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AR HB1064
Bill
Status
10/15/2021
Primary Sponsor
Aaron Pilkington
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AI Summary
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Establishes the "Disclosure of Reimbursement Rates for Hospitals Act" requiring insurers with at least 2,000 covered individuals in Arkansas to disclose hospital reimbursement rates to the State Insurance Department
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Requires the Insurance Commissioner to collect, validate, and publish insurer reimbursement rate information on the State Insurance Department website while excluding all direct personal identifiers and individual patient information
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Applies to hospitals, outpatient surgery centers, insurance companies, managed care organizations, HMOs, health benefit plans, the Workers' Compensation Commission, and pharmacy benefits managers that meet coverage thresholds
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Defines "reimbursement rate" as the amount paid to hospitals for procedures based on Current Procedural Terminology (CPT) codes or Healthcare Common Procedure Coding System (HCPCS) codes
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Authorizes the Insurance Commissioner to assess penalties not exceeding $100 per day of violation for noncompliance with the new rules, which must be promulgated by January 1, 2022
Legislative Description
To Promote Price Transparency In Reimbursement Of Hospitals By Insurers; To Establish The Disclosure Of Reimbursement Rates For Hospitals Act; And To Require Disclosure By An Insurer Of Reimbursement Rates For Hospitals.
Last Action
Died in House Committee at Sine Die Adjournment
10/15/2021