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AR HB1930
Bill
Status
5/5/2025
Primary Sponsor
Jeff Wardlaw
Click for details
AI Summary
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Mandates minimum reimbursement rates for healthcare providers based on weighted average commercial-to-Medicare ratios in adjoining states (Louisiana, Mississippi, Missouri, Oklahoma, Tennessee, and Texas), using RAND Corporation data
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Phases in minimum reimbursement levels: 85% of the benchmark on January 1, 2026; 95% on January 1, 2027; and 100% on January 1, 2028
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Applies to most commercial health benefit plans but excludes Medicaid, the Arkansas Health and Opportunity for Me Program, state/public school employee plans, ACA marketplace plans for individuals up to 400% of federal poverty level, and workers' compensation
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Requires the Insurance Commissioner to publish minimum reimbursement levels annually beginning September 1, 2025, and grants authority to revoke or suspend insurers' licenses for violations
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Violators must repay healthcare providers all underpaid amounts plus 8% interest and 5% administrative fees; disputes must be resolved by the Commissioner within 60 days
Legislative Description
To Mandate Minimum Reimbursement Levels For Healthcare Services.
Last Action
Died on House Calendar at Sine Die adjournment.
5/5/2025