Why 4/5: Directly impacts how healthcare providers are reimbursed, affecting their operations and potentially patient access to care.
Healthcare providers could see more accurate and timely payments from health insurers due to new rules preventing arbitrary downcoding of claims. This legislation requires insurers to follow correct coding standards, consider all patient data, and use human review for payment disputes, potentially reducing administrative burdens and improving financial stability for providers.
Update
Floor offered Delegate Shin Amendments
Update
Reconsideration of
Update
Labor and Commerce Substituteagreed to by House
Amendment adopted
Delegate Shin Floor amendments agreed to
Substitute adopted
Engrossed by House - committee substitute as amended
Passed a chamber
Passed House with substitute with amendments (97-Y 1-N 0-A)
Amendment adopted
House substitute with amendments agreed to by Senate (40-Y 0-N 0-A)
Enrolled
Enrolled
Passed a chamber
Bill text as passed Senate and House (SB164ER)
This bill has passed its votes and is headed to the Governor's desk. You still have a say — the Governor's office reads messages before deciding whether to sign.
New to all this? See how a bill becomes law →
Summarized from the official bill text (“Health insurance; ethics and fairness in carrier business practices, downcoded claims.”) · Read the actual bill →
Passed a chamber
Signed by Speaker
Passed a chamber
Signed by President
Enrolled
Enrolled Bill communicated to Governor on March 14, 2026
Sent to the Governor
Governor's Action Deadline 11:59 p.m., April 13, 2026
Update
Fiscal Impact Statement from State Corporation Commission (SB164)
Signed into law
Approved by Governor-Chapter 881 (effective 7/1/2026)