SB 164 — 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 (2)
- Jeremy S. McPike (D, VA) — sponsor
- Bill DeSteph (R, VA) — cosponsor
Action timeline (47)
- · senate · S4020 —
- · senate · S0201 —
- · senate · S8122 —
- · senate · S8122 —
- · senate · S0208 —
- · senate · S4640 —
- · senate · S4150 —
- · senate · S4140 —
- · senate · S4160 —
- · senate · S4160 —
- · senate · S4120 —
- · senate · S4410 —
- · senate · S4600 —
- · senate · S4601 —
- · senate · S5000 —
- · house · H5220 —
- · house · H4110 —
- · house · H1401 —
- · house · H1412 —
- · house · H8120 —
- · house · H1418 —
- · house · H1408 —
- · house · H4640 —
- · house · H4120 —
- · house · H4009 —
- · house · H4160 —
- · senate · S8500 —
- · house · H4130 —
- · house · H4410 —
- · house · H4162 —
- · house · H8123 —
- · house · H4190 —
- · house · H4410 —
- · house · H4232 —
- · house · H4604 —
- · house · H5024 —
- · senate · S5434 —
- · senate · S5610 —
- · senate · S5601 —
- · house · H5620 —
- · senate · S5620 —
- · senate · S7010 —
- · G7010 —
- · senate · S8500 —
- · G7050 —
- · G9998 —
- · 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.
| # | Member | Role | Speeches | Voted | Score |
|---|---|---|---|---|---|
| 1 | Jeremy S. McPike (D, state_upper VA) | sponsor | 0 | — | 5 |
| 2 | Bill DeSteph (R, state_upper VA) | cosponsor | 0 | — | 1 |
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