's law controls in determining the appropriate adverse action.
G. Nothing in this Compact overrides a member state's decision that participation in an alternative program may be used in lieu of adverse action and that participation remains confidential if required by the member state's laws.
Member states must require individuals who enter any alternative programs to agree not to practice in any other member state during the term of the alternative program without prior authorization from the other member state.
81 Del. Laws, c. 178, §  1;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 98A. Recognition of Emergency Medical Services Personnel Licensure Interstate Compact Act (“REPLICA”) › § 98A-109. Additional powers invested in a member state's EMS authority.

§§ 98A-109. Additional powers invested in a member state's EMS authority.
A member state's EMS authority, in addition to any other powers granted under state law, is authorized under this Compact to do all of the following:
1. Issue subpoenas for both hearings and investigations that require the attendance and testimony of witnesses and the production of evidence. Subpoenas issued by a member state's EMS authority for the attendance and testimony of witnesses, or the production of evidence from another member state are enforceable in the remote state by any court of competent jurisdiction, according to that court's practice and procedure in considering subpoenas issued in its own proceedings. The issuing state's EMS authority shall pay any witness fees, travel expenses, mileage, and other fees required by the service statutes of the state where the witnesses or evidence are located.
2. Issue cease and desist orders to restrict, suspend, or revoke an individual's privilege to practice in the state.
81 Del. Laws, c. 178, §  1;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 98A. Recognition of Emergency Medical Services Personnel Licensure Interstate Compact Act (“REPLICA”) › § 98A-111. Coordinated database.

§§ 98A-111. Coordinated database.
A. The Commission shall provide for the development and maintenance of a coordinated database and reporting system containing licensure, adverse action, and significant investigatory information on all licensed individuals in member states.
B. Notwithstanding any other provision of state law to the contrary, a member state shall submit a uniform data set to the coordinated database on all individuals to whom this Compact is applicable as required by the rules of the Commission, including all of the following:
1. Identifying information.
2. Licensure data.
3. Significant investigatory information.
4. Adverse actions against an individual's license.
5. An indicator that an individual's privilege to practice is restricted, suspended, or revoked.
6. Nonconfidential information related to alternative program participation.
7. Any denial of application for licensure and the reason for the denial.
8. Other information that may facilitate the administration of this Compact, as determined by the rules of the Commission.
C. The coordinated database administrator shall promptly notify all member states of any adverse action taken against, or significant investigative information on, any individual in a member state.
D. Member states contributing information to the coordinated database may designate information that may not be shared with the public without the express permission of the contributing state.
E. Any information submitted to the coordinated database that is subsequently required to be expunged by the laws of the member state contributing the information shall be removed from the coordinated database.
81 Del. Laws, c. 178, §  1;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 98A. Recognition of Emergency Medical Services Personnel Licensure Interstate Compact Act (“REPLICA”) › § 98A-114. Date of implementation of the Interstate Commission for EMS Personnel Practice and associated rules, withdrawal, and amendment.

§§ 98A-114. Date of implementation of the Interstate Commission for EMS Personnel Practice and associated rules, withdrawal, and amendment.
A. The Compact takes effect on the date on which the Compact statute is enacted into law in the tenth member state. The provisions that become effective at that time are limited to the powers granted to the Commission relating to assembly and the promulgation of rules. Thereafter, the Commission shall meet and exercise rulemaking powers necessary to implement and administer the Compact.
B. Any state that joins the Compact after the Commission's initial adoption of the rules is subject to the rules as they exist on the date on which the Compact becomes law in that state. Any rule that has been previously adopted by the Commission has the full force and effect of law on the day the Compact becomes law in that state.
C. Any member state may withdraw from this Compact by enacting a statute repealing the statute.
1. A member state's withdrawal shall not take effect until 6 months after enactment of the repealing statute.
2. Withdrawal does not affect the continuing requirement of the withdrawing state's EMS authority to comply with the investigative and adverse action reporting requirements of this Compact prior to the effective date of withdrawal.
D. Nothing contained in this Compact invalidates or prevents any EMS personnel licensure agreement or other cooperative arrangement between a member state and a nonmember state that does not conflict with the provisions of this Compact.
E. The member states may amend the Compact. An amendment to this Compact is not effective and binding upon any member state until it is enacted into the laws of all member states.
81 Del. Laws, c. 178, §  1;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 98A. Recognition of Emergency Medical Services Personnel Licensure Interstate Compact Act (“REPLICA”) › § 98A-115. Construction and severability.

§§ 98A-115. Construction and severability.
This Compact shall be liberally construed so as to effectuate the purposes of the Compact. If a court finds that this Compact is contrary to the constitution of any member state, the Compact shall remain in full force and effect as to the remaining member states. Nothing in this Compact supersedes state law or rules related to licensure of EMS agencies.
81 Del. Laws, c. 178, §  1;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 99. DELAWARE HEALTH CARE COMMISSION › Subchapter I. Findings, Organization and Duties of Commission › § 9902. Delaware Health Care Commission.

§ 9902. Delaware Health Care Commission.
(a) (1) There is hereby established the Delaware Health Care Commission, hereinafter in this chapter referred to as the Commission. Said Commission shall consist of 11 members, 5 of whom shall be appointed by the Governor, 1 of whom shall be appointed by the President Pro Tempore of the State Senate and 1 of whom shall be appointed by the Speaker of the House of Representatives. Of the 5 members appointed by the Governor, at least 1 member shall be a resident of each county. The Insurance Commissioner, the Secretary of Finance, the Secretary of Health and Social Services, and the Secretary of Services for Children, Youth and Their Families or their designees shall serve as ex officio members of the Commission.
(2) The Governor shall designate 1 member of the Commission to be Chairperson who shall serve at the pleasure of the Governor. The terms of the remaining 6 appointed members shall be for 4 years except that the initial term of each may be for a lesser period. Any vacancy shall be filled by the Governor for the balance of the unexpired term. A member of the Commission shall be eligible for reappointment. No more than 3 of the Commission members appointed by the Governor shall be of the same political party.
(b) The Commission is constituted an independent public instrumentality and may call upon the Delaware Health Information Network and/or any state agency for any assistance, information or data that may be necessary to carry out the purposes for which it had been established. For administrative and budgetary purposes only, the Commission shall be placed within the Department of Health and Social Services, Office of the Secretary.
(c) The Commission is authorized to reimburse Commission members for mileage associated with Commission responsibilities.
67 Del. Laws, c. 334, §  1;  68 Del. Laws, c. 290, §  106;  69 Del. Laws, c. 35, §§  1, 2;  70 Del. Laws, c. 186, §  1;  73 Del. Laws, c. 141, §§  1-4;  73 Del. Laws, c. 309, §  1;  78 Del. Laws, c. 296, §  2;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 99. DELAWARE HEALTH CARE COMMISSION › Subchapter I. Findings, Organization and Duties of Commission › § 9904. Reporting requirements.

§ 9904. Reporting requirements.
(a) On or before January 15, 1991, the Commission shall report to the Governor and the General Assembly on the status of the recommendations contained in the May 31, 1990, Task Force Report. On or before March 15, 1991, the Commission shall submit to the Governor and the General Assembly its recommendations for legislative action on insurance reform. On or before May 15, 1991, the Commission shall report to the Governor and the General Assembly on the status of specific initiatives in Medicaid, education, outreach and case management, and the pilot model projects.
(b) On or before January 15, 1991, and on or before every January 15 thereafter, the Commission shall report to the Governor and the General Assembly on the status of all of the Task Force recommendations. The comprehensive report shall identify any segments of the population which remain without access to health care and any further recommendations deemed necessary to meet the Commission's charge.
67 Del. Laws, c. 334, §  1;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 99. DELAWARE HEALTH CARE COMMISSION › Subchapter I. Findings, Organization and Duties of Commission › § 9904A. Primary Care Reform Collaborative.

§ 9904A. Primary Care Reform Collaborative.
(a) The Commission shall convene a Primary Care Reform Collaborative (“Collaborative”) to assist with the development of recommendations to strengthen the primary care system in this State. The Collaborative may collect and accept advice and input from stakeholders, including the Delaware health-care and patient community.
(b) The Collaborative is comprised of the following members, or a designee appointed by the member serving by virtue of position:
(1) The Commission Chairperson. The Commission Chairperson is chair of the Collaborative.
(2) The Chair of the Senate Health & Social Services Committee.
(3) The Chair of the House Health & Human Development Committee.
(4) One member, appointed by the Governor from a list of names provided by the Medical Society of Delaware.
(5) One member, appointed by the Governor from a list of names provided by the Delaware Nurses Association.
(6) One member, appointed by the Governor from a list of names provided by the Delaware Healthcare Association.
(7) Two members representing insurance carriers, appointed by the Governor.
(8) The Secretary, Department of Health and Social Services.
(9) The Director, Division of Medicaid and Medical Assistance.
(10) The Insurance Commissioner, Insurance Department.
(11) The Chair, State Employee Benefits Committee.
(12) One member representing a Federally Qualified Health Center, appointed by the Governor.
(c) The Commission may also require the submission of written reports by any health insurer, as defined in § 4004 of Title 18, to the extent permitted under federal law, and any hospital or acute health-care facility licensed under Chapter 10 of this title, regarding all of the following matters:
(1) The hospital's, acute health-care facility's, or health insurer's progress in adopting and implementing value-based payment models during the fiscal year immediately preceding the annual reporting deadline and the overall progress of the reporting entity on having at least 60% of Delawareans attributed to meaningful value-based payment models by 2025.
(2) The hospital's, acute health-care facility's, or health insurer's efforts to support primary care access and primary care practitioners in the State, including financial, operational, and other support, in conjunction with the adoption of meaningful value-based payment models.
(d) (1) A quorum of the Collaborative is a majority of its members.
(2) Official action by the Collaborative requires the approval of a quorum of the Collaborative.
(3) The Collaborative may adopt rules necessary for its operation.
81 Del. Laws, c. 392, § 2;  82 Del. Laws, c. 189, § 1;  83 Del. Laws, c. 237, § 2;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 99. DELAWARE HEALTH CARE COMMISSION › Subchapter II. Delaware Institute of Medical Education and Research › § 9905. Findings.

§ 9905. Findings.
(a) The General Assembly finds and declares that the purpose of the Delaware Institute of Medical Education and Research (DIMER), created in 1969 as an alternative to a state sponsored medical school, is sound and should be continued and strengthened. Delaware should continue to provide opportunities for Delaware residents to receive a medical education, but it would not be a wise use of resources for the State to build and maintain a medical school.
(b) The General Assembly finds and declares that the current arrangement between the State and Jefferson Medical College of Thomas Jefferson University, which allows Jefferson to function as Delaware's medical school, is extremely valuable to the State and has produced benefits which far surpass the admission of 20 Delaware residents into Jefferson Medical College each year. The relationship with Jefferson Medical College through DIMER is built upon years of a solid working relationship and should be perpetuated.
(c) The General Assembly finds and declares that a new structure of the DIMER Board will more appropriately reflect DIMER's abilities to meet its responsibilities as outlined in this legislation.
(d) The General Assembly finds and declares that placing administration of DIMER within the Delaware Health Care Commission will enhance its ability to accomplish its goals and ensure that DIMER's future functions will be focused on promoting medical education while helping the State to meet its health-care needs.
70 Del. Laws, c. 516, §  3;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 99. DELAWARE HEALTH CARE COMMISSION › Subchapter II. Delaware Institute of Medical Education and Research › § 9906. Creation of a Board [Effective until July 17, 2028].

§ 9906. Creation of a Board [Effective until July 17, 2028].
(a) There is hereby established the Board of Directors of the Delaware Institute of Medical Education and Research (Board), which shall serve as an advisory board to the Health Care Commission.
(b) The Board shall consist of 17 members, 1 of whom shall be a member of the Delaware Health Care Commission, to be appointed by the Delaware Health Care Commission; 3 of whom shall be appointed by the Christiana Care Health Services; 6 of whom shall be appointed by the Governor, consisting of 1 public member from each county and 1 public member from the City of Wilmington and 2 members representing medical residency programs in the State, other than those operated by the Christiana Care Health Services; 1 of whom shall be appointed by the Association of Delaware Hospitals to represent hospitals in Kent and Sussex Counties; 1 of whom shall be appointed by the Delaware Higher Education Office, subject to the approval of the Secretary of Education; 3 of whom shall be appointed by the University of Delaware, including representation from the College of Nursing; and 1 of whom shall be appointed by Delaware State University. The Director of the Division of Public Health or, if the Director is not a licensed physician or advanced practice registered nurse, a licensed physician or advanced practice registered nurse designated by the Director and employed by the Division, shall serve as an ex officio member.
(c) All members, other than the ex officio member, shall be appointed for terms of 3 years, except that the present 9 members shall serve the remainder of their terms, and of the 6 new appointments, 2 shall be for 3 years, 2 shall be for 2 years and 2 shall be for 1 year, to allow for staggered terms. Any member appointed to fill a vacancy shall be appointed only to fill that vacancy for the remainder of the term, but shall be eligible for re-appointment upon expiration of that term.
(d) No member of the Board shall receive compensation for that member's duties other than normal travel expenses incurred in carrying out the responsibilities as members.
(e) A majority of the members of the Board shall constitute a quorum and shall be sufficient for any action by the Board.
(f) The Chair of the Board shall be appointed by the Chair of the Delaware Health Care Commission.
(g) The Board may establish working committees to assist in completing its work; however, it shall maintain a standing “Committee on Rural Health” to assure that the unique health needs of rural Delaware are addressed in DIMER activities.
70 Del. Laws, c. 516, §  3;  70 Del. Laws, c. 186, §  1;  73 Del. Laws, c. 4, §§  4-6;  77 Del. Laws, c. 431, §  17;  84 Del. Laws, c. 92, § 6;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 99. DELAWARE HEALTH CARE COMMISSION › Subchapter II. Delaware Institute of Medical Education and Research › § 9906. Creation of a Board [Effective July 17, 2028].

§ 9906. Creation of a Board [Effective July 17, 2028].
(a) There is hereby established the Board of Directors of the Delaware Institute of Medical Education and Research (Board), which shall serve as an advisory board to the Health Care Commission.
(b) The Board shall consist of 17 members, 1 of whom shall be a member of the Delaware Health Care Commission, to be appointed by the Delaware Health Care Commission; 3 of whom shall be appointed by the Christiana Care Health Services; 6 of whom shall be appointed by the Governor, consisting of 1 public member from each county and 1 public member from the City of Wilmington and 2 members representing medical residency programs in the State, other than those operated by the Christiana Care Health Services; 1 of whom shall be appointed by the Association of Delaware Hospitals to represent hospitals in Kent and Sussex Counties; 1 of whom shall be appointed by the Delaware Higher Education Office, subject to the approval of the Secretary of Education; 3 of whom shall be appointed by the University of Delaware, including representation from the College of Nursing; and 1 of whom shall be appointed by Delaware State University. The Director of the Division of Public Health shall serve as an ex officio member.
(c) All members, other than the ex officio member, shall be appointed for terms of 3 years, except that the present 9 members shall serve the remainder of their terms, and of the 6 new appointments, 2 shall be for 3 years, 2 shall be for 2 years and 2 shall be for 1 year, to allow for staggered terms. Any member appointed to fill a vacancy shall be appointed only to fill that vacancy for the remainder of the term, but shall be eligible for re-appointment upon expiration of that term.
(d) No member of the Board shall receive compensation for that member's duties other than normal travel expenses incurred in carrying out the responsibilities as members.
(e) A majority of the members of the Board shall constitute a quorum and shall be sufficient for any action by the Board.
(f) The Chair of the Board shall be appointed by the Chair of the Delaware Health Care Commission.
(g) The Board may establish working committees to assist in completing its work; however, it shall maintain a standing “Committee on Rural Health” to assure that the unique health needs of rural Delaware are addressed in DIMER activities.
70 Del. Laws, c. 516, §  3;  70 Del. Laws, c. 186, §  1;  73 Del. Laws, c. 4, §§  4-6;  77 Del. Laws, c. 431, §  17;  84 Del. Laws, c. 92, § 6;  84 Del. Laws, c. 92, § 9;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 99. DELAWARE HEALTH CARE COMMISSION › Subchapter II. Delaware Institute of Medical Education and Research › § 9907. Purposes of the Board.

§ 9907. Purposes of the Board.
The purpose of the Board shall be to initiate, encourage and promote:
(1) The relationship with Jefferson Medical College of Thomas Jefferson University as Delaware's medical school, including ensuring the admission of 20 bona fide Delaware residents into Jefferson Medical College on an annual basis.
(2) Expansion of opportunities for Delaware residents to obtain training at a reasonable cost in the health and health-related professions when such residents commit to practice their professions in Delaware.
(3) Incentives for qualified personnel in the health and health-related professions to practice in Delaware.
(4) Continued development of a coordinated program of premedical, medical and graduate education among state public institutions of higher learning, Delaware hospitals and Jefferson Medical College.
(5) Support of graduate and post-graduate medical and health-care training programs, including emphasis on those programs targeted to meet the State's health-care needs.
(6) Programs of education and training in the health fields and research in health and health-related fields, both basic and applied, including the vital areas of public health education, community health planning and health-care costs.
70 Del. Laws, c. 516, §  3;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 99. DELAWARE HEALTH CARE COMMISSION › Subchapter II. Delaware Institute of Medical Education and Research › § 9908. Duties.

§ 9908. Duties.
The Board shall be responsible for overseeing implementation of policies designed to accomplish the purposes set forth in § 9907 of this title and shall report to the Commission on its progress. Its activities and responsibilities shall include:
(1) Developing a recruitment program for medical education in conjunction with local colleges and universities to encourage medical school applications from minorities and residents of rural counties and underserved areas of Delaware, in addition to other students interested in pursuing a medical education.
(2) Developing and maintaining statewide communications, publicity and marketing plans in cooperation with the Delaware Higher Education Office and other interested parties, which will promote awareness of the existence of DIMER and the Jefferson Medical College as Delaware's alternative to a state sponsored medical school.
(3) Close monitoring of the relationship between the University of Delaware Medical Scholars Program and Jefferson Medical College admission slots reserved for Delaware residents.
(4) Developing recruitment programs aimed at attracting premedical students interested in community and rural medicine; provided, however, that the Delaware Health Care Commission shall be empowered to expand or replace this activity with other duties if required by the future health care needs of the State.
(5) Support, as appropriate, private sector provider recruitment efforts by consolidating information collection and dissemination efforts, such as statewide recruitment brochures.
(6) Advising the Delaware Higher Education Office as it administers and monitors scholarships, loans and loan repayment programs:
a. Aimed at attracting graduates and residents in disciplines in which there is a shortage as determined by the Delaware Health Care Commission; and
b. Offered to Delaware residents in financial need who wish to pursue a health-related education and to practice health-related professions in Delaware.
The Board may develop working relationships and affiliation agreements with other institutions to facilitate carrying out the purposes of this chapter. Any such agreements shall be approved by the Delaware Health Care Commission, and the State shall be a signatory to any documents setting the terms of the agreements.
70 Del. Laws, c. 516, §  3;  77 Del. Laws, c. 431, §  18;
2023 Delaware Code › Title 16 - Health and Safety › Chapter 99. DELAWARE HEALTH CARE COMMISSION › Subchapter V. Delaware Institute for Dental Education and Research › § 9940. Findings.

§ 9940. Findings.
(a) The General Assembly finds and declares that the original purposes for DIDER enacted in 1981 remain sound and should be continued and strengthened.
(b) The General Assembly finds and declares that the original DIDER statute anticipated multiple purposes for the organization, but that administrative and other resources have limited DIDER to 1 purpose — that of becoming a funding conduit for supporting hospital based residency training programs as required in Chapter 11, Title 24.
(c) The General Assembly finds and declares that DIDER can play a pivotal role in implementing many programs that could result in improved access to dental care for Delawareans.
(d) The General Assembly finds and declares that a new structure of the DIDER Board will more appropriately reflect DIDER's abilities to meet its responsibilities outlined in this legislation.
(e) The General Assembly finds and declares that placing the administration of DIDER within the Delaware Health Care Commission will enhance its ability to accomplish its goals and ensure that DIDER's future functions will be focused on promoting dental education and helping the State to meet its health-care needs, in concert with DIMER and other state health-care policy activities.
73 Del. Laws, c. 4, §  3;