# Arkansas HB1622: TO AMEND THE MEDICAID FAIRNESS ACT; TO MODIFY THE DEFINITION OF "ADVERSE DECISION" UNDER THE MEDICAID FAIRNESS ACT; AND TO PROVIDE FOR ADMINISTRATIVE RECONSIDERATION UNDER THE MEDICAID FAIRNESS ACT.

Arkansas HB1622, TO AMEND THE MEDICAID FAIRNESS ACT; TO MODIFY THE DEFINITION OF "ADVERSE DECISION" UNDER THE MEDICAID FAIRNESS ACT; AND TO PROVIDE FOR ADMINISTRATIVE RECONSIDERATION UNDER THE MEDICAID FAIRNESS ACT., is a 2025 Regular Session House bill sponsored by Zack Gramlich (Republican), Justin Boyd (Republican); status enacted, last action 2025-04-16 (Notification that HB1622 is now Act 635) (as of 2026-10-19).

- Canonical: https://policyrisk.com/state-bill/AR-HB1622-2025
- As of: 2026-10-19
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Arkansas HB1622
- State: Arkansas
- Session: 2025 Regular Session
- Title: TO AMEND THE MEDICAID FAIRNESS ACT; TO MODIFY THE DEFINITION OF "ADVERSE DECISION" UNDER THE MEDICAID FAIRNESS ACT; AND TO PROVIDE FOR ADMINISTRATIVE RECONSIDERATION UNDER THE MEDICAID FAIRNESS ACT.
- Status: enacted
- Chamber: House
- Introduced: 2025-02-27
- Last action: 2025-04-16, Notification that HB1622 is now Act 635
- Sponsors: Zack Gramlich (Republican), Justin Boyd (Republican)
- Cosponsors: 1
- Touches household money: no
- Roll calls: 2 (130 yes, 0 no in all)
- Economic provisions PRIA read: 1

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Stronger appeal rights for Medicaid providers: benefit, low. Arkansas expands which harmful Medicaid decisions qualify for review, including decisions by state reviewers and contractors. Covered decisions concern care levels, billing codes, medical need, prior approval, care reviews, care settings, audits, and inspections. They also include provider payment…

## Sponsors and cosponsors

- Sponsor: Zack Gramlich (Republican), House
- Sponsor: Justin Boyd (Republican), Senate
- Cosponsor: Lee Johnson (Republican), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-09 | Senate | Senate Vote - Wednesday, April 9, 2025 6:27:46 PM | pass | 34 | 0 |   |
| 2025-03-18 | House | House Vote - Tuesday, March 18, 2025 2:43:47 PM | pass | 96 | 0 |   |

## Actions (16)

- 2025-04-16: Notification that HB1622 is now Act 635 (House)
- 2025-04-10: Correctly enrolled and ordered transmitted to the Governor's Office. (House)
- 2025-04-09: TO BE ENROLLED (House)
- 2025-04-09: Returned from the Senate as passed. (House)
- 2025-04-09: Returned to the House as passed. (Senate)
- 2025-04-09: Read the third time and passed. (Senate)
- 2025-04-07: Returned by the Committee, with the recommendation that it Do Pass (Senate)
- 2025-03-18: Read first time, rules suspended, read second time, referred to PUBLIC HEALTH, WELFARE AND LABOR COMMITTEE - SENATE (Senate)
- 2025-03-18: Received from the House. (Senate)
- 2025-03-18: Read the third time and passed and ordered transmitted to the Senate. (House)
- 2025-03-17: REPORTED CORRECTLY ENGROSSED (House)
- 2025-03-17: Amendment No. 1 read and adopted and the bill ordered engrossed. (House)
- 2025-03-17: Placed on second reading for the purpose of amendment. (House)
- 2025-03-13: Returned by the Committee with the recommendation that it do pass as amended 1 (House)
- 2025-02-27: Read the first time, rules suspended, read the second time and referred to the Committee on PUBLIC HEALTH, WELFARE AND LABOR COMMITTEE- HOUSE (House)
- 2025-02-27: Filed (House)

## Bill text

- HB1622 - Introduced, 2025-02-27: [PDF](https://www.arkleg.state.ar.us/Home/FTPDocument?path=%2FBills%2F2025R%2FPublic%2FHB1622.pdf)
- Act Version: [PDF](https://www.arkleg.state.ar.us/Acts/FTPDocument?path=%2FACTS%2F2025R%2FPublic%2F&file=635.pdf&ddBienniumSession=2025%2F2025R)

## Related bills

- HB1265: AN ACT FOR THE UNIVERSITY OF ARKANSAS AT LITTLE ROCK APPROPRIATION FOR THE 2025-2026 FISCAL YEAR. (enacted)
- HB1237: TO PROHIBIT MEDICAL PROFESSIONALS FROM SOLICITING INJURED INDIVIDUALS; AND TO SET PENALTIES FOR A VIOLATION OF THE PROHIBITION OF SOLICITATION OF INJURED INDIV… (failed)
- HB1686: TO AMEND THE LAW CONCERNING LICENSES TO CARRY CONCEALED HANDGUNS. (failed)
- SB440: TO AMEND THE LAW CONCERNING EMBALMERS AND FUNERAL DIRECTORS; TO REGULATE THE USE OF ALKALINE HYDROLYSIS; AND TO REGULATE ALKALINE HYDROLYSIS FACILITIES. (failed)
- HB1695: TO CLARIFY THE FORECLOSURE PROCESS FOR PROPERTY SUBJECT TO A MUNICIPAL LIEN; TO ALLOW A MUNICIPALITY TO PETITION TO SET ASIDE THE SALE OF PROPERTY TO CERTAIN P… (failed)
- HR1012: TO AMEND THE RULES OF THE HOUSE OF REPRESENTATIVES OF THE NINETY-FIFTH GENERAL ASSEMBLY; TO REQUIRE THAT A MEMBER OF THE HOUSE OF REPRESENTATIVES BE SELECTED A… (failed)

## Sources
- [HB1622 - Introduced (PDF)](https://www.arkleg.state.ar.us/Home/FTPDocument?path=%2FBills%2F2025R%2FPublic%2FHB1622.pdf)
- [Act Version (PDF)](https://www.arkleg.state.ar.us/Acts/FTPDocument?path=%2FACTS%2F2025R%2FPublic%2F&file=635.pdf&ddBienniumSession=2025%2F2025R)

## Related
- [HB1265: AN ACT FOR THE UNIVERSITY OF ARKANSAS AT LITTLE ROCK APPROPRIATION FOR THE 2025…](https://policyrisk.com/state-bill/AR-HB1265-2025)
- [HB1237: TO PROHIBIT MEDICAL PROFESSIONALS FROM SOLICITING INJURED INDIVIDUALS; AND TO S…](https://policyrisk.com/state-bill/AR-HB1237-2025)
- [HB1686: TO AMEND THE LAW CONCERNING LICENSES TO CARRY CONCEALED HANDGUNS.](https://policyrisk.com/state-bill/AR-HB1686-2025)
- [SB440: TO AMEND THE LAW CONCERNING EMBALMERS AND FUNERAL DIRECTORS; TO REGULATE THE US…](https://policyrisk.com/state-bill/AR-SB440-2025)
- [HB1695: TO CLARIFY THE FORECLOSURE PROCESS FOR PROPERTY SUBJECT TO A MUNICIPAL LIEN; TO…](https://policyrisk.com/state-bill/AR-HB1695-2025)
- [HR1012: TO AMEND THE RULES OF THE HOUSE OF REPRESENTATIVES OF THE NINETY-FIFTH GENERAL…](https://policyrisk.com/state-bill/AR-HR1012-2025)
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Source: PRIA, https://policyrisk.com/state-bill/AR-HB1622-2025 (as of 2026-10-19).
