VirginiaHB6762026 Regular SessionHouseWALLET

Health insurance claims; electronic attachments accepted, delayed effective date.

Sponsored By: Michelle Lopes Maldonado (Democratic)

Signed by Governor

Summary

Health insurance; carrier business practices; electronic attachments. Provides that, in the following contexts, information may be submitted by a provider to a health insurance carrier through electronic attachment, as defined in the bill: (i) information related to services rendered as required by the carrier in its provider contract; (ii) information related to any defect or impropriety that prevents the carrier from deeming a health insurance claim a clean claim, as defined in existing law; and (iii) information required to establish medical necessity, benefit coverage, or prior authorization of services, or to conduct reconsideration activities. The bill has a delayed effective date of January 1, 2027. This bill is identical to SB 172.

General Laws and Technology

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 1 benefits, 1 costs, 0 mixed.

Insurers and providers move health paperwork online

Beginning January 1, 2027, covered Virginia health insurers must accept electronic claim attachments meeting federal standards and provider-contract rules. They cannot require paper when a compliant electronic attachment can be used, but they may reject noncompliant submissions. Insurers must send claim-processing notices electronically, including notices of claim defects within 30 days after receiving a claim. They must also offer providers electronic coverage checks for plans regulated by the Virginia State Corporation Commission. Insurers and providers must exchange contracts, amendments, and notices electronically—not by electronic fax—subject to exceptions in the law. They must also exchange written messages about denying or recovering previously paid claims electronically. For contract exchanges and those claim messages, both sides must agree on delivery methods and locations in the provider contract.

Virginia commission cannot decide individual insurance disputes

Beginning January 1, 2027, the Virginia State Corporation Commission cannot decide individual disputes under these health insurance claim rules. This limits the Commission's dispute role without changing the underlying claim rules. The Commission still has authority to determine whether insurers violate the required standards.

Sponsors & Cosponsors

Sponsor

  • Michelle Lopes Maldonado

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 222 • No: 1

Senate vote • 2/26/2026

Passed Senate Block Vote

Yes: 40 • No: 0

Senate vote • 2/25/2026

Passed by for the day Block Vote (Voice Vote)

Yes: 0 • No: 0

Senate vote • 2/25/2026

Constitutional reading dispensed Block Vote (on 2nd reading)

Yes: 40 • No: 0

Senate vote • 2/23/2026

Reported from Commerce and Labor

Yes: 14 • No: 0

House vote • 2/11/2026

Read third time and passed House

Yes: 98 • No: 0

House vote • 2/5/2026

Reported from Labor and Commerce with substitute

Yes: 21 • No: 1

House vote • 2/3/2026

Subcommittee recommends reporting with substitute

Yes: 9 • No: 0

Actions Timeline

  1. Acts of Assembly Chapter text (CHAP0200)

    4/6/2026Governor
  2. Approved by Governor - Chapter 200 (effective 1/1/2027)

    4/6/2026Governor
  3. Governor's Action Deadline 11:59 p.m., April 13, 2026

    3/10/2026Governor
  4. Enrolled Bill communicated to Governor on March 10, 2026

    3/10/2026House
  5. Fiscal Impact Statement from State Corporation Commission (HB676)

    3/5/2026House
  6. Bill text as passed House and Senate (HB676ER)

    3/3/2026House
  7. Enrolled

    3/3/2026House
  8. Signed by President

    3/3/2026Senate
  9. Signed by Speaker

    3/3/2026House
  10. Passed Senate Block Vote (40-Y 0-N 0-A)

    2/26/2026Senate
  11. Read third time

    2/26/2026Senate
  12. Passed by for the day Block Vote (Voice Vote)

    2/25/2026Senate
  13. Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A)

    2/25/2026Senate
  14. Rules suspended

    2/25/2026Senate
  15. Reported from Commerce and Labor (14-Y 0-N)

    2/23/2026Senate
  16. Fiscal Impact Statement from State Corporation Commission (HB676)

    2/17/2026House
  17. Referred to Committee on Commerce and Labor

    2/12/2026Senate
  18. Constitutional reading dispensed (on 1st reading)

    2/12/2026Senate
  19. Read third time and passed House (98-Y 0-N 0-A)

    2/11/2026House
  20. Engrossed by House - committee substitute

    2/10/2026House
  21. committee substitute agreed to

    2/10/2026House
  22. Read second time

    2/10/2026House
  23. Read first time

    2/9/2026House
  24. Committee substitute printed 26106262D-H1

    2/5/2026House
  25. Reported from Labor and Commerce with substitute (21-Y 1-N)

    2/5/2026House

Bill Text

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