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SB164Introduced in the Senate

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

Passed

Introduced by Jeremy McPike, District 29

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 HB 484.

Where it stands

Acts of Assembly Chapter text (CHAP0881)

April 13, 2026

How did lawmakers vote?

House of Delegates votes

3 recorded votes · each counted separately

Senate votes

4 recorded votes · each counted separately

SenateStage: House substitute with amendments agreed to by Senate (40-Y 0-N 0-A) · March 6, 2026

40

Yes

0

No

0

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

SenatorDistrictVote
Elizabeth Bennett-Parker5Yes
Michael Jones77Yes
Timmy French1Yes
Mark Obenshain2Yes
Chris Head3Yes
David Suetterlein4Yes
Travis Hackworth5Yes
Todd Pillion6Yes
William Stanley7Yes
Mark Peake8Yes

Bill history

  1. Prefiled and ordered printed; Offered 01-14-2026 26103299D

  2. Referred to Committee on Commerce and Labor

  3. Senate committee offered

  4. Senate committee offered

  5. Reported from Commerce and Labor with substitute (15-Y 0-N)

  6. Committee substitute printed 26106195D-S1

  7. Rules suspended

  8. Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N 0-A)

  9. Passed by for the day Block Vote (Voice Vote)

  10. Passed by for the day

  11. Read second time

  12. Commerce and Labor Substitute agreed to

  13. Engrossed by Senate (Voice Vote)

  14. Engrossed by Senate - committee substitute

  15. Read third time and passed Senate

  16. Placed on Calendar

  17. Read first time

  18. Referred to Committee on Labor and Commerce

  19. Assigned HCL sub: Subcommittee #1

  20. Subcommittee recommends reporting with substitute (9-Y 0-N)

  21. Reported from Labor and Commerce with substitute (21-Y 0-N)

  22. Committee substitute printed 26108190D-H1

  23. Read second time

  24. Moved from Uncontested Calendar to Regular Calendar

  25. Passed by for the day

  26. Fiscal Impact Statement from State Corporation Commission (SB164)

  27. Read third time

  28. committee substitute rejected

  29. Passed by temporarily

  30. Floor offered Delegate Shin Amendments

  31. Reconsideration of

  32. Labor and Commerce Substituteagreed to by House

  33. Delegate Shin Floor amendments agreed to

  34. Engrossed by House - committee substitute as amended

  35. Passed House with substitute with amendments (97-Y 1-N 0-A)

  36. House substitute with amendments agreed to by Senate (40-Y 0-N 0-A)

  37. Enrolled

  38. Bill text as passed Senate and House (SB164ER)

  39. Signed by Speaker

  40. Signed by President

  41. Enrolled Bill communicated to Governor on March 14, 2026

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

  43. Fiscal Impact Statement from State Corporation Commission (SB164)

  44. Approved by Governor-Chapter 881 (effective 7/1/2026)

  45. Acts of Assembly Chapter text (CHAP0881)

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