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Bill

HB 184

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

2026 Regular Session Introduced by Dan Helmer

Virginia's SCC must evaluate whether to create a statewide all-payer claims database to improve healthcare transparency and inform policy decisions.

Acts of Assembly Chapter text (CHAP0575)
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Bill Summary · HB 184

Legislative bill overview

HB 184 directs Virginia's State Corporation Commission (SCC) Bureau of Insurance to evaluate the feasibility and benefits of establishing an all-payer claims database (APCD)—a centralized repository collecting healthcare claims data from all insurance carriers, self-insured employers, and public programs. The bill requires the SCC to report findings and recommendations to the General Assembly, likely to inform future policy decisions about implementing such a database.

Why is this important

All-payer claims databases provide transparency into healthcare pricing, utilization patterns, and cost trends across an entire state's healthcare system. This data is valuable for policymakers, researchers, and healthcare planners seeking to identify inefficiencies, control costs, and improve care quality. Virginia currently lacks comprehensive statewide claims data, limiting evidence-based health policy decisions.

Potential points of contention

  • Privacy and security concerns: Aggregating sensitive health and financial information from millions of Virginians raises data protection risks and privacy questions about who accesses the database and how it's safeguarded
  • Industry compliance burden: Insurance carriers and self-insured employers may resist mandatory data reporting requirements due to implementation costs and administrative complexity
  • Data standardization challenges: Creating consistent data formats across diverse payers (commercial insurers, Medicaid, Medicare, self-insured plans) is technically complex and expensive

Compiled from official sources — confirm details with the bill’s official record.

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