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Bi-partisan Sponsorship
Healthcare

HB1930

To Mandate Minimum Reimbursement Levels For Healthcare Services.

Failed

Last Action (May 5, 2025): Died on House Calendar at Sine Die adjournment.

Sponsors

AI-Generated Summary

House Bill 1930 mandates minimum reimbursement levels for healthcare services in Arkansas by tying them to Medicare-based benchmarks. The legislation is driven by findings that Arkansas healthcare providers currently receive some of the lowest reimbursement rates in the nation, which legislators argue negatively impacts the state's ability to retain medical professionals and maintain facilities. The bill directs the Insurance Commissioner to establish minimum reimbursement levels based on the weighted average of commercial prices in neighboring states, utilizing RAND Corporation data. These minimum requirements will be phased in over five years, reaching 100% of the target level by 2030. Healthcare insurers are required to document and disclose their compliance, with the Commissioner empowered to enforce these rules through hearings and potential revocation of business authority. Additionally, the bill introduces new criteria for the Commissioner to consider when reviewing insurer premium rate increases to prevent excessive cost-shifting to consumers.

Potential Impact Analysis

Who Might Benefit?

The primary beneficiaries are Arkansas-based healthcare providers, including hospitals, health systems, physicians, physician extenders, ambulatory surgery centers, and various outpatient clinics. These entities stand to benefit from increased financial stability and higher revenue through mandated minimum reimbursement levels from commercial health benefit plans. Additionally, supporters of the bill argue that patients in Arkansas may indirectly benefit if the improved financial health of these providers leads to better recruitment and retention of healthcare professionals and better maintenance of local medical facilities.

Who Might Suffer?

The primary groups negatively impacted are healthcare insurers, who will face increased operational costs and reduced flexibility in negotiating provider contracts. These companies will be required to meet state-mandated minimum payment thresholds, which may reduce their profit margins or necessitate increases in health insurance premiums for employers and individuals. Furthermore, employers who purchase group health benefit plans for their employees may see an increase in the costs of providing these benefits, as insurers pass the mandatory reimbursement increases on to the policyholders.

Vote Records

Third Reading

April 10, 2025
Yea: 44 Nay: 45 NV: 11 Absent: 0 Failed
View individual votes (100)
Legislator Party Chamber Vote
Tracy Steele Democrat House Nay
Fred Allen Democrat House Yea
Lane Jean Republican House NV
Stephen Meeks Republican House Yea
Mark Perry Democrat House Yea
Jon Eubanks Republican House Yea
Matthew Shepherd Republican House Yea
Jeff Wardlaw Republican House Yea
Bruce Cozart Republican House NV
David Whitaker Democrat House Yea
Mike Holcomb Republican House Yea
Stephen Magie Democrat House Yea
Mark McElroy Republican House Yea
Richard Womack Republican House Nay
Jack Ladyman Republican House Nay
Robin Lundstrum Republican House Nay
Dwight Tosh Republican House Nay
Rick Beck Republican House NV
Mary Bentley Republican House Yea
Les Eaves Republican House Nay
Justin Gonzales Republican House Nay
Julie Mayberry Republican House Yea
Ken Ferguson Democrat House Yea
Ron Mcnair Republican House Yea
Marcus Richmond Republican House Yea
Deann Vaught Republican House NV
Karilyn Brown Republican House Nay
Sonia Eubanks Barker Republican House Yea
Frances Cavenaugh Republican House Nay
Jimmie Gazaway Republican House NV
Roger Lynch Republican House Yea
John Maddox Republican House Yea
Aaron Pilkington Republican House Yea
Johnny Rye Republican House Nay
Les Warren Republican House Yea
Carlton Wing Republican House Nay
Austin Mccollum Republican House Nay
Carol Dalby Republican House Yea
Steve Hollowell Republican House Yea
Brian Evans Republican House NV
Lee Johnson Republican House Yea
Andrew Collins Democrat House Yea
Stan Berry Republican House Nay
Harlan Breaux Republican House Nay
Cameron Cooper Republican House Nay
Nicole Clowney Democrat House Yea
Cindy Crawford Republican House NV
Denise Garner Democrat House Yea
Tippi McCullough Democrat House Yea
Jay Richardson Democrat House NV
Jim Wooten Republican House Nay
Denise Ennett Democrat House Yea
Richard McGrew Republican House Nay
Joy Springer Democrat House Yea
Howard Beaty Republican House Yea
Tony Furman Republican House Nay
Kendon Underwood Republican House Nay
David Ray Republican House Nay
John Carr Republican House Nay
Rick McClure Republican House Nay
Keith Brooks Republican House Nay
Ashley Hudson Democrat House Yea
Jon Milligan Republican House NV
RJ Hawk Republican House Nay
Wade Andrews Republican House Yea
Rebecca Burkes Republican House Nay
Hope Duke Republican House Nay
Zack Gramlich Republican House NV
Mindy McAlindon Republican House Nay
Matt Duffield Republican House Yea
Stetson Painter Republican House Nay
Steve Unger Republican House Nay
Wayne Long Republican House Nay
Scott Richardson Republican House Nay
Brandon Achor Republican House Yea
Jeremiah Moore Republican House NV
Joey Carr Republican House Nay
Matt Brown Republican House Nay
Shad Pearce Republican House Yea
Chad Puryear Republican House Nay
Ryan Rose Republican House Nay
Bart Schulz Republican House Yea
Trey Steimel Republican House Yea
Tara Shephard Democrat House Yea
Jeremy Wooldridge Republican House Nay
Kendra Moore Republican House Nay
Brit McKenzie Republican House Nay
Steven Walker Republican House Yea
Glenn Barnes Democrat House Yea
Lincoln Barnett Democrat House Yea
Alyssa Brown Republican House Nay
Nick Burkes Republican House Nay
Paul Childress Republican House Nay
James Eaton Republican House Nay
Brad Hall Republican House Nay
Dolly Henley Republican House Yea
Jessie McGruder Democrat House Yea
Jason Nazarenko Republican House Nay
Randy Torres Republican House Nay
Diana Gonzales Worthen Democrat House Yea
Read Full Bill on arkleg.state.ar.us