STATE BILLVA SB 164PASSED

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 HB 484.

Status: Passed; Signed or otherwise enacted
Status date: Apr 13, 2026; 213 days ago
Current chamber: Senate
Session: 2026 Regular Session

VA SB 164 · PassedApr 13

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Bill details

Last action: Acts of Assembly Chapter text (CHAP0881) · Apr 13, 2026

Bill history

Newest first.

Apr 13, 2026Acts of Assembly Chapter text (CHAP0881)

Apr 13, 2026Approved by Governor-Chapter 881 (effective 7/1/2026)

Mar 24, 2026Fiscal Impact Statement from State Corporation Commission (SB164)Senate

Mar 14, 2026Governor's Action Deadline 11:59 p.m., April 13, 2026

Mar 14, 2026Enrolled Bill communicated to Governor on March 14, 2026Senate

Mar 12, 2026Signed by PresidentSenate

Mar 12, 2026Signed by SpeakerHouse

Mar 12, 2026Bill text as passed Senate and House (SB164ER)Senate

Show 37 earlier actions

Mar 12, 2026EnrolledSenate

Mar 6, 2026House substitute with amendments agreed to by Senate (40-Y 0-N 0-A)Senate

Mar 4, 2026Passed House with substitute with amendments (97-Y 1-N 0-A)House

Mar 4, 2026Engrossed by House - committee substitute as amendedHouse

Mar 4, 2026Delegate Shin Floor amendments agreed toHouse

Mar 4, 2026Labor and Commerce Substituteagreed to by HouseHouse

Mar 4, 2026Reconsideration ofHouse

Mar 4, 2026Floor offered Delegate Shin AmendmentsHouse

Mar 4, 2026Passed by temporarilyHouse

Mar 4, 2026committee substitute rejectedHouse

Mar 4, 2026Read third timeHouse

Mar 3, 2026Fiscal Impact Statement from State Corporation Commission (SB164)Senate

Mar 3, 2026Passed by for the dayHouse

Mar 3, 2026Moved from Uncontested Calendar to Regular CalendarHouse

Mar 2, 2026Read second timeHouse

Feb 27, 2026Committee substitute printed 26108190D-H1House

Feb 26, 2026Reported from Labor and Commerce with substitute (21-Y 0-N)House

Feb 24, 2026Subcommittee recommends reporting with substitute (9-Y 0-N)House

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

Feb 4, 2026Referred to Committee on Labor and CommerceHouse

Feb 4, 2026Read first timeHouse

Feb 4, 2026Placed on CalendarHouse

Jan 30, 2026Read third time and passed SenateSenate

Jan 29, 2026Engrossed by Senate - committee substituteSenate

Jan 29, 2026Engrossed by Senate (Voice Vote)Senate

Jan 29, 2026Commerce and Labor Substitute agreed toSenate

Jan 29, 2026Read second timeSenate

Jan 28, 2026Passed by for the daySenate

Jan 28, 2026Passed by for the day Block Vote (Voice Vote)Senate

Jan 28, 2026Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N 0-A)Senate

Jan 28, 2026Rules suspendedSenate

Jan 27, 2026Committee substitute printed 26106195D-S1Senate

Jan 26, 2026Reported from Commerce and Labor with substitute (15-Y 0-N)Senate

Jan 26, 2026Senate committee offeredSenate

Jan 7, 2026Referred to Committee on Commerce and LaborSenate

Jan 7, 2026Prefiled and ordered printed; Offered 01-14-2026 26103299DSenate

Recorded votes

Constitutional reading dispensed (on 1st reading) (40-Y 0-N 0-A)Jan 28, 2026 · Senate · 40 yea · 0 nayPassed

Reported from Commerce and Labor with substitute (15-Y 0-N)Jan 26, 2026 · Senate · 15 yea · 0 nayPassed

Read third time and passed SenateJan 30, 2026 · Senate · 38 yea · 0 nayPassed

Subcommittee recommends reporting with substitute (9-Y 0-N)Feb 24, 2026 · House · 9 yea · 0 nayPassed

Reported from Labor and Commerce with substitute (21-Y 0-N)Feb 26, 2026 · House · 21 yea · 0 nayPassed

Passed House with substitute with amendments (97-Y 1-N 0-A)Mar 4, 2026 · House · 97 yea · 1 nayPassed

House substitute with amendments agreed to by Senate (40-Y 0-N 0-A)Mar 6, 2026 · Senate · 40 yea · 0 nayPassed

Read the bill at the source

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

What it means for vendors

Bill details

Sponsors

Bill history

Recorded votes

Read the bill at the source

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

What it means for vendors

Bill details

Sponsors

Bill history

Recorded votes

Read the bill at the source

Start finding government buyers today.It's free.

Start finding government buyers today.
It's free.