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 HB 2085.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2025
Committee Review
Feb 2025
Senate Passage
Feb 2025
House of Delegates Passage
Feb 2025
Signed into Law
Mar 2025
Introduced Jan 6, 2025
Signed Mar 21, 2025
Maddy AI version diff · 3 comparisons
What changed between versions
Enrolled
→
Chaptered
·
4 edits
MODERATE
This bill updates Virginia's health insurance payment rules to modernize record-keeping, clarify notification timelines, and ban transaction fees charged to providers. It also mandates that carriers disclose their bundling and downcoding policies to providers and requires all future notifications to be sent electronically starting in 2026.
REQUIREMENT
Updated the requirement for carriers to notify providers about payment transaction fees to include 'on behalf of the carrier' and clarified that carriers must offer a fee-free alternative payment method.
Added new mandates requiring carriers to establish policies allowing providers to confirm medical necessity and coverage in advance, and to disclose specific bundling and downcoding policies to providers.
Reordered and renumbered sections to insert new provisions regarding advance confirmation of services and policy disclosure between existing payment and authorization clauses.
TIMELINE
Established a new deadline of January 1, 2026, requiring all claim notifications and information requests to be delivered electronically.
Floor votes · Senate Jan 15, 2025 · House of Delegates Feb 11, 2025
How they voted
38–0
Passed
Total votes 38
Jan 15, 2025
D
Democratic20
100% Yea
R
Republican18
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
29
Key actions
9
Committee
4
Mar 21, 2025
Signed into law
Approved by Governor-Chapter 242 (Effective 07/01/25)
executive
Feb 16, 2025
Upper · Passed
Signed by President
upper
Feb 13, 2025
Lower · Passed
Signed by Speaker
lower
Feb 13, 2025
Upper · Passed
Bill text as passed Senate and House (SB925ER)
upper
Feb 11, 2025
Lower · Passed
Passed House (94-Y 0-N)
lower
Feb 6, 2025
Lower · Passed
Reported from Labor and Commerce (21-Y 0-N)
lower
Feb 4, 2025
Committee
Referred to Committee on Labor and Commerce
lower
Jan 17, 2025
Upper · Passed
Read third time and passed Senate (40-Y 0-N)
upper
Jan 15, 2025
Upper · Passed
Passed by for the day
upper
Jan 13, 2025
Upper · Passed
Reported from Commerce and Labor with substitute (15-Y 0-N)
upper
Jan 6, 2025
Committee
Referred to Committee on Commerce and Labor
upper
1 primary · 1 co-sponsor
Sponsors
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