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AR HB1700

Bill

Status

Passed

4/16/2025

Primary Sponsor

Brandon Achor

Click for details

Origin

House of Representatives

95th General Assembly (2025 Regular)

AI Summary

  • Requires utilization review entities to provide the telephone number of a physician with a current, unrestricted Arkansas license when issuing adverse determinations questioning medical necessity or appropriateness of healthcare services

  • Healthcare providers who submit audio recordings to the State Insurance Department demonstrating violations of physician disclosure requirements will have their prior authorization requests automatically deemed approved

  • Adverse determination notices must now include the reviewing physician's specialty, board certification status, list of states where licensed, and license numbers (with different disclosure methods for verbal vs. written notices)

  • Mandates written notice to subscribers explaining the basis for adverse determinations in clear, ordinary terms, including applicable clinical criteria, internal rules, and how they apply to the subscriber's specific medical circumstance

  • Utilization review entities must treat any subscriber inquiry about prior authorization information, including general inquiries, as a formal request triggering full disclosure requirements

Legislative Description

To Amend The Prior Authorization Transparency Act; And To Clarify The Process Of An Adverse Determination Notice Under The Prior Authorization Transparency Act.

Last Action

Notification that HB1700 is now Act 638

4/16/2025

Committee Referrals

Insurance and Commerce4/9/2025
Insurance & Commerce3/13/2025
Insurance and Commerce3/6/2025

Full Bill Text

No bill text available