AR SB527

Increases the medical-loss ratio requirement for health insurers participating in the Arkansas Health and Opportunity for Me (ARHOME) Program from 80% to 85%, requiring insurers to spend more premium income on medical care rather than administration

Authorizes the state to obtain pharmacy rebates from pharmaceutical companies, requiring health insurers to seek all available rebates and remit amounts equal to those rebates to the state on a quarterly basis

Extends the ARHOME program sunset date from December 31, 2026 to December 31, 2031

Establishes work requirements for program participants if federal waivers are approved, requiring 20 hours per week of work, volunteering, or participation in work programs, with exemptions for pregnant individuals, caregivers of young children, those in treatment programs, and those under 19 or over 59 years of age

Expands the definition of "community bridge organization" to include hospitals, federally qualified health centers, and other authorized organizations that screen and refer Arkansans to resources addressing health-related social needs