On Apr. 10, ARK LEG enacted bill on healthcare provider audits.
ARK LEG enacted HB 1314, to create ARK INS 23-99-1901, the Arkansas Medical Audit Bill of Rights Act, to establish specific procedures that must be followed during audits.
Bill Provisions
Establishes a framework that protects healthcare providers during audit processes.
Auditors are to provide written notice before conducting a medical record review.
Clarifies provider rights during audits, including the right to receive timely notice of the audit, right to access and review audit findings, and to respond to any discrepancies.
Sets timelines for delivering preliminary audit reports and for providers to respond.
Pharmacies to be audited under same standards as other similarly situated pharmacies
Period covered by audit not to exceed 24 months from the date claim was submitted.
Overpayment recoupment based on actual overpayments, unless settlement reached.
Excludes certain types of claims, such as Medicare claims, from certain procedures.
Legislative History
On Jan. 29, 2025, bill introduced into House; on Mar. 31, 2025, bill passed in House.
On Mar. 31, 2025, bill introduced into Senate; on Apr. 7, 2025, bill passed the Senate.
On Apr. 8, 2025, delivered to governor; on Apr. 10, 2025, governor approved, Act 512.
Effectiveness
Act effective 90 days after legislature adjourned sine die (May 5), so Aug. 4, 2025.
Regulators
ARK LEG
Entity Types
Ins
Reference
Act 512, Bill, HB1314, 4/10/2025; Citation: ARK INS 23-99;
