HB 1462 Virginia House of Delegates · 2026 Regular Session

Medicaid and health insurance plans; supervised billing.

Summary

Supervised billing; Medicaid and health insurance plans. Requires the Department of Medical Assistance Services to permit a qualified licensed provider to bill for clinical services provided by a qualified non-licensed provider under the supervision of the qualified licensed provider and requires health insurance carriers to provide coverage for mental health services or substance use services provided by a qualified non-licensed provider under the supervision of a qualified licensed provider when such services would be covered if provided by a qualified licensed provider. Additionally, the bill reduces the time limit for a retroactive denial by a health insurance carrier from 12 months to 180 days.

Issues: ✓ Healthcare

Bill status in committee 3 of 5 stages cleared

Introduction

Jan 2026

Committee Review

Feb 2026

House of Delegates Passage

Feb 2026

Senate Passage

Governor

Introduced Jan 23, 2026 Last action Feb 18, 2026

Maddy AI version diff · 2 comparisons

What changed between versions

Labor and Commerce Substitute → Subcommittee #1 Subcommittee Substitute · 2 edits

MINOR

The bill underwent formatting and layout changes during committee review, with no substantive policy modifications to the core provisions. The text content regarding supervised billing requirements, provider qualifications, and Medicaid reimbursement rules remains identical between versions.

TECHNICAL

Formatting and layout changes including removal of original date header, addition of 'HOUSE SUBSTITUTE' labels, and reorganization of line spacing and numbering for committee markup purposes.

Added bill tracking number '26107672D' and committee identifier 'HB1462HC2' for legislative record-keeping.

Introduced → Labor and Commerce Substitute · 5 edits

MODERATE

The bill was amended from its original introduced version to a Labor and Commerce Committee substitute version. The primary substantive change involves expanding the definition of 'qualified non-licensed provider' in the Medicaid section to explicitly include providers working in internships, apprenticeships, practicum, residencies, or supervised clinical training programs. The bill also removed the original section that amended § 38.2-3407.15 (ethics and fairness in carrier business practices) entirely, replacing it with a new § 38.2-3408.1 focused solely on supervised billing for private health plans. Several formatting and line spacing issues were corrected in the substitute version.

Scope change

The bill's scope was significantly narrowed. The original version included comprehensive ethics and fairness standards for all health insurance carriers regarding claim processing, payment timelines, and dispute resolution. The substitute version removes these broad carrier regulations entirely, focusing instead only on supervised billing provisions for both Medicaid and private health plans.

ELIGIBILITY

Expanded the definition of 'qualified non-licensed provider' in the Medicaid section to explicitly include students in internships, apprenticeships, practicum, residencies, and supervised clinical training programs, making it clearer which training providers can bill under supervision.

REQUIREMENT

Completely removed the original § 38.2-3407.15 which established comprehensive ethics and fairness standards for health insurance carriers, including claim payment timelines, dispute resolution mechanisms, and anti-discrimination provisions.

Created new § 38.2-3408.1 specifically for private health plans, establishing supervised billing requirements for mental health and substance abuse services, including provisions for carrier reimbursement and modifier usage.

DEFINITION

Modified the definition of 'qualified non-licensed provider' in the private health plan section to match the expanded Medicaid definition, ensuring consistency across both sections.

TECHNICAL

Corrected formatting issues including excessive blank lines, removed duplicate header information, and standardized the document layout in the substitute version.

Floor votes · House of Delegates Feb 12, 2026

How they voted

20–0

Passed · 2 other

Total votes 22

Feb 12, 2026

D Democratic15

13 Yea 2

86% Yea

R Republican7

7 Yea

100% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Feb 18, 2026

Lower · Passed

Left in Committee Appropriations

lower

Feb 16, 2026

Committee

Referred to Committee on Appropriations

lower

Feb 12, 2026

Lower · Passed

Reported from Labor and Commerce with substitute (20-Y 0-N)

lower

Feb 12, 2026

House Of Delegates · Passed

House of Delegates Vote: pass (20-0-2)

house of delegates

Feb 10, 2026

Lower · Passed

House subcommittee offered

lower

Jan 27, 2026

Committee

Assigned HCL sub: Subcommittee #1

lower

Jan 23, 2026

Committee

Referred to Committee on Labor and Commerce

lower

Jan 23, 2026

Introduced

Presented and ordered printed 26104450D

lower

1 primary · 0 co-sponsors