Health insurance; ethics and fairness in carrier business practices, downcoded claims.
Introduced
Moved
Reached a final decision
Became law
Derived from the official record below.
Officially: “An Act to amend and reenact §§ 38.2-3407.15 and 38.2-3407.15:8, as it shall become effective, of the Code of Virginia and to amend and reenact the second enactment of Chapter 474 and the second enactment of Chapter 475 of the Acts of Assembly of 2023, relating to health insurance;” Read the full text
2026 session
What it does
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 cl
From the official legislative record, shown verbatim. Not legal advice.
Where it is
Introduced · Jan 7, 2026
Acts of Assembly Chapter 881 (latest official status)
Latest official status shown, exactly as the official record states it. The step by step history lives on the official page linked below.
The numbers
3
sponsors on the bill
Sponsors
Jeremy S. McPikeBill DeStephIrene Shin
Recorded votes
House substitute with amendments agreed to by Senate (40-Y 0-N 0-A)Senate · 2026-03-06 · P · Y 40
Passed House with substitute with amendments (97-Y 1-N 0-A)House of Delegates · 2026-03-04 · P · Y 97, N 1, X 1
Reported from Labor and Commerce with substitute (21-Y 0-N)House of Delegates · 2026-02-26 · P · Y 21, X 1
Subcommittee recommends reporting with substitute (9-Y 0-N)House of Delegates · 2026-02-24 · P · Y 9
Read third time and passed SenateSenate · 2026-01-30 · P · Y 38, X 2
Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N 0-A)Senate · 2026-01-28 · P · Y 40
Reported from Commerce and Labor with substitute (15-Y 0-N)Senate · 2026-01-26 · P · Y 15
Roll-call results shown verbatim from the Virginia legislature’s records. A result reflects that roll call’s own motion, not the bill’s overall outcome.
Every fact on this page links to its source, starting with the official bill record. Last action: Acts of Assembly Chapter 881.