Prior Auth/Legislative & Regulatory

Senator Townsend introduced SB 1 on March 5, 2026, followed by a press release from the Department of Insurance (DOI)
MSD collaborated with the DOI to ensure the inclusion of our 6 Primary Care Reform pillars were included in SB 1
- Eliminate the sunset period for SB 120
- Include Medicaid beneficiaries and State employees to expand the population covered by the legislation
- Include all persons in the relevant health plans
- Payments that represent primary care investments must follow the patients through the primary care practitioner to whom they are attributed
- Implementation of a 5-year glide path, providing up front funding so that practices can move toward value-based practice models
- Develop accountability standards for primary care
- For more information on how SB 1 is working for you, read this brief from DOI

Call to Action – Email your Senator to support SB 1!

SB 1 was reported out of the Senate Health Committee on March 18, 2026
Your Senator where you live or work - Find My Legislator - Delaware General Assembly

Lisa Gruss at [email protected]
- Reaching out to your legislators or learning more about our advoacy committees
- Sharing physician, practitioner, and patient stories
- Submitting data to MSD on prior authorizations (time spend, % approvals vs % denials, peer-to-peer consults, etc.)
- Learning more about advocacy or physicians in Leg Hall

Advocacy

MSD’s Political Advocacy is a multi-faceted program intended to:

Represent, promote and defend the interests of physicians and their patients in the halls of government;
Educate and advise lawmakers and officials on medical issues that affect our community;
Establish relationships with and evaluate elected officials; and
Provide members the tools they need to stay current on the laws and regulations that affect their practices and to make informed decisions in the ballot booth.

AMA Health Care Advocacy

The MSD Advocacy 101 deck is a great way to learn more about engaging your practice in advocacy. For more information, on MSD’s advocacy initiatives, contact Lisa Gruss at [email protected]. Advocacy 101 for Physicians.