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HB484

Health insurance; ethics and fairness in carrier business practices; downcoded claims.

Status:
In House

Latest Action: Feb. 4, 2026
House: Placed on Labor and Commerce Agenda

Chief Patron:
Irene Shin (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 to provide certain notice to the person submitting the claim, including the reason for the decision and the process to appeal. (Less)
  • Bill History

  • 01/12/2026 - House: Prefiled and ordered printed; Offered 01-14-2026 26102714D
  • 01/12/2026 - House: Referred to Committee on Labor and Commerce
  • 01/19/2026 - House: Assigned HCL sub: Subcommittee #1
  • 01/30/2026 - House: Placed on Labor and Commerce Agenda
  • 02/03/2026 - House: House subcommittee offered
  • 02/03/2026 - House: Subcommittee recommends reporting with substitute (9-Y 0-N)
  • 02/04/2026 - House: Placed on Labor and Commerce Agenda

Full text and vote history:

Virginia Legislative Information System

RichmondSunlight.com


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