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Arkansas General Assembly· SB 222Notification that SB222 is now Act 301

An act TO AMEND THE MEDICAID PROVIDER-LED ORGANIZED 10 CARE ACT, the official text

Shown verbatim: the complete text as captured from the official PDF posted by the Arkansas General Assembly, fetched 2026-07-23. Page and line markers are part of the official record; nothing is edited or removed. The official bill page.
Stricken language would be deleted from and underlined language would be added to present law.

1 State of Arkansas      As Engrossed: H3/10/25
2 95th General Assembly
                               A Bill

3 Regular Session, 2025                                            SENATE BILL 222

4

5 By: Senators B. Davis, J. Dismang, Gilmore, B. Johnson, C. Tucker, D. Wallace, G. Leding

6 By: Representatives L. Johnson, Hudson, Beaty Jr., A. Collins, Achor, K. Brown, Brooks

7

8                        For An Act To Be Entitled

9         AN ACT TO AMEND THE MEDICAID PROVIDER-LED ORGANIZED

10        CARE ACT; TO CLARIFY MARKETING BY PROVIDERS UNDER THE

11        MEDICAID PROVIDER-LED ORGANIZED CARE ACT; TO DECLARE

12        AN EMERGENCY; AND FOR OTHER PURPOSES.

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15                                   Subtitle

16                       TO AMEND THE MEDICAID PROVIDER-LED

17                       ORGANIZED CARE ACT; TO CLARIFY MARKETING

18                       BY PROVIDERS UNDER THE MEDICAID

19                       PROVIDER-LED ORGANIZED CARE ACT; AND TO

20                       DECLARE AN EMERGENCY.

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22 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS:

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24        SECTION 1. Arkansas Code Title 20, Chapter 77, Subchapter 27, is

25 amended to add an additional section to read as follows:

26        20-77-2709. Marketing -- Legislative intent.

27        (a) It is the intent of the General Assembly to ensure that potential

28 and actual enrollees in a risk-based provider organization have a right to

29 know:

30        (1) Whether a direct service provider is or will be in-network

31 with a particular risk-based provider organization; and

32        (2) The consequences of choosing a risk-based provider

33 organization in which that direct service provider is not participating as a

34 network direct service provider.

35        (b) It is not a marketing violation for a direct service provider to

36 inform an existing or potential Medicaid enrollee in a risk-based provider

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    As Engrossed: H3/10/25                                                  SB222

1 organization of its network status with a particular risk-based provider

2 organization.

3   (c) The Department of Human Services or a risk-based provider

4 organization shall not:

5   (1) Require a direct service provider to separate communications

6 about its network status from communications about open enrollment if the

7 direct service provider informs the existing or potential enrollee that the

8 enrollee has freedom of choice among risk-based provider organizations and

9 network providers; or

10  (2) Restrict direct service providers from responding to an

11 individual's questions about open enrollment or network status if the direct

12 service provider does not attempt to influence that individual's choice of

13 risk-based provider organizations or respond in any manner that is inaccurate

14 or misleading.

15  (d) A direct service provider shall comply with the provisions

16 applicable to providers in the federal managed care rule on marketing

17 activities at 42 C.F.R. � 438.104, as existing on January 1, 2025.

18  (e) The department shall revise the marketing rules to comply with

19 this section.

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21  SECTION 2. EMERGENCY CLAUSE. It is found and determined by the

22 General Assembly of the State of Arkansas that enrollees and providers both

23 face confusion and uncertainty around the information a provider may

24 communicate to an enrollee about the provider and its network status with

25 risk-based provider organizations; that this confusion is negatively

26 impacting the ability of Medicaid beneficiaries to make informed decisions

27 about their care; that Medicaid beneficiaries face these decisions at least

28 annually when the Medicaid beneficiaries are assigned to a risk-based

29 provider organization or waiver wait list and "for cause" at any time due to

30 circumstances that may be out of their control; and that this act is

31 immediately necessary to ensure that Medicaid beneficiaries receive

32 appropriate information from their providers to ensure continuity of care.

33 Therefore, an emergency is declared to exist, and this act being immediately

34 necessary for the preservation of the public peace, health, and safety shall

35 become effective on:

36  (1) The date of its approval by the Governor;

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    As Engrossed: H3/10/25                                             SB222

1           (2) If the bill is neither approved nor vetoed by the Governor,

2 the expiration of the period of time during which the Governor may veto the

3 bill; or

4           (3) If the bill is vetoed by the Governor and the veto is

5 overridden, the date the last house overrides the veto.

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7                           /s/B. Davis

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