Virginia Senate bill in Session 2026.
Status: enacted. Latest action: April 13, 2026.
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, as defined in the bill, unless the decision to downcode is reviewed by a licensed physician, advanced practice registered nurse, or physician assistant. The bill requires a 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.
| Date | Event | Detail |
|---|---|---|
| 2026-01-07 | Introduced | Bill introduced |
| 2026-04-13 | Status | enacted |
| 2026-04-13 | Latest Action | Acts of Assembly Chapter text (CHAP0881) |