The "Healthcare Cost-Sharing Collections Act" proposes the establishment of a new subchapter within Arkansas Code Title 23, Chapter 99, introducing definitions for terms such as "contracting entity," "cost sharing," "enrollee," and "health benefit plan." The act mandates that healthcare insurers pay providers the full amount due for services, including cost-sharing amounts, and places the responsibility of collecting cost-sharing solely on insurers. Insurers are prohibited from withholding payments to providers or requiring additional discounts outside of existing contracts. The legislation also emphasizes transparency, requiring insurers to file annual financial statements and provide detailed reports to enrollees about premiums and payments to providers.

Additionally, the bill prohibits healthcare insurers from increasing cost-sharing, premiums, or other fees for enrollees, with specific exceptions based on their financial status and medical loss ratio. Violations of the subchapter are classified as deceptive acts under the Trade Practices Act, allowing for enforcement by the Insurance Commissioner. Enrollees are granted the right to sue insurers for overcharges, potentially recovering double the overcharged amount and related costs. The Insurance Commissioner is also authorized to create implementation rules, and a severability clause ensures that remaining provisions remain effective if any part of the act is found unenforceable.