The "Healthcare Cost-Sharing Collections Act" proposes new regulations for healthcare insurers in Arkansas, focusing on cost-sharing collections and transparency. The bill mandates that insurers pay healthcare providers the full amount due for services, including cost-sharing amounts, and prohibits them from withholding payments based on their ability to collect from enrollees. Insurers are also barred from canceling an enrollee's health benefit plan due to non-collection of these costs. Furthermore, the legislation requires insurers to file annual financial statements with the Insurance Commissioner and provide detailed reports to enrollees regarding premiums, cost-sharing amounts, and payments to providers.

In addition to these provisions, the bill restricts insurers from increasing costs for enrollees or employers unless certain conditions are met, such as maintaining a medical loss ratio of at least 90% on clinical services. It also establishes enforcement mechanisms under the Trade Practices Act, allowing the State Insurance Department to ensure compliance and granting enrollees the right to sue for overcharges, with the possibility of recovering double the overcharged amount and related costs. The Insurance Commissioner is given authority to create rules for implementation, and a severability clause is included to maintain the enforceability of remaining provisions if any part of the bill is found unenforceable.