The proposed bill, titled the "Healthcare Cost-Sharing Collections Act," aims to establish a new subchapter within Arkansas Code Title 23, Chapter 99. This subchapter introduces definitions related to cost-sharing, contracting entities, enrollees, health benefit plans, and healthcare services. It outlines the responsibilities of healthcare insurers, including the obligation to pay healthcare providers the full amount due for services rendered under health benefit plans, and the sole responsibility for collecting cost-sharing amounts from enrollees. Additionally, it prohibits insurers from withholding payments to providers for cost-sharing and from requiring providers to offer discounts outside of their contracts.
The bill also addresses the enforcement of its provisions, categorizing violations as deceptive acts under the Trade Practices Act, which allows the Insurance Commissioner to impose remedies and penalties. Furthermore, it stipulates that any costs incurred by insurers in implementing the new regulations cannot be used to justify premium increases or reduced payments to providers. The Insurance Commissioner is granted the authority to create necessary rules for the administration of this subchapter.