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HB 484 — Health insurance; ethics and fairness in carrier business practices, downcoded claims.

VA 20261 session

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.

Latest action: — Acts of Assembly Chapter

Sponsors (1)
Action timeline (43)
  1. · house · H4020 —
  2. · house · H1401 —
  3. · house · H1412 —
  4. · house · H8120 —
  5. · house · H1418 —
  6. · house · H1408 —
  7. · house · H4640 —
  8. · house · H4110 —
  9. · house · H4120 —
  10. · house · H4410 —
  11. · house · H4601 —
  12. · house · H5000 —
  13. · senate · S4140 —
  14. · senate · S0201 —
  15. · senate · S8122 —
  16. · senate · S0208 —
  17. · senate · S4640 —
  18. · senate · S4150 —
  19. · senate · S4145 —
  20. · senate · S4160 —
  21. · senate · S4160 —
  22. · senate · S4160 —
  23. · senate · S4130 —
  24. · senate · S4410 —
  25. · senate · S4601 —
  26. · senate · S5022 —
  27. · house · H5432 —
  28. · house · H8500 —
  29. · house · H5610 —
  30. · house · H5601 —
  31. · house · H5620 —
  32. · senate · S5620 —
  33. · house · H7010 —
  34. · G7010 —
  35. · house · H8500 —
  36. · G7210 —
  37. · house · H7300 —
  38. · senate · S7300 —
  39. · G7320 —
  40. · house · H5620 —
  41. · senate · S5620 —
  42. · G7050 —
  43. · G9998 —
Text versions (0)

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Bill text (extracted)
Amendments
Congressional Research Service briefs (0)

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Who matters on this bill

Who matters

Members ranked by combined influence on this bill: role (sponsor 5 / cosponsor 1), capped speech count from the Congressional Record, and recorded-vote engagement.

#MemberRoleSpeechesVotedScore
1Irene Shin (D, state_lower VA)sponsor0—5
Stance (positions taken)

Predicted vote

Aggregated from: actual roll-call votes (when present) → sponsor → cosponsor → party median (predicts YES when ≥25% of the caucus sponsored/cosponsored). Each row labels its confidence tier so you can see why a position was predicted.

0 predicted yes (0%) · 543 predicted no (100%) · 0 unknown (0%)

By party: · R: 0 yes / 277 no · D: 0 yes / 263 no · I: 0 yes / 3 no

Timeline
News clips about this bill
Mentioned in /ask threads

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