Effective Jan. 1, 2026, the Delaware Abortion Mandate (House Substitute No. 2 for House Bill No. 110) requires insurers to cover services related to the termination of pregnancy for Delaware individual, small group, and large group fully insured policies issued on or after that date.
With certain exceptions, coverage under the mandate may not be subject to any deductible, coinsurance, copayment, or any other cost-sharing requirement.
Claims
In order for a claim to process in accordance with the mandate, the following apply:
Professional
- The CPT code must be one for services related to the termination of pregnancy and it must include a diagnosis code for termination of pregnancy at the claim line level.
Facility
- The principal diagnosis code must be for termination of pregnancy.
Note: There is a religious employer exception to certain coverage requirements if claimed by the employer.
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