HB 484 VA To Executive
Health insurance; ethics and fairness in carrier business practices, downcoded claims.
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Summary
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.
Sponsor (1)
- Irene Shin Democratic · primary
Action history (34)
- Jan 12, 2026 Prefiled and ordered printed; Offered 01-14-2026 26102714D · lower
- Jan 12, 2026 Referred to Committee on Labor and Commerce · lower
- Jan 19, 2026 Assigned HCL sub: Subcommittee #1 · lower
- Feb 3, 2026 House subcommittee offered · lower
- Feb 3, 2026 Subcommittee recommends reporting with substitute (9-Y 0-N) · lower
- Feb 5, 2026 Reported from Labor and Commerce with substitute (21-Y 1-N) · lower
- Feb 5, 2026 Committee substitute printed 26106356D-H1 · lower
- Feb 9, 2026 Read first time · lower
- Feb 10, 2026 Read second time · lower
- Feb 10, 2026 committee substitute agreed to · lower
- Feb 10, 2026 Engrossed by House - committee substitute · lower
- Feb 11, 2026 Read third time and passed House (97-Y 1-N 0-A) · lower
- Feb 12, 2026 Constitutional reading dispensed (on 1st reading) · upper
- Feb 12, 2026 Referred to Committee on Commerce and Labor · upper
- Feb 23, 2026 Senate committee offered · upper
- Feb 23, 2026 Reported from Commerce and Labor with substitute (14-Y 0-N) · upper
- Feb 24, 2026 Committee substitute printed 26108293D-S1 · upper
- Feb 25, 2026 Rules suspended · upper
- Feb 25, 2026 Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A) · upper
- Feb 25, 2026 Passed by for the day Block Vote (Voice Vote) · upper
- Feb 26, 2026 Read third time · upper
- Feb 26, 2026 Commerce and Labor Substitute agreed to · upper
- Feb 26, 2026 Engrossed by Senate - committee substitute · upper
- Feb 26, 2026 Passed Senate with substitute Block Vote (40-Y 0-N 0-A) · upper
- Mar 2, 2026 Senate substitute agreed to by House (98-Y 0-N 0-A) · lower
- Mar 3, 2026 Fiscal Impact Statement from State Corporation Commission (HB484) · lower
- Mar 5, 2026 Enrolled · lower
- Mar 5, 2026 Bill text as passed House and Senate (HB484ER) · lower
- Mar 5, 2026 Signed by Speaker · lower
- Mar 5, 2026 Signed by President · upper
- Mar 10, 2026 Enrolled Bill communicated to Governor on March 10, 2026 · lower
- Mar 10, 2026 Governor's Action Deadline 11:59 p.m., April 13, 2026 · executive
- Mar 12, 2026 Fiscal Impact Statement from State Corporation Commission (HB484) · lower
- Apr 13, 2026 Governor's recommendation received by House · executive
Text versions (15)
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.
- Governor's Recommendation · HTML
- Enrolled · PDF
- Enrolled · HTML
- Commerce and Labor Substitute · PDF
- Commerce and Labor Substitute · HTML
- Commerce and Labor Substitute · PDF
- Commerce and Labor Substitute · 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
- Introduced · PDF
- Introduced · HTML
Full text
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