STATE BILLVA HB 484PASSED

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

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. This bill is identical to SB 164.

Status: Passed; Signed or otherwise enacted
Status date: Apr 22, 2026; 204 days ago
Current chamber: Senate
Session: 2026 Regular Session

VA HB 484 · PassedApr 22

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Bill details

Last action: Acts of Assembly Chapter text (CHAP1055) · Apr 22, 2026

Sponsor

ISIrene ShinRepresentative · Democrat · HD-008Primary sponsor

Bill history

Newest first.

Apr 22, 2026Acts of Assembly Chapter text (CHAP1055)

Apr 22, 2026Approved by Governor-Chapter 1055 (effective 7/1/2026)

Apr 22, 2026Signed by PresidentSenate

Apr 22, 2026Signed by SpeakerHouse

Apr 22, 2026Governor's recommendation adopted

Apr 22, 2026Senate concurred in Governor's recommendation (39-Y 0-N 0-A)Senate

Apr 22, 2026House concurred in Governor's recommendation (99-Y 1-N 0-A)House

Apr 13, 2026Governor's recommendation received by House

Show 33 earlier actions

Mar 12, 2026Fiscal Impact Statement from State Corporation Commission (HB484)House

Mar 10, 2026Governor's Action Deadline 11:59 p.m., April 13, 2026

Mar 10, 2026Enrolled Bill communicated to Governor on March 10, 2026House

Mar 5, 2026Signed by PresidentSenate

Mar 5, 2026Signed by SpeakerHouse

Mar 5, 2026Bill text as passed House and Senate (HB484ER)House

Mar 5, 2026EnrolledHouse

Mar 3, 2026Fiscal Impact Statement from State Corporation Commission (HB484)House

Mar 2, 2026Senate substitute agreed to by House (98-Y 0-N 0-A)House

Feb 26, 2026Passed Senate with substitute Block Vote (40-Y 0-N 0-A)Senate

Feb 26, 2026Engrossed by Senate - committee substituteSenate

Feb 26, 2026Commerce and Labor Substitute agreed toSenate

Feb 26, 2026Read third timeSenate

Feb 25, 2026Passed by for the day Block Vote (Voice Vote)Senate

Feb 25, 2026Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A)Senate

Feb 25, 2026Rules suspendedSenate

Feb 24, 2026Committee substitute printed 26108293D-S1Senate

Feb 23, 2026Reported from Commerce and Labor with substitute (14-Y 0-N)Senate

Feb 23, 2026Senate committee offeredSenate

Feb 12, 2026Referred to Committee on Commerce and LaborSenate

Feb 12, 2026Constitutional reading dispensed (on 1st reading)Senate

Feb 11, 2026Read third time and passed House (97-Y 1-N 0-A)House

Feb 10, 2026Engrossed by House - committee substituteHouse

Feb 10, 2026committee substitute agreed toHouse

Feb 10, 2026Read second timeHouse

Feb 9, 2026Read first timeHouse

Feb 5, 2026Committee substitute printed 26106356D-H1House

Feb 5, 2026Reported from Labor and Commerce with substitute (21-Y 1-N)House

Feb 3, 2026Subcommittee recommends reporting with substitute (9-Y 0-N)House

Feb 3, 2026House subcommittee offeredHouse

Jan 19, 2026Assigned HCL sub: Subcommittee #1House

Jan 12, 2026Referred to Committee on Labor and CommerceHouse

Jan 12, 2026Prefiled and ordered printed; Offered 01-14-2026 26102714DHouse

Recorded votes

Subcommittee recommends reporting with substitute (9-Y 0-N)Feb 3, 2026 · House · 9 yea · 0 nayPassed

Reported from Labor and Commerce with substitute (21-Y 1-N)Feb 5, 2026 · House · 21 yea · 1 nayPassed

Read third time and passed House (97-Y 1-N 0-A)Feb 11, 2026 · House · 97 yea · 1 nayPassed

Reported from Commerce and Labor with substitute (14-Y 0-N)Feb 23, 2026 · Senate · 14 yea · 0 nayPassed

Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A)Feb 25, 2026 · Senate · 40 yea · 0 nayPassed

Passed Senate Block Vote (40-Y 0-N 0-A)Feb 26, 2026 · Senate · 40 yea · 0 nayPassed

Senate substitute agreed to by House (98-Y 0-N 0-A)Mar 2, 2026 · House · 98 yea · 0 nayPassed

House concurred in Governor's recommendation (99-Y 1-N 0-A)Apr 22, 2026 · House · 99 yea · 1 nayPassed

Senate concurred in Governor's recommendation (39-Y 0-N 0-A)Apr 22, 2026 · Senate · 39 yea · 0 nayPassed

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