VirginiaHealth insurance; ethics and fairness in carrier business practices, downcoded claims.
What it does
Health insurance; ethics and fairness in carrier business practices; downcoded claims. Prohibits a carrier, intermediary, administrator, or representative of a carrier from downcoding a claim unless the decision to downcode is determined by a person or electronic system that reflects correct coding standards and considers all relevant patient data from the billing provider in making the determination. The bill requires a carrier, intermediary, administrator, or representative that downcodes a claim to provide certain notice to the provider.
More detail
The bill requires that all downcoding dispute decisions are reviewed and adjudicated by a natural person.
Where do you stand?
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Where it stands
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Apr 13Governor's recommendation received by HouseLatest
- Mar 12Fiscal Impact Statement from State Corporation Commission (HB484)
- Mar 10Governor's Action Deadline 11:59 p.m., April 13, 2026To Governor
- Mar 10Enrolled Bill communicated to Governor on March 10, 2026Minor
- Mar 5Signed by PresidentMajor
- Mar 5Signed by SpeakerMajor
- Mar 5Bill text as passed House and Senate (HB484ER)Major
- Mar 5EnrolledMinor
- Mar 3Fiscal Impact Statement from State Corporation Commission (HB484)
- Mar 2Senate substitute agreed to by House (98-Y 0-N 0-A)Major
- Vote recorded H VOTE:. Result: pass.Lower
- Feb 26Passed Senate with substitute Block Vote (40-Y 0-N 0-A)Passed Senate
- Vote recorded Passage R. Result: pass.Upper
- Feb 26Engrossed by Senate - committee substituteMajor
- Feb 26Commerce and Labor Substitute agreed to
- Feb 26Read third timeMinor
- Feb 25Passed by for the day Block Vote (Voice Vote)
- Vote recorded Constitutional reading dispensed (on 2nd reading). Result: pass.Upper
- Feb 25Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A)
- Feb 25Rules suspended
- Feb 24Committee substitute printed 26108293D-S1Major
- Feb 23Reported from Commerce and Labor with substitute (14-Y 0-N)Minor
- Vote recorded Reported from Commerce and Labor with substitute. Result: pass.Upper
- Feb 23Senate committee offered
- Feb 12Referred to Committee on Commerce and LaborMinor
- Feb 12Constitutional reading dispensed (on 1st reading)
- Feb 11Read third time and passed House (97-Y 1-N 0-A)Passed House
- Vote recorded H VOTE:. Result: pass.Lower
- Feb 10Engrossed by House - committee substituteMajor
- Feb 10committee substitute agreed toMajor
- Feb 10Read second timeMinor
- Feb 9Read first timeMinor
- Feb 5Committee substitute printed 26106356D-H1Major
- Vote recorded Reported from Labor and Commerce with substitute. Result: pass.Lower
- Feb 5Reported from Labor and Commerce with substitute (21-Y 1-N)Minor
- Feb 3Subcommittee recommends reporting with substitute (9-Y 0-N)Major
- Vote recorded Subcommittee recommends reporting with substitute. Result: pass.Lower
- Feb 3House subcommittee offered
- Jan 19Assigned HCL sub: Subcommittee #1Minor
- Jan 12Referred to Committee on Labor and CommerceMinor
- Jan 12Prefiled and ordered printed; Offered 01-14-2026 26102714DIntroduced