AR SB264

Establishes a 9-member Arkansas Primary Care Payment Improvement Working Group including the DHS Secretary, Insurance Commissioner, representatives from the Arkansas Center for Health Improvement, primary care physicians, a pediatrician, an advanced practice registered nurse, and a federally qualified health center physician

Requires the working group to define primary care, evaluate current primary care spending in Arkansas Medicaid and commercial insurance (including Medicare Advantage), and assess the adequacy of the state's primary care delivery system

Authorizes the working group to collect data from commercial insurers on fee-for-service payments, non-fee-for-service payments, incentive programs, provider counts, performance metrics, prices, utilization, and cost trends

Mandates submission of findings and recommendations to the Legislative Council by April 1, 2026, including a proposed primary care spending target for both commercial insurers and Arkansas Medicaid

Requires entities failing to meet adopted spending targets to appear before the Legislative Council to explain their efforts toward compliance