ARK LEG Ground Ambulance Reimbursement

Published on: Apr 24, 2025

On Apr. 18, ARK LEG reported bill on reimbursing ambulance services.

  • ARK LEG enacted HB 1850 on minimum allowable reimbursement for ambulances.
  • Amendment to Arkansas code ARK INS 23-3-99-18-1802, ground ambulance services.
  • Legislative Provisions
  • On, after Jul. 1, 2025, in absence of rates, minimum allowable rate of reimbursement under a health benefit plan issued by a healthcare insurer must be lesser of 325%.
  • Of Medicare ambulance fee schedule, Arkansas rural rate, as established by the CMS.
  • Included emergency clause; found, by General Assembly of Arkansas that necessary to resolve conflict regarding in-network and out-of-network reimbursement rates
  • Conflict causing confusion between ambulance providers, insurers, Insurance Dept.
  • Legislative History
  • On Mar. 19, 2025, bill introduced in the House; on Apr. 3, 2025, bill passed the House.
  • On Apr. 3, 2025, bill introduced into Senate; on Apr. 14, 2025, bill passed the Senate.
  • On Apr. 15, 2025, delivered to governor; on Apr. 17, 2025, gov. approved, Act 866.
  • Effectiveness
  • Act effective 91 days after legislature adjourned sine die (May 5), so Aug. 4, 2025.
Regulators
ARK LEG
Entity Types
Ins
Reference
Bill, HB1850, Act 866, PR, 4/18/2025; Citation: ARK INS 23-3-99-18-1802;
Functions
Claims/Accelerated Benefits; Compliance; Product Administration
Countries
United States of America
Category
State
N/A
Products
Insurance; Insurance-Health; Medicare
Rule Type
Final
Regions
Am
Rule Date
Apr 18, 2025
Effective Date
Aug 4, 2025
Rule ID
251745
Linked to
Reg. Last Update
Apr 18, 2025
Report Section
US Insurance