HB 2085 Virginia House of Delegates · 2025 Regular Session

Health insurance; carrier business practices, method of payment for claims.

Summary
Health insurance; carrier business practices; method of payment for transactions. Requires a health insurance carrier to notify the provider in a provider contract if the carrier, or entity completing a transaction on behalf of the carrier, uses a payment method that imposes a transaction or processing fee or similar charge on the provider and to offer the provider an alternative payment method that does not impose such a fee or similar charge. If the provider elects to accept the alternative payment method and has provided all required information to the carrier to enroll in such alternative method, the bill specifies that the carrier is required to pay the claim using such alternative payment method. This bill is identical to SB 925.
Bill status signed all 5 stages cleared
Introduction
Jan 2025
Committee Review
Feb 2025
House of Delegates Passage
Feb 2025
Senate Passage
Feb 2025
Signed into Law
Mar 2025
Introduced Jan 7, 2025 Signed Mar 21, 2025
Maddy AI version diff · 3 comparisons

What changed between versions

Enrolled Chaptered · 6 edits
MODERATE
This bill updates Virginia's health insurance laws to modernize payment processes and increase transparency for providers. It clarifies rules for electronic claim notifications, mandates the use of electronic methods for future communications, and requires carriers to clearly disclose their policies on bundling and downcoding claims to prevent unexpected payment reductions.
REQUIREMENT

Updated the deadline for carriers to notify providers about payment defects and the requirement to provide additional information for processing claims.

Added new requirements for carriers to clearly disclose bundling and downcoding policies in provider contracts or on their websites, and to provide these policies within 10 business days of a request.

Added a requirement for carriers to provide copies of or electronic access to all applicable policies within 10 business days of a request.

Added a new provision requiring carriers to pay claims that have been previously authorized as medically necessary and covered, unless specific exceptions apply.

TIMELINE

Changed the effective date for mandatory electronic delivery of notifications and information from January 1, 2026, to a later date (specific year not fully visible in snippet but implies a shift or correction).

TECHNICAL

Corrected a typo in the section regarding retroactive denials, changing 'subdivision 7 8' to 'subdivision 7'.

Floor votes · Senate Feb 13, 2025 · House of Delegates Jan 22, 2025

How they voted

400
Passed
Total votes 40
Feb 13, 2025
D Democratic21
21 Yea
100% Yea
R Republican19
19 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
29
Key actions
10
Committee
4
Mar 21, 2025
Signed into law
Approved by Governor-Chapter 236 (Effective 07/01/25)
executive
Feb 20, 2025
Upper · Passed
Signed by President
upper
Feb 18, 2025
Lower · Passed
Signed by Speaker
lower
Feb 18, 2025
Lower · Passed
Bill text as passed House and Senate (HB2085ER)
lower
Feb 13, 2025
Upper · Passed
Passed Senate (40-Y 0-N)
upper
Feb 12, 2025
Upper · Passed
Passed by for the day
upper
Feb 10, 2025
Upper · Passed
Reported from Commerce and Labor (15-Y 0-N)
upper
Jan 23, 2025
Committee
Referred to Committee on Commerce and Labor
upper
Jan 22, 2025
Lower · Passed
Passed House (97-Y 0-N)
lower
Jan 22, 2025
Lower · Passed
Read third time and passed House (96-Y 0-N)
lower
Jan 16, 2025
Lower · Passed
Reported from Labor and Commerce with substitute (22-Y 0-N)
lower
Jan 7, 2025
Committee
Referred to Committee on Labor and Commerce
lower
1 primary · 4 co-sponsors

Sponsors