ARK LEG Payment of Health Benefits

Published on: Mar 21, 2025

On Mar. 18, ARK LEG enacted bill on health provider benefit payments.

  • ARK LEG enacted bill HB 1298 to modify payment of benefits by healthcare provider.
  • Amended Arkansas code ARK INS 23-85-114 (Payment-of-claims), ARK INS 23-86-104 (Blanket accident and health insurance), and ARK INS 23-86-112 (Group accident).
  • Bill Provisions
  • Proposed provision that healthcare insurer must pay claim for any indemnity provided by health benefit plan on account of hospital, nursing, medical, or surgical services.
  • Directly to healthcare provider that provided service for an out-of-network claim.
  • Healthcare insurer not include entity that provides only dental or eye, vision benefits.
  • Legislative History
  • On Jan. 29, 2025, bill introduced into House; on Mar. 6, 2025, bill passed the House.
  • On Mar. 6, 2025, bill introduced into Senate; on Mar. 12, 2025, bill passed the Senate.
  • On Mar. 12, bill returned to House; on Mar. 13, 2025, bill was delivered to governor.
  • On Mar. 18, 2025, bill was approved by the governor, and was assigned Act 307.
  • Effectiveness
  • Act effective 91 days after legislature adjourned sine die (May 5), so Aug. 4, 2025.
Regulators
ARK LEG
Entity Types
Ins
Reference
Bill, Act 307, HB1298, 3/18/2025; Citation: *ARK INS* 23-85-114, 23-86-104, 23-86-112;
Functions
Claims/Accelerated Benefits; Compliance; Operations
Countries
United States of America
Category
State
N/A
Products
Accident; Insurance; Insurance-Health
Rule Type
Final
Regions
Am
Rule Date
Mar 18, 2025
Effective Date
Aug 4, 2025
Rule ID
247614
Linked to
N/A
Reg. Last Update
Mar 18, 2025
Report Section
US Insurance