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Republican Sponsorship
Healthcare

HB1942

To Require Certain Reimbursement Rates For Home- And Community-based Services Within Risk-based Provider Organizations.

Passed

Last Action (April 22, 2025): Notification that HB1942 is now Act 1023

Sponsors

AI-Generated Summary

House Bill 1942 amends the Arkansas Medicaid Provider-Led Organized Care Act to establish a new process for setting reimbursement rates for home- and community-based services. The bill requires the Department of Human Services to conduct a rate study by October 1, 2025, to determine appropriate compensation for these services. The results of this study will serve as the mandatory minimum rates that risk-based provider organizations (RBPOs) must pay to direct service providers. The bill stipulates that these rates must account for provider costs to promote quality and access, and it allows for a two-year phase-in period if the study results in a rate increase of more than ten percent. Furthermore, the bill mandates that the Department of Human Services collaborate with service providers when developing the criteria for these studies and requires ongoing periodic reviews to ensure rates remain adequate.

Potential Impact Analysis

Who Might Benefit?

The primary beneficiaries are home- and community-based service providers, who stand to receive more accurate reimbursement rates based on actual costs. Additionally, Medicaid beneficiaries receiving these services may benefit from improved quality of care and potentially better access to providers, as the bill aims to ensure that compensation levels are sufficient to maintain a sustainable service network.

Who Might Suffer?

Risk-based provider organizations (RBPOs) could be negatively impacted as they may face higher mandatory operating costs for provider reimbursements, which could compress their profit margins or require adjustments to their internal budget allocations. Additionally, the state budget may be impacted by the requirement to conduct the rate study and potentially fund increased Medicaid expenditures if the study results in significantly higher reimbursement rates.

Vote Records

Third Reading

April 15, 2025
Yea: 32 Nay: 1 NV: 2 Absent: 0 Passed
View individual votes (35)
Legislator Party Chamber Vote
Jane English Republican Senate Yea
Jonathan Dismang Republican Senate Yea
Greg Leding Democrat Senate Yea
Missy Irvin Republican Senate Yea
Bryan King Republican Senate NV
Kim Hammer Republican Senate Yea
Stephanie Flowers Democrat Senate Yea
Frederick Love Democrat Senate Yea
Terry Rice Republican Senate Yea
Reginald Murdock Democrat Senate Yea
Gary Stubblefield Republican Senate Yea
Jim Dotson Republican Senate NV
John Payton Republican Senate Nay
Alan Clark Republican Senate Yea
Ronald Caldwell Republican Senate Yea
Bart Hester Republican Senate Yea
Jimmy Hickey Republican Senate Yea
Dan Sullivan Republican Senate Yea
David Wallace Republican Senate Yea
Blake Johnson Republican Senate Yea
Justin Boyd Republican Senate Yea
Clarke Tucker Democrat Senate Yea
Scott Flippo Republican Senate Yea
Clint Penzo Republican Senate Yea
Mark Johnson Republican Senate Yea
Ricky Hill Republican Senate Yea
Jamie Scott Democrat Senate Yea
Breanne Davis Republican Senate Yea
Ben Gilmore Republican Senate Yea
Joshua Bryant Republican Senate Yea
Matt McKee Republican Senate Yea
Jim Petty Republican Senate Yea
Steve Crowell Republican Senate Yea
Tyler Dees Republican Senate Yea
Matt Stone Republican Senate Yea

Third Reading

April 3, 2025
Yea: 79 Nay: 2 NV: 19 Absent: 0 Passed
View individual votes (100)
Legislator Party Chamber Vote
Tracy Steele Democrat House Yea
Fred Allen Democrat House Yea
Lane Jean Republican House Yea
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 Yea
David Whitaker Democrat House NV
Mike Holcomb Republican House Yea
Stephen Magie Democrat House Yea
Mark McElroy Republican House Yea
Richard Womack Republican House Yea
Jack Ladyman Republican House Yea
Robin Lundstrum Republican House NV
Dwight Tosh Republican House Yea
Rick Beck Republican House Yea
Mary Bentley Republican House Yea
Les Eaves Republican House Yea
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 Yea
Sonia Eubanks Barker Republican House NV
Frances Cavenaugh Republican House Yea
Jimmie Gazaway Republican House Yea
Roger Lynch Republican House Yea
John Maddox Republican House Yea
Aaron Pilkington Republican House NV
Johnny Rye Republican House Yea
Les Warren Republican House Yea
Carlton Wing Republican House Yea
Austin Mccollum Republican House NV
Carol Dalby Republican House Yea
Steve Hollowell Republican House Yea
Brian Evans Republican House Yea
Lee Johnson Republican House Yea
Andrew Collins Democrat House Yea
Stan Berry Republican House Yea
Harlan Breaux Republican House Yea
Cameron Cooper Republican House NV
Nicole Clowney Democrat House Yea
Cindy Crawford Republican House Yea
Denise Garner Democrat House Yea
Tippi McCullough Democrat House Yea
Jay Richardson Democrat House Yea
Jim Wooten Republican House Yea
Denise Ennett Democrat House Yea
Richard McGrew Republican House NV
Joy Springer Democrat House Yea
Howard Beaty Republican House Yea
Tony Furman Republican House Yea
Kendon Underwood Republican House NV
David Ray Republican House NV
John Carr Republican House Yea
Rick McClure Republican House Yea
Keith Brooks Republican House Yea
Ashley Hudson Democrat House Yea
Jon Milligan Republican House NV
RJ Hawk Republican House Yea
Wade Andrews Republican House Yea
Rebecca Burkes Republican House NV
Hope Duke Republican House Nay
Zack Gramlich Republican House Yea
Mindy McAlindon Republican House NV
Matt Duffield Republican House NV
Stetson Painter Republican House Yea
Steve Unger Republican House Yea
Wayne Long Republican House NV
Scott Richardson Republican House Yea
Brandon Achor Republican House Yea
Jeremiah Moore Republican House Yea
Joey Carr Republican House Yea
Matt Brown Republican House Yea
Shad Pearce Republican House Yea
Chad Puryear Republican House Yea
Ryan Rose Republican House NV
Bart Schulz Republican House Yea
Trey Steimel Republican House Yea
Tara Shephard Democrat House Yea
Jeremy Wooldridge Republican House Yea
Kendra Moore Republican House Yea
Brit McKenzie Republican House NV
Steven Walker Republican House Yea
Glenn Barnes Democrat House Yea
Lincoln Barnett Democrat House Yea
Alyssa Brown Republican House NV
Nick Burkes Republican House NV
Paul Childress Republican House Yea
James Eaton Republican House Yea
Brad Hall Republican House Yea
Dolly Henley Republican House Yea
Jessie McGruder Democrat House Yea
Jason Nazarenko Republican House Yea
Randy Torres Republican House Yea
Diana Gonzales Worthen Democrat House Yea
Read Full Bill on arkleg.state.ar.us