SB 164 VA

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Became Law

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. The bill requires that all downcoding dispute decisions are reviewed and adjudicated by a natural person.

• Jeremy S. McPike Democratic · primary

1. Jan 7, 2026 Prefiled and ordered printed; Offered 01-14-2026 26103299D · upper
2. Jan 7, 2026 Referred to Committee on Commerce and Labor · upper
3. Jan 26, 2026 Senate committee offered · upper
4. Jan 26, 2026 Senate committee offered · upper
5. Jan 26, 2026 Reported from Commerce and Labor with substitute (15-Y 0-N) · upper
6. Jan 27, 2026 Committee substitute printed 26106195D-S1 · upper
7. Jan 28, 2026 Rules suspended · upper
8. Jan 28, 2026 Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N 0-A) · upper
9. Jan 28, 2026 Passed by for the day Block Vote (Voice Vote) · upper
10. Jan 28, 2026 Passed by for the day · upper
11. Jan 29, 2026 Read second time · upper
12. Jan 29, 2026 Commerce and Labor Substitute agreed to · upper
13. Jan 29, 2026 Engrossed by Senate (Voice Vote) · upper
14. Jan 29, 2026 Engrossed by Senate - committee substitute · upper
15. Jan 30, 2026 Read third time and passed Senate · upper
16. Feb 4, 2026 Placed on Calendar · lower
17. Feb 4, 2026 Read first time · lower
18. Feb 4, 2026 Referred to Committee on Labor and Commerce · lower
19. Feb 19, 2026 Assigned HCL sub: Subcommittee #1 · lower
20. Feb 24, 2026 Subcommittee recommends reporting with substitute (9-Y 0-N) · lower
21. Feb 26, 2026 Reported from Labor and Commerce with substitute (21-Y 0-N) · lower
22. Feb 27, 2026 Committee substitute printed 26108190D-H1 · lower
23. Mar 2, 2026 Read second time · lower
24. Mar 3, 2026 Moved from Uncontested Calendar to Regular Calendar · lower
25. Mar 3, 2026 Passed by for the day · lower
26. Mar 3, 2026 Fiscal Impact Statement from State Corporation Commission (SB164) · upper
27. Mar 4, 2026 Read third time · lower
28. Mar 4, 2026 committee substitute rejected · lower
29. Mar 4, 2026 Passed by temporarily · lower
30. Mar 4, 2026 Floor offered Delegate Shin Amendments · lower
31. Mar 4, 2026 Reconsideration of · lower
32. Mar 4, 2026 Labor and Commerce Substituteagreed to by House · lower
33. Mar 4, 2026 Delegate Shin Floor amendments agreed to · lower
34. Mar 4, 2026 Engrossed by House - committee substitute as amended · lower
35. Mar 4, 2026 Passed House with substitute with amendments (97-Y 1-N 0-A) · lower
36. Mar 6, 2026 House substitute with amendments agreed to by Senate (40-Y 0-N 0-A) · upper
37. Mar 12, 2026 Enrolled · upper
38. Mar 12, 2026 Bill text as passed Senate and House (SB164ER) · upper
39. Mar 12, 2026 Signed by Speaker · lower
40. Mar 12, 2026 Signed by President · upper
41. Mar 14, 2026 Enrolled Bill communicated to Governor on March 14, 2026 · upper
42. Mar 14, 2026 Governor's Action Deadline 11:59 p.m., April 13, 2026 · executive
43. Mar 24, 2026 Fiscal Impact Statement from State Corporation Commission (SB164) · upper
44. Apr 13, 2026 Approved by Governor-Chapter 881 (effective 7/1/2026) · executive

The published texts of this bill as it moves through the legislature. Each links to the official document on the state legislature site. Data from OpenStates.

• Enrolled · PDF
• Enrolled · HTML
• House Amendments · HTML
• Delegate Shin Amendments · HTML
• Labor and Commerce Substitute · PDF
• Labor and Commerce Substitute · HTML
• Labor and Commerce Substitute · PDF
• Labor and Commerce Substitute · HTML
• Subcommittee #1 Subcommittee Substitute · PDF
• Subcommittee #1 Subcommittee Substitute · HTML
• Commerce and Labor Substitute · PDF
• Commerce and Labor Substitute · HTML
• Commerce and Labor Substitute · PDF
• Commerce and Labor Substitute · HTML
• Introduced · PDF
• Introduced · HTML