# Arkansas SB527: TO AMEND THE ARKANSAS HEALTH AND OPPORTUNITY FOR ME ACT OF 2021; AND TO INCREASE THE MEDICAL-LOSS RATIO IN THE ARKANSAS HEALTH AND OPPORTUNITY FOR ME PROGRAM. Arkansas SB527, TO AMEND THE ARKANSAS HEALTH AND OPPORTUNITY FOR ME ACT OF 2021; AND TO INCREASE THE MEDICAL-LOSS RATIO IN THE ARKANSAS HEALTH AND OPPORTUNITY FOR ME PROGRAM., is a 2025 Regular Session Senate bill sponsored by Missy Irvin (Republican), Lee Johnson (Republican); status enacted, last action 2025-04-18 (Notification that SB527 is now Act 774); PRIA reads it as touching household money (as of 2026-10-16). - Canonical: https://policyrisk.com/state-bill/AR-SB527-2025 - As of: 2026-10-16 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Arkansas SB527 - State: Arkansas - Session: 2025 Regular Session - Title: TO AMEND THE ARKANSAS HEALTH AND OPPORTUNITY FOR ME ACT OF 2021; AND TO INCREASE THE MEDICAL-LOSS RATIO IN THE ARKANSAS HEALTH AND OPPORTUNITY FOR ME PROGRAM. - Status: enacted - Chamber: Senate - Introduced: 2025-03-19 - Last action: 2025-04-18, Notification that SB527 is now Act 774 - Sponsors: Missy Irvin (Republican), Lee Johnson (Republican) - Cosponsors: 23 - Touches household money: yes - Roll calls: 2 (99 yes, 3 no in all) - Economic provisions PRIA read: 4 ## Summary No summary available. ## Bill overview: provisions PRIA read - Longer Arkansas health program, more care options: benefit, medium. The law extends Arkansas Health and Opportunity for Me's legal authority from December 31, 2026, through December 31, 2031. This does not guarantee any person's coverage. Every Arkansas county must have at least two individual qualified health plans offered, not necessarily from two insurers. The D… - Arkansas health plans must seek drug rebates: benefit, low. Participating Arkansas Health and Opportunity for Me insurers must seek all available drug-company rebates for products covered through participating plans. The Department of Human Services must track rebates obtained and ensure an equal amount goes to Arkansas every three months. This supports pro… - Work rules can suspend Arkansas health coverage: cost, high. Arkansas Health and Opportunity for Me members must follow applicable Medicaid work rules and provide proof of compliance. The governor must request federal permission as soon as practical when federal rules change to allow it. Nonexempt members who refuse to cooperate and make no effort to comply… - Arkansas health members owe unpaid program charges: cost, low. Arkansas Health and Opportunity for Me members are solely responsible for their unpaid program charges. The Department of Human Services cannot include those unpaid amounts in payments to insurers or financial settlements with them. It also cannot include those amounts in future premium rates. ## Sponsors and cosponsors - Sponsor: Missy Irvin (Republican), Senate - Sponsor: Lee Johnson (Republican), House - Cosponsor: Brandon Achor (Republican), House - Cosponsor: Blake Johnson (Republican), Senate - Cosponsor: Mary Bentley (Republican), House - Cosponsor: Nicole Clowney (Democratic), House - Cosponsor: Les D. Eaves (Republican), House - Cosponsor: Jon S. Eubanks (Republican), House - Cosponsor: Brian S. Evans (Republican), House - Cosponsor: Ben Gilmore (Republican), Senate - Cosponsor: Zack Gramlich (Republican), House - Cosponsor: Bart Hester (Republican), Senate - Cosponsor: Ashley Hudson (Democratic), House - Cosponsor: Justin Boyd (Republican), Senate - Cosponsor: Jonathan Dismang (Republican), Senate - Cosponsor: Jack Ladyman (Republican), House - Cosponsor: Robin Lundstrum (Republican), House - Cosponsor: Matthew J. Shepherd (Republican), House - Cosponsor: John Maddox (Republican), House - Cosponsor: Mark Perry (Democratic), House - Cosponsor: Aaron Pilkington (Republican), House - Cosponsor: Matt Stone (Republican), Senate - Cosponsor: DeAnn Vaught (Republican), House - Cosponsor: Steven Walker (Republican), House - Cosponsor: Jeff Wardlaw (Republican), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-04-14 | House | House Vote - Monday, April 14, 2025 3:39:49 PM | pass | 72 | 3 | 18 | | 2025-04-08 | Senate | Senate Vote - Tuesday, April 8, 2025 3:07:20 PM | pass | 27 | 0 | 7 | ## Actions (19) - 2025-04-18: Notification that SB527 is now Act 774 (Senate) - 2025-04-15: DELIVERED TO GOVERNOR. (Senate) - 2025-04-15: Reported correctly enrolled and ordered delivered to the Governor. (Senate) - 2025-04-14: ORDERED ENROLLED (Senate) - 2025-04-14: Returned from the House as passed. (Senate) - 2025-04-14: Returned to the Senate as passed. (House) - 2025-04-14: Read the third time and passed and ordered transmitted to the Senate. (House) - 2025-04-09: Returned by the Committee Do Pass (House) - 2025-04-08: Read the first time, rules suspended, read the second time and referred to the Committee on INSURANCE & COMMERCE- HOUSE (House) - 2025-04-08: RECEIVED FROM THE SENATE (House) - 2025-04-08: Ordered immediately transmitted to the House. (Senate) - 2025-04-08: Read the third time and passed. (Senate) - 2025-04-07: REPORTED CORRECTLY ENGROSSED (Senate) - 2025-04-07: Amendment # 1 read the first time, rules suspended, read the second time and adopted, ordered engrossed. (Senate) - 2025-04-07: Placed on second reading for purpose of amendment. (Senate) - 2025-04-03: Returned by the Committee with the recommendation that it Do Pass as amended, Amendment # 1 (Senate) - 2025-03-19: Motion to suspend the Intervening Day Rule for SB527. Motion carried. (Senate) - 2025-03-19: Read first time, rules suspended, read second time, referred to INSURANCE & COMMERCE - SENATE (Senate) - 2025-03-19: Filed (Senate) ## Bill text - SB527 - Introduced, 2025-03-19: [PDF](https://www.arkleg.state.ar.us/Home/FTPDocument?path=%2FBills%2F2025R%2FPublic%2FSB527.pdf) - Act Version: [PDF](https://www.arkleg.state.ar.us/Acts/FTPDocument?path=%2FACTS%2F2025R%2FPublic%2F&file=774.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) - HB1686: TO AMEND THE LAW CONCERNING LICENSES TO CARRY CONCEALED HANDGUNS. (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) - 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) - SB440: TO AMEND THE LAW CONCERNING EMBALMERS AND FUNERAL DIRECTORS; TO REGULATE THE USE OF ALKALINE HYDROLYSIS; AND TO REGULATE ALKALINE HYDROLYSIS FACILITIES. (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 - [SB527 - Introduced (PDF)](https://www.arkleg.state.ar.us/Home/FTPDocument?path=%2FBills%2F2025R%2FPublic%2FSB527.pdf) - [Act Version (PDF)](https://www.arkleg.state.ar.us/Acts/FTPDocument?path=%2FACTS%2F2025R%2FPublic%2F&file=774.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) - [HB1686: TO AMEND THE LAW CONCERNING LICENSES TO CARRY CONCEALED HANDGUNS.](https://policyrisk.com/state-bill/AR-HB1686-2025) - [HB1695: TO CLARIFY THE FORECLOSURE PROCESS FOR PROPERTY SUBJECT TO A MUNICIPAL LIEN; TO…](https://policyrisk.com/state-bill/AR-HB1695-2025) - [HB1237: TO PROHIBIT MEDICAL PROFESSIONALS FROM SOLICITING INJURED INDIVIDUALS; AND TO S…](https://policyrisk.com/state-bill/AR-HB1237-2025) - [SB440: TO AMEND THE LAW CONCERNING EMBALMERS AND FUNERAL DIRECTORS; TO REGULATE THE US…](https://policyrisk.com/state-bill/AR-SB440-2025) - [HR1012: TO AMEND THE RULES OF THE HOUSE OF REPRESENTATIVES OF THE NINETY-FIFTH GENERAL…](https://policyrisk.com/state-bill/AR-HR1012-2025) - [Arkansas bills](https://policyrisk.com/states/arkansas/bills) - [Arkansas state hub](https://policyrisk.com/states/arkansas) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/AR-SB527-2025 (as of 2026-10-16).