VA HB 484
vetoedHealth insurance; ethics and fairness in carrier business practices, downcoded claims.
Virginia · 2026 Regular Session · lower
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Quick answers
Did VA HB 484 pass?
No. VA HB 484 passed the legislature but was vetoed. Latest recorded action (2026-04-13): Governor's recommendation received by House
What is VA HB 484 about?
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.
Who sponsors VA HB 484?
Irene Shin is the primary sponsor of VA HB 484.
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.
- Introduced
- 2026-01-12
- Latest action
- 2026-04-13 — Governor's recommendation received by House
- Bill type
- bill
- Last updated
- —
Sponsors
- Irene Shinprimary
Committees
Not provided by source.
Action timeline
Newest first
2026-04-13
Governor's recommendation received by House
executive-veto-line-item
2026-03-12
Fiscal Impact Statement from State Corporation Commission (HB484)
2026-03-10
Governor's Action Deadline 11:59 p.m., April 13, 2026
executive-receipt
2026-03-10
Enrolled Bill communicated to Governor on March 10, 2026
enrolled,executive-receipt
2026-03-05
Signed by President
passage
2026-03-05
Signed by Speaker
passage
2026-03-05
Bill text as passed House and Senate (HB484ER)
passage
2026-03-05
Enrolled
enrolled
2026-03-03
Fiscal Impact Statement from State Corporation Commission (HB484)
2026-03-02
Senate substitute agreed to by House (98-Y 0-N 0-A)
substitution
2026-02-26
Passed Senate with substitute Block Vote (40-Y 0-N 0-A)
passage
2026-02-26
Engrossed by Senate - committee substitute
substitution
2026-02-26
Commerce and Labor Substitute agreed to
2026-02-26
Read third time
reading-3
2026-02-25
Passed by for the day Block Vote (Voice Vote)
2026-02-25
Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A)
2026-02-25
Rules suspended
2026-02-24
Committee substitute printed 26108293D-S1
substitution
2026-02-23
Reported from Commerce and Labor with substitute (14-Y 0-N)
committee-passage
2026-02-23
Senate committee offered
2026-02-12
Referred to Committee on Commerce and Labor
referral-committee
2026-02-12
Constitutional reading dispensed (on 1st reading)
2026-02-11
Read third time and passed House (97-Y 1-N 0-A)
passage,reading-3
2026-02-10
Engrossed by House - committee substitute
substitution
2026-02-10
committee substitute agreed to
substitution
2026-02-10
Read second time
reading-2
2026-02-09
Read first time
reading-1
2026-02-05
Committee substitute printed 26106356D-H1
substitution
2026-02-05
Reported from Labor and Commerce with substitute (21-Y 1-N)
committee-passage
2026-02-03
Subcommittee recommends reporting with substitute (9-Y 0-N)
substitution
2026-02-03
House subcommittee offered
2026-01-19
Assigned HCL sub: Subcommittee #1
referral-committee
2026-01-12
Referred to Committee on Labor and Commerce
referral-committee
2026-01-12
Prefiled and ordered printed; Offered 01-14-2026 26102714D
filing,introduction
Versions
Documents
Votes
Subcommittee recommends reporting with substitute
2026-02-03 · pass · 9-0
Member-level votes (9)
- Michelle Lopes Maldonado: yes
- Richard C. "Rip" Sullivan, Jr.: yes
- Irene Shin: yes
- Laura Jane Cohen: yes
- Rae Cousins: yes
- JJ Singh: yes
- Terry G. Kilgore: yes
- Israel D. O'Quinn: yes
- Jason S. Ballard: yes
Reported from Labor and Commerce with substitute
2026-02-05 · pass · 21-1
Member-level votes (22)
- Jeion A. Ward: yes
- Richard C. "Rip" Sullivan, Jr.: yes
- Alfonso H. Lopez: yes
- Kelly K. Convirs-Fowler: yes
- Dan I. Helmer: yes
- Michelle Lopes Maldonado: yes
- Irene Shin: yes
- Destiny LeVere Bolling: yes
- Michael B. Feggans: yes
- Nadarius E. Clark: yes
- Rae Cousins: yes
- Bonita G. Anthony: yes
- Laura Jane Cohen: yes
- JJ Singh: yes
- May Nivar: yes
- Terry G. Kilgore: yes
- Israel D. O'Quinn: yes
- Michael J. Webert: yes
- Tony O. Wilt: yes
- Chris S. Runion: yes
- Jason S. Ballard: yes
- Wren M. Williams: no
H VOTE:
2026-02-11 · pass · 97-1
Member-level votes (100)
- Jessica L. Anderson: yes
- Bonita G. Anthony: yes
- Alex Q. Askew: yes
- Terry L. Austin: yes
- Jason S. Ballard: yes
- Elizabeth B. Bennett-Parker: yes
- Robert S. Bloxom, Jr.: yes
- Gretchen M. Bulova: yes
- Katrina Callsen: yes
- Karen R. "Kacey" Carnegie: yes
- Betsy B. Carr: yes
- Stacey Annie Carroll: yes
- Mike A. Cherry: yes
- Nadarius E. Clark: yes
- Laura Jane Cohen: yes
- Joshua G. Cole: yes
- Nicole Cole: yes
- Kelly K. Convirs-Fowler: not voting
- Mitchell Cornett: yes
- Rae Cousins: yes
- Will Davis: yes
- Karrie K. Delaney: yes
- Lindsey Dougherty: yes
- Mark C. Downey: yes
- Michael B. Feggans: yes
- Hyland F. "Buddy" Fowler, Jr.: yes
- Lily V. Franklin: yes
- Margaret A. Franklin: yes
- Debra D. Gardner: yes
- Thomas A. Garrett, Jr.: yes
- Jackie H. Glass: yes
- Timothy P. Griffin: yes
- Elizabeth R. Guzman: yes
- Karen Hamilton: no
- C.E. Cliff Hayes, Jr.: yes
- Dan I. Helmer: yes
- Rozia A. Henson, Jr.: yes
- Phil M. Hernandez: yes
- Charniele L. Herring: yes
- M. Keith Hodges: yes
- Patrick A. Hope: yes
- Hillary Pugh Kent: yes
- Karen Keys-Gamarra: yes
- Terry G. Kilgore: yes
- Barry D. Knight: not voting
- Paul E. Krizek: yes
- Amy J. Laufer: yes
- James A. "Jay" Leftwich: yes
- Destiny LeVere Bolling: yes
- Alfonso H. Lopez: yes
- Michelle Lopes Maldonado: yes
- Marty Martinez: yes
- John Chilton McAuliff: yes
- Adele Y. McClure: yes
- Garrett McGuire: yes
- Ellen H. McLaughlin: yes
- Joseph P. McNamara: yes
- Delores L. McQuinn: yes
- Leslie Chambers Mehta: yes
- James W. Morefield: yes
- May Nivar: yes
- Delores Oates: yes
- Israel D. O'Quinn: yes
- Justin Pence: yes
- Eric Phillips: yes
- Kimberly Pope Adams: yes
- Marcia S. "Cia" Price: yes
- Sam Rasoul: yes
- Atoosa R. Reaser: yes
- David A. Reid: yes
- Chris S. Runion: yes
- Charlie Schmidt: yes
- Don Scott: yes
- Phillip A. Scott: yes
- Holly M. Seibold: yes
- Briana D. Sewell: yes
- Irene Shin: yes
- Marcus B. Simon: yes
- Shelly A. Simonds: yes
- JJ Singh: yes
- Richard C. "Rip" Sullivan, Jr.: yes
- Anne Ferrell Tata: yes
- Joshua E. Thomas: yes
- Virgil Thornton: yes
- Luke E. Torian: yes
- Kathy K.L. Tran: yes
- H. Otto Wachsmann, Jr.: yes
- Wendell S. Walker: yes
- Jeion A. Ward: yes
- R. Lee Ware: yes
- Vivian E. Watts: yes
- Michael J. Webert: yes
- Madison Whittle: yes
- Bill Wiley: yes
- Rodney T. Willett: yes
- Wren M. Williams: yes
- Tony O. Wilt: yes
- Thomas C. Wright, Jr.: yes
- Scott A. Wyatt: yes
- Eric R. Zehr: yes
Reported from Commerce and Labor with substitute
2026-02-23 · pass · 14-0
Member-level votes (15)
- R. Creigh Deeds: yes
- Mark D. Obenshain: yes
- L. Louise Lucas: yes
- David W. Marsden: not voting
- Scott A. Surovell: yes
- William M. Stanley, Jr.: yes
- Ryan T. McDougle: yes
- Mamie E. Locke: yes
- Bill DeSteph: yes
- Jeremy S. McPike: yes
- Mark J. Peake: yes
- Aaron R. Rouse: yes
- Lamont Bagby: yes
- Richard H. Stuart: yes
- Jennifer B. Boysko: yes
Constitutional reading dispensed (on 2nd reading)
2026-02-25 · pass · 40-0
Member-level votes (40)
- Lashrecse D. Aird: yes
- Lamont Bagby: yes
- Elizabeth B. Bennett-Parker: yes
- Jennifer B. Boysko: yes
- Jennifer D. Carroll Foy: yes
- Luther Cifers, III: yes
- Christie New Craig: yes
- R. Creigh Deeds: yes
- Bill DeSteph: yes
- J.D. "Danny" Diggs: yes
- Tara A. Durant: yes
- Barbara A. Favola: yes
- Timmy French: yes
- T. Travis Hackworth: yes
- Christopher T. Head: yes
- Michael J. Jones: yes
- Emily M. Jordan: yes
- Mamie E. Locke: yes
- L. Louise Lucas: yes
- David W. Marsden: yes
- Ryan T. McDougle: yes
- Jeremy S. McPike: yes
- Tammy Brankley Mulchi: yes
- Mark D. Obenshain: yes
- Mark J. Peake: yes
- Stella G. Pekarsky: yes
- Russet Perry: yes
- Todd E. Pillion: yes
- Bryce E. Reeves: yes
- Danica A. Roem: yes
- Aaron R. Rouse: yes
- Saddam Azlan Salim: yes
- Kannan Srinivasan: yes
- William M. Stanley, Jr.: yes
- Richard H. Stuart: yes
- Glen H. Sturtevant, Jr.: yes
- David R. Suetterlein: yes
- Scott A. Surovell: yes
- Schuyler T. VanValkenburg: yes
- Angelia Williams Graves: yes
Passage R
2026-02-26 · pass · 40-0
Member-level votes (40)
- Lashrecse D. Aird: yes
- Lamont Bagby: yes
- Elizabeth B. Bennett-Parker: yes
- Jennifer B. Boysko: yes
- Jennifer D. Carroll Foy: yes
- Luther Cifers, III: yes
- Christie New Craig: yes
- R. Creigh Deeds: yes
- Bill DeSteph: yes
- J.D. "Danny" Diggs: yes
- Tara A. Durant: yes
- Barbara A. Favola: yes
- Timmy French: yes
- T. Travis Hackworth: yes
- Christopher T. Head: yes
- Michael J. Jones: yes
- Emily M. Jordan: yes
- Mamie E. Locke: yes
- L. Louise Lucas: yes
- David W. Marsden: yes
- Ryan T. McDougle: yes
- Jeremy S. McPike: yes
- Tammy Brankley Mulchi: yes
- Mark D. Obenshain: yes
- Mark J. Peake: yes
- Stella G. Pekarsky: yes
- Russet Perry: yes
- Todd E. Pillion: yes
- Bryce E. Reeves: yes
- Danica A. Roem: yes
- Aaron R. Rouse: yes
- Saddam Azlan Salim: yes
- Kannan Srinivasan: yes
- William M. Stanley, Jr.: yes
- Richard H. Stuart: yes
- Glen H. Sturtevant, Jr.: yes
- David R. Suetterlein: yes
- Scott A. Surovell: yes
- Schuyler T. VanValkenburg: yes
- Angelia Williams Graves: yes
H VOTE:
2026-03-02 · pass · 98-0
Member-level votes (99)
- Jessica L. Anderson: yes
- Bonita G. Anthony: yes
- Alex Q. Askew: yes
- Terry L. Austin: yes
- Jason S. Ballard: yes
- Robert S. Bloxom, Jr.: yes
- Gretchen M. Bulova: yes
- Katrina Callsen: yes
- Karen R. "Kacey" Carnegie: yes
- Betsy B. Carr: yes
- Stacey Annie Carroll: yes
- Mike A. Cherry: yes
- Nadarius E. Clark: yes
- Laura Jane Cohen: yes
- Joshua G. Cole: yes
- Nicole Cole: yes
- Kelly K. Convirs-Fowler: yes
- Mitchell Cornett: yes
- Rae Cousins: yes
- Will Davis: yes
- Karrie K. Delaney: yes
- Lindsey Dougherty: yes
- Mark C. Downey: yes
- Michael B. Feggans: yes
- Hyland F. "Buddy" Fowler, Jr.: yes
- Lily V. Franklin: yes
- Margaret A. Franklin: yes
- Debra D. Gardner: yes
- Thomas A. Garrett, Jr.: yes
- Jackie H. Glass: yes
- Timothy P. Griffin: yes
- Elizabeth R. Guzman: yes
- Karen Hamilton: yes
- C.E. Cliff Hayes, Jr.: yes
- Dan I. Helmer: yes
- Rozia A. Henson, Jr.: yes
- Phil M. Hernandez: yes
- Charniele L. Herring: yes
- M. Keith Hodges: yes
- Patrick A. Hope: yes
- Hillary Pugh Kent: yes
- Karen Keys-Gamarra: yes
- Terry G. Kilgore: yes
- Paul E. Krizek: yes
- Amy J. Laufer: yes
- James A. "Jay" Leftwich: yes
- Destiny LeVere Bolling: yes
- Alfonso H. Lopez: yes
- Michelle Lopes Maldonado: yes
- Marty Martinez: yes
- John Chilton McAuliff: yes
- Adele Y. McClure: yes
- Garrett McGuire: yes
- Ellen H. McLaughlin: yes
- Joseph P. McNamara: yes
- Kirk McPike: yes
- Delores L. McQuinn: yes
- Leslie Chambers Mehta: yes
- James W. Morefield: yes
- May Nivar: yes
- Delores Oates: yes
- Israel D. O'Quinn: yes
- Justin Pence: yes
- Eric Phillips: yes
- Kimberly Pope Adams: yes
- Marcia S. "Cia" Price: yes
- Sam Rasoul: yes
- Atoosa R. Reaser: yes
- David A. Reid: yes
- Chris S. Runion: yes
- Charlie Schmidt: yes
- Don Scott: yes
- Phillip A. Scott: not voting
- Holly M. Seibold: yes
- Briana D. Sewell: yes
- Irene Shin: yes
- Marcus B. Simon: yes
- Shelly A. Simonds: yes
- JJ Singh: yes
- Richard C. "Rip" Sullivan, Jr.: yes
- Anne Ferrell Tata: yes
- Joshua E. Thomas: yes
- Virgil Thornton: yes
- Luke E. Torian: yes
- Kathy K.L. Tran: yes
- H. Otto Wachsmann, Jr.: yes
- Wendell S. Walker: yes
- Jeion A. Ward: yes
- R. Lee Ware: yes
- Vivian E. Watts: yes
- Michael J. Webert: yes
- Madison Whittle: yes
- Bill Wiley: yes
- Rodney T. Willett: yes
- Wren M. Williams: yes
- Tony O. Wilt: yes
- Thomas C. Wright, Jr.: yes
- Scott A. Wyatt: yes
- Eric R. Zehr: yes
Related bills
No related bills recorded for this bill.
Official source
Attribution
Data from openstates_bulk_csv, retrieved 2026-07-24T05:35:59.552682Z
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