HB484
Health insurance; ethics and fairness in carrier business practices, downcoded claims.
Status:
Passed
Latest Action:
March 12, 2026
House: Fiscal Impact Statement from State Corporation Commission (HB484)
Chief Patron:
Irene Shin (D)
Session:
2026 Regular Session
Summary
As Passed House of Origin. 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 determined by a person or electronic system that considers all relevant patient data from the billing provider in making the determination. The bill requires a ... (More) 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. The bill requires that all downcoding dispute decisions shall be adjudicated by a natural person. (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
- 02/05/2026 - House: Reported from Labor and Commerce with substitute (21-Y 1-N)
- 02/05/2026 - House: Committee substitute printed 26106356D-H1
- 02/09/2026 - House: Read first time
- 02/10/2026 - House: Read second time
- 02/10/2026 - House: committee substitute agreed to
- 02/10/2026 - House: Engrossed by House - committee substitute
- 02/11/2026 - House: Read third time and passed House (97-Y 1-N 0-A)
- 02/12/2026 - Senate: Constitutional reading dispensed (on 1st reading)
- 02/12/2026 - Senate: Referred to Committee on Commerce and Labor
- 02/23/2026 - Senate: Senate committee offered
- 02/23/2026 - Senate: Reported from Commerce and Labor with substitute (14-Y 0-N)
- 02/24/2026 - Senate: Committee substitute printed 26108293D-S1
- 02/25/2026 - Senate: Rules suspended
- 02/25/2026 - Senate: Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A)
- 02/25/2026 - Senate: Passed by for the day Block Vote (Voice Vote)
- 02/26/2026 - Senate: Read third time
- 02/26/2026 - Senate: Commerce and Labor Substitute agreed to
- 02/26/2026 - Senate: Engrossed by Senate - committee substitute
- 02/26/2026 - Senate: Passed Senate with substitute Block Vote (40-Y 0-N 0-A)
- 03/02/2026 - House: Senate substitute agreed to by House (98-Y 0-N 0-A)
- 03/03/2026 - House: Fiscal Impact Statement from State Corporation Commission (HB484)
- 03/05/2026 - House: Enrolled
- 03/05/2026 - House: Bill text as passed House and Senate (HB484ER)
- 03/05/2026 - House: Signed by Speaker
- 03/05/2026 - Senate: Signed by President
- 03/10/2026 - House: Enrolled Bill communicated to Governor on March 10, 2026
- 03/10/2026 - Governor's Action Deadline 11:59 p.m., April 13, 2026
- 03/12/2026 - House: Fiscal Impact Statement from State Corporation Commission (HB484)
