The proposed bill aims to establish minimum reimbursement levels for healthcare services in Arkansas, addressing the significant disparities in reimbursement rates that healthcare providers in the state currently face. The General Assembly recognizes that Arkansas providers receive some of the lowest reimbursement rates in the nation, which adversely affects their financial stability and ability to attract qualified professionals. The bill includes legislative findings that highlight the need for an adequate healthcare system to ensure that all Arkansans have access to necessary services.
To implement these changes, the bill introduces a new subchapter to the Arkansas Code, which outlines definitions and establishes a phased approach for minimum reimbursement levels. Starting January 1, 2026, healthcare providers will receive at least 85% of the equivalent Medicare reimbursement, increasing to 95% by January 1, 2027, and reaching 100% by January 1, 2028. The Insurance Commissioner will be responsible for determining these reimbursement levels based on commercial prices relative to Medicare rates in adjoining states. Additionally, the bill mandates that healthcare insurers document compliance and disclose relevant information to providers, with enforcement measures in place for violations.