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AR HB1620
Bill
Status
3/20/2025
Primary Sponsor
Zack Gramlich
Click for details
AI Summary
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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
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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
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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
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Extends the Arkansas Pharmacy Audit Bill of Rights to apply to Arkansas Medicaid Program audits, including those conducted by contracted vendors
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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