VirginiaSB1722026 Regular SessionSenateWALLET

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

Sponsored By: Stella G. Pekarsky (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 HB 676.

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Bill Overview

Analyzed Economic Effects

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

Electronic insurance paperwork for health providers

Beginning January 1, 2027, covered Virginia insurers must accept electronic service records, claim corrections, and coverage or authorization records. Submissions must meet applicable federal standards and contract procedures; insurers cannot demand paper or fax when compliant electronic files suffice. Receipt of compliant electronic claim corrections counts as claim receipt for payment deadlines, and required notices must be electronic. Insurers must also offer providers electronic checks of enrollment in plans overseen by Virginia's State Corporation Commission. Contracts, amendments, notices about recovering past claim payments, and related provider responses must be electronic, using delivery methods and locations agreed in the contract; contract exchanges cannot use fax. These paperwork rules do not themselves expand household coverage, change amounts owed, or guarantee claim payment.

State commission cannot decide individual claim disputes

Beginning January 1, 2027, Virginia's State Corporation Commission cannot decide individual disputes under these insurance business and claims-payment rules. The Commission still oversees compliance with the rules, but that authority does not include deciding individual cases.

Sponsors & Cosponsors

Sponsor

  • Stella G. Pekarsky

    Democratic • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 207 • No: 4

House vote • 2/24/2026

Passed House

Yes: 97 • No: 1

House vote • 2/19/2026

Reported from Labor and Commerce

Yes: 17 • No: 3

Senate vote • 1/30/2026

Read third time and passed Senate Block Vote

Yes: 38 • No: 0

Senate vote • 1/29/2026

Commerce and Labor Substitute agreed to

Yes: 0 • No: 0

Senate vote • 1/29/2026

Engrossed by Senate Block Vote (Voice Vote)

Yes: 0 • No: 0

Senate vote • 1/28/2026

Passed by for the day Block Vote (Voice Vote)

Yes: 0 • No: 0

Senate vote • 1/28/2026

Constitutional reading dispensed Block Vote (on 1st reading)

Yes: 40 • No: 0

Senate vote • 1/26/2026

Reported from Commerce and Labor with substitute

Yes: 15 • No: 0

Actions Timeline

  1. Acts of Assembly Chapter text (CHAP0201)

    4/6/2026Governor
  2. Approved by Governor-Chapter 201 (Effective 1/1/2027)

    4/6/2026Governor
  3. Fiscal Impact Statement from State Corporation Commission (SB172)

    3/23/2026Senate
  4. Governor's Action Deadline 11:59 p.m., April 13, 2026

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

    3/10/2026Senate
  6. Bill text as passed Senate and House (SB172ER)

    2/26/2026Senate
  7. Enrolled

    2/26/2026Senate
  8. Signed by President

    2/26/2026Senate
  9. Signed by Speaker

    2/26/2026House
  10. Passed House (97-Y 1-N 0-A)

    2/24/2026House
  11. Read third time

    2/24/2026House
  12. Read second time

    2/23/2026House
  13. Reported from Labor and Commerce (17-Y 3-N)

    2/19/2026House
  14. Referred to Committee on Labor and Commerce

    2/4/2026House
  15. Read first time

    2/4/2026House
  16. Placed on Calendar

    2/4/2026House
  17. Read third time and passed Senate Block Vote

    1/30/2026Senate
  18. Engrossed by Senate Block Vote (Voice Vote)

    1/29/2026Senate
  19. Commerce and Labor Substitute agreed to

    1/29/2026Senate
  20. Engrossed by Senate - committee substitute

    1/29/2026Senate
  21. Read second time

    1/29/2026Senate
  22. Passed by for the day Block Vote (Voice Vote)

    1/28/2026Senate
  23. Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N 0-A)

    1/28/2026Senate
  24. Passed by for the day

    1/28/2026Senate
  25. Rules suspended

    1/28/2026Senate

Bill Text

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