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AR HB1620

Bill

Status

Passed

3/20/2025

Primary Sponsor

Zack Gramlich

Click for details

Origin

House of Representatives

95th General Assembly (2025 Regular)

AI Summary

  • Requires pharmacy benefits managers (PBMs) to pay clean claims within 7-14 days for electronic submissions and 30 days for paper claims, effective January 1, 2026

  • Imposes a 12% per month penalty on PBMs for late payments to pharmacies, calculated from the day after the required payment date until proper payment is made

  • Expands the definition of "audit" to include prescription validation requests that require additional information after point-of-sale processing or involve attempted recoupment of funds

  • Extends the Arkansas Pharmacy Audit Bill of Rights to apply to Arkansas Medicaid Program audits, including those conducted by contracted vendors

  • Requires pharmaceutical manufacturers using vendors or PBMs to process manufacturer coupons to hold an active wholesale distributor permit and ensure their intermediaries comply with timely payment requirements

Legislative Description

To Amend The Law Concerning Pharmacy Benefits Managers; And To Regulate Processing And Payment Of Pharmacy Claims.

Last Action

Notification that HB1620 is now Act 350

3/20/2025

Committee Referrals

Insurance & Commerce3/6/2025
Insurance and Commerce2/27/2025

Full Bill Text

No bill text available