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AR HB1301
Bill
Status
Passed
4/10/2025
Primary Sponsor
Lee Johnson
Click for details
AI Summary
- Defines "gold card program" as the process allowing healthcare providers with 90% or higher prior authorization approval rates to qualify for exemption from prior authorization requirements
- Requires healthcare insurers to extend prior authorization exemptions to groups of providers under the same tax identification number, with at least 60 days' notice of any election changes
- Increases the notice period for rescinding exemptions from 25 to 30 days and extends the timeline for providers to submit medical records from 30 to 60 days
- Subjects prescription drugs, medicines, biological products, and pharmaceutical services to the gold card program, with exemptions granted jointly by the Arkansas State Board of Pharmacy and Arkansas State Medical Board based on cost and safety criteria
- Requires Medicaid-managed care programs and qualified health plans to submit programs to reduce or eliminate prior authorizations at least every two years, with healthcare providers given 30 days to comment on submissions
Legislative Description
To Amend The Prior Authorization Transparency Act.
Last Action
Notification that HB1301 is now Act 511
4/10/2025
Committee Referrals
Insurance & Commerce3/17/2025
Insurance and Commerce1/29/2025
Full Bill Text
No bill text available