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Bill > HB676
VA HB676
VA HB676Health insurance; claims; electronic attachments accepted, delayed effective date.
summary
Introduced
01/13/2026
01/13/2026
In Committee
02/23/2026
02/23/2026
Crossed Over
02/10/2026
02/10/2026
Passed
Dead
Introduced Session
2026 Regular Regular Session
Bill 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.
AI Summary
This bill updates Virginia law to allow healthcare providers to submit certain information to health insurance carriers electronically, specifically through electronic attachments, in various situations including information about services rendered, issues preventing a claim from being considered a "clean claim" (meaning it has all the necessary information to be processed without issues), and documentation needed to establish medical necessity, benefit coverage, or prior authorization for services. The bill also mandates that if a carrier uses a payment method that charges providers a fee, they must offer an alternative electronic payment method without such fees.
Committee Categories
Business and Industry
Sponsors (4)
Last Action
Passed Senate (40-Y 0-N 0-A) (on 02/26/2026)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://lis.virginia.gov/bill-details/20261/HB676 |
| Fiscal Note/Analysis - Fiscal Impact Statement from State Corporation Commission (HB676) | https://lis.blob.core.windows.net/files/1168333.PDF |
| BillText | https://lis.virginia.gov/bill-details/20261/HB676/text/HB676H1 |
| BillText | https://lis.virginia.gov/bill-details/20261/HB676/text/HB676HC2 |
| BillText | https://lis.virginia.gov/bill-details/20261/HB676/text/HB676HC1 |
| BillText | https://lis.virginia.gov/bill-details/20261/HB676/text/HB676 |
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