HB1930
To Mandate Minimum Reimbursement Levels For Healthcare Services.
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, 2025View 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 |
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