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AR HB1930

Bill

Status

Failed

5/5/2025

Primary Sponsor

Jeff Wardlaw

Click for details

Origin

House of Representatives

95th General Assembly (2025 Regular)

AI Summary

  • 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

  • Phases in minimum reimbursement levels: 85% of the benchmark on January 1, 2026; 95% on January 1, 2027; and 100% on January 1, 2028

  • 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

  • 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

  • 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

Committee Referrals

Insurance and Commerce3/31/2025

Full Bill Text

No bill text available