Virginia bills · 2026 Regular Session
Virginia SB 164
Health insurance; ethics and fairness in carrier business practices, downcoded claims.
- Introduced
- In committee
- Passed Senate
- Passed House
- To Governor
- Became law
Sponsors
- Jeremy S. McPike (Democratic)
Cosponsors (1)
- Bill DeSteph (Republican)
Summary
Official abstract published by the Virginia legislature· SUMMARY AS PASSED
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.
Text versions
- Introduced
- Commerce and Labor Substitute
- Subcommittee #1 Subcommittee Substitute
- Labor and Commerce Substitute
- Delegate Shin Amendments
- House Amendments
- Enrolled
Roll-call votes
State vote data last updated Oct 15, 2026, 12:03 AM.
| Date | Vote | Result | Your legislators |
|---|---|---|---|
| Mar 6, 2026 Senate | Concur House Amendments R | pass | Set your home in Virginia to see |
| Mar 4, 2026 House | H VOTE: | pass | Set your home in Virginia to see |
| Feb 26, 2026 House | Reported from Labor and Commerce with substitute | pass | Set your home in Virginia to see |
| Feb 24, 2026 House | Subcommittee recommends reporting with substitute | pass | Set your home in Virginia to see |
| Jan 30, 2026 Senate | Passage R | pass | Set your home in Virginia to see |
| Jan 28, 2026 Senate | Constitutional reading dispensed R | pass | Set your home in Virginia to see |
| Jan 26, 2026 Senate | Reported from Commerce and Labor with substitute | pass | Set your home in Virginia to see |
Actions
- Apr 13, 2026
Approved by Governor-Chapter 881 (effective 7/1/2026) - Mar 24, 2026 · Senate
Fiscal Impact Statement from State Corporation Commission (SB164) - Mar 14, 2026
Governor's Action Deadline 11:59 p.m., April 13, 2026 - Mar 14, 2026 · Senate
Enrolled Bill communicated to Governor on March 14, 2026 - Mar 12, 2026 · Senate
Signed by President - Mar 12, 2026 · House
Signed by Speaker - Mar 12, 2026 · Senate
Bill text as passed Senate and House (SB164ER) - Mar 12, 2026 · Senate
Enrolled - Mar 6, 2026 · Senate
House substitute with amendments agreed to by Senate (40-Y 0-N 0-A) - Mar 4, 2026 · House
Passed House with substitute with amendments (97-Y 1-N 0-A) - Mar 4, 2026 · House
Engrossed by House - committee substitute as amended - Mar 4, 2026 · House
Delegate Shin Floor amendments agreed to - Mar 4, 2026 · House
Labor and Commerce Substituteagreed to by House - Mar 4, 2026 · House
Reconsideration of - Mar 4, 2026 · House
Floor offered Delegate Shin Amendments - Mar 4, 2026 · House
Passed by temporarily - Mar 4, 2026 · House
committee substitute rejected - Mar 4, 2026 · House
Read third time - Mar 3, 2026 · Senate
Fiscal Impact Statement from State Corporation Commission (SB164) - Mar 3, 2026 · House
Passed by for the day - Mar 3, 2026 · House
Moved from Uncontested Calendar to Regular Calendar - Mar 2, 2026 · House
Read second time - Feb 27, 2026 · House
Committee substitute printed 26108190D-H1 - Feb 26, 2026 · House
Reported from Labor and Commerce with substitute (21-Y 0-N) - Feb 24, 2026 · House
Subcommittee recommends reporting with substitute (9-Y 0-N) - Feb 19, 2026 · House
Assigned HCL sub: Subcommittee #1 - Feb 4, 2026 · House
Referred to Committee on Labor and Commerce - Feb 4, 2026 · House
Read first time - Feb 4, 2026 · House
Placed on Calendar - Jan 30, 2026 · Senate
Read third time and passed Senate - Jan 29, 2026 · Senate
Engrossed by Senate - committee substitute - Jan 29, 2026 · Senate
Engrossed by Senate (Voice Vote) - Jan 29, 2026 · Senate
Commerce and Labor Substitute agreed to - Jan 29, 2026 · Senate
Read second time - Jan 28, 2026 · Senate
Passed by for the day - Jan 28, 2026 · Senate
Passed by for the day Block Vote (Voice Vote) - Jan 28, 2026 · Senate
Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N 0-A) - Jan 28, 2026 · Senate
Rules suspended - Jan 27, 2026 · Senate
Committee substitute printed 26106195D-S1 - Jan 26, 2026 · Senate
Reported from Commerce and Labor with substitute (15-Y 0-N) - Jan 26, 2026 · Senate
Senate committee offered - Jan 26, 2026 · Senate
Senate committee offered - Jan 7, 2026 · Senate
Referred to Committee on Commerce and Labor - Jan 7, 2026 · Senate
Prefiled and ordered printed; Offered 01-14-2026 26103299D