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HB184 • 2026

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

An Act to direct the Virginia Department of Health to evaluate the All-Payer Claims Database; report.

Healthcare
Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
Helmer
Last action
2026-04-13
Official status
Acts of Assembly Chapter
Effective date
Not listed

Plain English Breakdown

The official source material specifies that the evaluation is conducted by the Virginia Department of Health, but it also mentions consultation with Virginia Health Information. The initial summary incorrectly attributes this task to the State Corporation Commission's Bureau of Insurance.

Evaluation of All-Payer Claims Database

This act requires the Virginia Department of Health to evaluate the All-Payer Claims Database and submit a report with findings and recommendations by December 1, 2026.

What This Bill Does

  • Requires the Virginia Department of Health to assess how well the All-Payer Claims Database works for regulatory reporting and compliance.
  • Asks the department to suggest new ways to use data from the database to improve healthcare access, quality, and cost.
  • Instructs the department to review if any changes in laws or rules are needed to allow more uses of the database's data.
  • Tells the department to consult with health insurance companies, providers, researchers, and patients during the evaluation process.

Who It Names or Affects

  • The Virginia Department of Health
  • Health insurance carriers
  • Health care providers
  • Researchers

Terms To Know

All-Payer Claims Database
A database that collects health claims data from all types of payers, including private insurers and government programs.
Regulatory reporting
The process by which organizations submit information to regulatory bodies as required by law or regulation.

Limits and Unknowns

  • Does not specify the exact details of how the evaluation will be conducted.
  • Does not provide funding for conducting the evaluation and report preparation.
  • Does not outline specific penalties if the Department fails to submit the report on time.

Bill History

  1. 2026-04-13 Governor

    Approved by Governor-Chapter 575 (effective 7/1/2026)

  2. 2026-04-13 Governor

    Approved by Governor-Chapter 575 (effective 7/1/2026)

  3. 2026-04-13 Governor

    Acts of Assembly Chapter text (CHAP0575)

  4. 2026-03-14 House

    Enrolled Bill communicated to Governor on March 14, 2026

  5. 2026-03-14 Governor

    Governor's Action Deadline 11:59 p.m., April 13, 2026

  6. 2026-03-13 House

    Signed by Speaker

  7. 2026-03-13 Senate

    Signed by President

  8. 2026-03-13 House

    Enrolled

  9. 2026-03-13 House

    Bill text as passed House and Senate (HB184ER)

  10. 2026-03-13 House

    Fiscal Impact Statement from Department of Planning and Budget (HB184)

  11. 2026-03-06 House

    Senate substitute agreed to by House (98-Y 0-N 0-A)

  12. 2026-03-04 Senate

    Read third time

  13. 2026-03-04 Senate

    Engrossed by Senate - committee substitute

  14. 2026-03-04 Senate

    Passed Senate with substitute Block Vote (40-Y 0-N 0-A)

  15. 2026-03-04 Finance and Appropriations

    Committee substitute printed 26109051D-S1

  16. 2026-03-04 Finance and Appropriations

    Finance and Appropriations Substitute agreed to

  17. 2026-03-04 Senate

    Passed Senate with substitute Block Vote (40-Y 0-N 0-A)

  18. 2026-03-03 Finance and Appropriations

    Reported from Finance and Appropriations with substitute (15-Y 0-N)

  19. 2026-03-03 Senate

    Rules suspended

  20. 2026-03-03 Senate

    Passed by for the day

  21. 2026-03-03 Senate

    Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A)

  22. 2026-03-03 Senate

    Passed by for the day Block Vote (Voice Vote)

  23. 2026-03-03 Labor and Commerce

    Fiscal Impact Statement from State Corporation Commission (HB184)

  24. 2026-02-23 Commerce and Labor

    Reported from Commerce and Labor and rereferred to Finance and Appropriations (15-Y 0-N)

  25. 2026-02-05 Senate

    Constitutional reading dispensed (on 1st reading)

  26. 2026-02-05 Commerce and Labor

    Referred to Committee on Commerce and Labor

  27. 2026-02-04 House

    Read third time and passed House Block Vote (97-Y 1-N 0-A)

  28. 2026-02-04 House

    Reconsideration of passage agreed to by House

  29. 2026-02-04 House

    Passed House Block Vote (98-Y 0-N 0-A)

  30. 2026-02-03 House

    Read second time

  31. 2026-02-03 House

    committee substitute agreed to

  32. 2026-02-03 House

    Engrossed by House - committee substitute

  33. 2026-02-02 House

    Read first time

  34. 2026-01-29 Labor and Commerce

    Reported from Labor and Commerce with substitute (22-Y 0-N)

  35. 2026-01-29 Labor and Commerce

    Committee substitute printed 26106322D-H1

  36. 2026-01-27 Subcommittee #1

    Subcommittee recommends reporting with substitute (9-Y 0-N)

  37. 2026-01-27 Subcommittee #1

    House subcommittee offered

  38. 2026-01-15 Subcommittee #1

    Assigned HCL sub: Subcommittee #1

  39. 2026-01-07 House

    Prefiled and ordered printed; Offered 01-14-2026 26104546D

  40. 2026-01-07 Labor and Commerce

    Referred to Committee on Labor and Commerce

Official Summary Text

Bureau of Insurance; evaluation of All-Payer Claims Database; report.
Directs the State Corporation Commission's Bureau of Insurance (the Bureau) to conduct an evaluation of the All-Payer Claims Database and the data submitted thereto in facilitating data-driven, evidence-based improvements in access, quality, and cost of health care in the Commonwealth. The bill requires the Bureau to submit a report of its findings and recommendations to the Governor and General Assembly no later than December 1, 2026.

Current Bill Text

Read the full stored bill text 
An Act to direct the Virginia Department of Health to evaluate the All-Payer Claims Database; report.
Be it enacted by the General Assembly of Virginia:
1.
§ 1. The Virginia Department of Health (the Department), in consultation with Virginia Health Information, shall conduct an evaluation of the All-Payer Claims Database created under §
32.1-276.7:1
of the Code of Virginia and the data submitted thereto in facilitating data-driven, evidence-based improvements in access, quality, and cost of health care in the Commonwealth. In conducting its evaluation, the Department shall (i) evaluate the ability of the All-Payer Claims Database to provide data necessary to support regulatory reporting and compliance requirements under existing law and to support mandated benefit assessments requiring analysis of utilization and cost for services identified by International Classification of Diseases and Current Procedural Terminology codes, stratified by sites of service, provider type, and payer type; (ii) assess and propose additional appropriate uses of data from the All-Payer Claims Database, including monitoring health care cost trends and price variation across service categories, evaluating the impact of mandated benefits on premiums and utilization, supporting public health initiatives and transparency reporting, and informing policy decisions on network adequacy, access to care, and cost containment strategies, including site-neutral payment policies; (iii) evaluate and recommend legislative and regulatory changes that are necessary to authorize expanded uses of data from the All-Payer Claims Database beyond current statutory purposes; and (iv) review data elements and structure from the All-Payer Claims Database to identify gaps in data availability, timeliness, and completeness to determine whether supplemental data collection or health insurance carrier reporting is necessary and to recommend enhancements to data collection and reporting processes for the All-Payer Claims Database. In conducting its evaluation, the Department shall consult with interested health insurance carriers, health care providers, researchers, and individuals covered by health insurance policies, contracts, and plans. The Department shall submit a report of its findings and recommendations, which shall include (a) findings on capabilities and limitations of the All-Payer Claims Database; (b) recommendations for improving utility of the All-Payer Claims Database for regulatory compliance, mandated benefit assessments, and additional appropriate uses; (c) an analysis of whether legislative and regulatory changes are necessary; and (d) a proposed timeline for implementing recommended changes. The Department shall submit a report of its findings and recommendations to the Governor and the General Assembly no later than December 1, 2026.