SB164
Health insurance; ethics and fairness in carrier business practices; downcoded claims.
Status:
In House
Latest Action:
Feb. 4, 2026
House: Referred to Committee on Labor and Commerce
Chief Patron:
Jeremy McPike (D)
Session:
2026 Regular Session
Summary
As Introduced. 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, as defined in the bill, unless the decision to downcode is reviewed by a licensed physician, advanced practice registered nurse, or physician assistant. The bill requires a carrier, intermediary, administrator, or representative that downcodes a claim ... (More) to provide certain notice to the person submitting the claim, including the reason for the decision and the process to appeal. (Less)-
Bill History
- 01/07/2026 - Senate: Prefiled and ordered printed; Offered 01-14-2026 26103299D
- 01/07/2026 - Senate: Referred to Committee on Commerce and Labor
- 01/26/2026 - Senate: Senate committee offered
- 01/26/2026 - Senate: Senate committee offered
- 01/26/2026 - Senate: Reported from Commerce and Labor with substitute (15-Y 0-N)
- 01/27/2026 - Senate: Committee substitute printed 26106195D-S1
- 01/28/2026 - Senate: Rules suspended
- 01/28/2026 - Senate: Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N 0-A)
- 01/28/2026 - Senate: Passed by for the day Block Vote (Voice Vote)
- 01/29/2026 - Senate: Read second time
- 01/29/2026 - Senate: Commerce and Labor Substitute agreed to
- 01/29/2026 - Senate: Engrossed by Senate (Voice Vote)
- 01/29/2026 - Senate: Engrossed by Senate - committee substitute
- 01/30/2026 - Senate: Read third time and passed Senate
- 02/04/2026 - House: Placed on Calendar
- 02/04/2026 - House: Read first time
- 02/04/2026 - House: Referred to Committee on Labor and Commerce
