All-Payer Claims Database; Virginia Department of Health shall conduct an evaluation, report.

Removed metadata headers including session details, bill numbers, committee attribution, and the 'Senate Substitute' designation.

Added official chapter formatting, including the chapter number (575), the final approval date (April 13, 2026), and the bill number in the final publication layout.

The layout was changed from a plain text format to a multi-column, typeset format with added headers and line numbers, but no policy content was added, removed, or altered.

The lead agency conducting the evaluation of the All-Payer Claims Database was changed from the Virginia Department of Health to the State Corporation Commission's Bureau of Insurance.

The list of entities the lead agency must consult with was updated to include the Virginia Department of Health as a consultation partner, whereas the original bill did not list the Department as a consultation partner for its own evaluation.

All provisions establishing site-neutral payment policies, payment caps (150% of Medicare rates), billing restrictions, and civil penalties for providers were removed.

A new requirement was added for the Virginia Department of Health to evaluate the All-Payer Claims Database's capabilities and propose legislative changes to expand its use.

The effective date and reporting deadline were changed from July 1, 2026, to a final report submission date of December 1, 2026.

The bill's focus changed from immediate enforcement of payment rules to a study and recommendation process regarding healthcare data infrastructure.