HB484Introduced in the House of Delegates
Health insurance; ethics and fairness in carrier business practices, downcoded claims.
Introduced by Irene Shin, District 8
What does this bill do?
Plain-English breakdown
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Official description
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.
Where it stands
Acts of Assembly Chapter text (CHAP1055)
April 22, 2026
How did lawmakers vote?
House of Delegates votes
5 recorded votes · each counted separately
Senate votes
4 recorded votes · each counted separately
SenateStage: Senate concurred in Governor's recommendation (39-Y 0-N 0-A) · April 22, 2026
39
Yes
0
No
1
Absent or Not Voting
40 senators recorded in this Senate vote. Colors show vote categories only, not whether a vote was good or bad.
See how each senator voted
| Senator | District | Vote |
|---|---|---|
| Elizabeth Bennett-Parker | 5 | Yes |
| Michael Jones | 77 | Yes |
| Timmy French | 1 | Yes |
| Mark Obenshain | 2 | Yes |
| Chris Head | 3 | Absent |
| David Suetterlein | 4 | Yes |
| Travis Hackworth | 5 | Yes |
| Todd Pillion | 6 | Yes |
| William Stanley | 7 | Yes |
| Mark Peake | 8 | Yes |
Bill history
Prefiled and ordered printed; Offered 01-14-2026 26102714D
Referred to Committee on Labor and Commerce
Assigned HCL sub: Subcommittee #1
House subcommittee offered
Subcommittee recommends reporting with substitute (9-Y 0-N)
Reported from Labor and Commerce with substitute (21-Y 1-N)
Committee substitute printed 26106356D-H1
Read first time
Read second time
committee substitute agreed to
Engrossed by House - committee substitute
Read third time and passed House (97-Y 1-N 0-A)
Constitutional reading dispensed (on 1st reading)
Referred to Committee on Commerce and Labor
Senate committee offered
Reported from Commerce and Labor with substitute (14-Y 0-N)
Committee substitute printed 26108293D-S1
Rules suspended
Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A)
Passed by for the day Block Vote (Voice Vote)
Read third time
Commerce and Labor Substitute agreed to
Engrossed by Senate - committee substitute
Passed Senate with substitute Block Vote (40-Y 0-N 0-A)
Senate substitute agreed to by House (98-Y 0-N 0-A)
Fiscal Impact Statement from State Corporation Commission (HB484)
Enrolled
Bill text as passed House and Senate (HB484ER)
Signed by Speaker
Signed by President
Enrolled Bill communicated to Governor on March 10, 2026
Governor's Action Deadline 11:59 p.m., April 13, 2026
Fiscal Impact Statement from State Corporation Commission (HB484)
Governor's recommendation received by House
House concurred in Governor's recommendation (99-Y 1-N 0-A)
Senate concurred in Governor's recommendation (39-Y 0-N 0-A)
Governor's recommendation adopted
Signed by Speaker
Signed by President
Approved by Governor-Chapter 1055 (effective 7/1/2026)
Acts of Assembly Chapter text (CHAP1055)
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