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SB 164 Enacted

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

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2026 SESSION

ENROLLED

VIRGINIA ACTS OF ASSEMBLY -- CHAPTER

An Act to amend and reenact §§ 38.2-3407.15 and 38.2-3407.15:8 , as it shall become effective, of the Code of Virginia and to amend and reenact the second enactment of Chapter 474 and the second enactment of Chapter 475 of the Acts of Assembly of 2023, relating to health insurance; ethics and fairness in carrier business practices; downcoded claims; prior authorization; required contract provisions.

[S 164]

Approved

Be it enacted by the General Assembly of Virginia:

1. That §§ 38.2-3407.15 and 38.2-3407.15:8 , as it shall become effective, of the Code of Virginia are amended and reenacted as follows:

§ 38.2-3407.15 . Ethics and fairness in carrier business practices.

A. As used in this section:

"Carrier," "enrollee," and "provider" shall have the meanings set forth in § 38.2-3407.10 ; however, a "carrier" shall also include any person required to be licensed under this title which offers or operates a managed care health insurance plan subject to Chapter 58 (§ 38.2-5800 et seq.) or which provides or arranges for the provision of health care services, health plans, networks or provider panels which are subject to regulation as the business of insurance under this title.

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