The bill modifies the informal dispute resolution process for long-term care facilities in Arkansas. Key changes include the requirement for the Department of Human Services to present detailed initial arguments at hearings, rather than just a summary of deficiencies. The impartial decision maker is given the authority to determine the appropriate time for presentations and rebuttals, and parties may now be represented by attorneys. Additionally, the impartial decision maker is required to issue a written statement of findings within seven days after the hearing, and the Office of Long-Term Care must provide a state survey agency determination within the same timeframe.

Further amendments include the ability for the impartial decision maker to take written or recorded notes during hearings, and the inclusion of various medical professionals as participants on behalf of long-term care facilities. The bill also mandates that the Department of Human Services compile quarterly reports on the outcomes of informal dispute resolutions, which will help identify patterns in deficiencies and evaluate employee performance. Notably, the bill clarifies that the informal dispute resolution process is limited to deficiencies cited on a statement of deficiencies, excluding other issues such as scope and severity assessments or remedies imposed.