Diamond State Hospital Cost Review Board

The Diamond State Hospital Cost Review Board (“Board”) is responsible for an annual review of hospital budgets and related financial information. The Board consists of 8 members: 7 appointed by the Governor and confirmed by the Senate and the Executive Director of the Delaware Healthcare Association. House Substitute 2 for House Bill 350 creates a requirement that hospitals submit yearly budgets, audited financial statements, and related financial information to the Board for review. Where a hospital fails to meet the state’s health care spending benchmark, it is required to engage with the Board on a performance improvement plan (PIP). If the Board determines that a PIP is required and the hospital cannot agree on a PIP or where the hospital fails to successfully implement a PIP, the Board may require the hospital to have its future budget approved by the Board. The submission of hospital budget and financial information will begin in 2025 for calendar year 2026. In reviewing performance improvement plans or proposed budgets, the Board will consider adherence as closely to the spending benchmark as is reasonable given the hospital’s financial position and associated economic factors, the promotion of efficient and economic operations of the hospital, and maintenance of the hospital’s ability to meet its financial obligations and provide quality health care.

State Board Regulatory Information	Reports and Publications
HS 2 for HB 350 Board Members Board Bylaws Board Meeting Schedule Board Minutes, Agendas & Notices	Board Meeting Presentations

Contact Information

Delaware Health Care Commission

Herman M. Holloway Sr. Health and Social Services Campus

1901 N. Dupont Highway Main Administration Building

New Castle, DE 19720

Phone, Fax and Email

Main Office: (302) 255-4750

Fax: (302) 255-4751

Email:DHCC@delaware.gov