The "Healthcare Cost-Sharing Collections Act" proposes the establishment of a new subchapter within Arkansas Code Title 23, Chapter 99, which introduces definitions for key terms related to healthcare cost-sharing. The bill outlines the responsibilities of healthcare insurers, mandating that they pay healthcare providers the full amount due for services rendered under health benefit plans while taking sole responsibility for collecting cost-sharing amounts from enrollees. Insurers are prohibited from withholding payments to providers for cost-sharing, ensuring that these amounts are collected directly from enrollees.

Furthermore, the bill imposes transparency and reporting requirements on healthcare insurers, including the obligation to file annual financial statements with the Insurance Commissioner and provide enrollees with detailed reports on premiums and payments to providers. It restricts insurers from increasing costs for enrollees and employers unless specific conditions are met, such as maintaining a medical loss ratio of at least 90%. The legislation also establishes enforcement mechanisms, allowing the State Insurance Department to oversee compliance and granting enrollees the right to sue for overcharges, with potential recovery of double the overcharged amount and related costs. The bill includes provisions for rule-making by the Insurance Commissioner and a severability clause to maintain the enforceability of remaining sections if any part is found unenforceable.