Title 23 — Public Utilities and Regulated Industries
95 chapters · 4,024 sections in this title.
Ark. Code Ann. § 23-99-608 Applicability of subchapter
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This subchapter applies to health plans issued, renewed, extended, or modified by a health carrier on or after July 30, 1999. “Renewed, extended, or modified” shall include a change in premium or other financial term.
Ark. Code Ann. § 23-99-701 Legislative findings
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(1) The General Assembly finds and declares the following:(1) The State of Arkansas has an interest in protecting its citizens and in pursuing reasonable means to improve the quality of life and health of those citizens;(2) In the healthcare field, the State of Arkansas has tradi…
Ark. Code Ann. § 23-99-702 Definitions
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(1) As used in this subchapter:(1) “Commissioner” means the Insurance Commissioner;(2) [Repealed.](3) “Healthcare services” means any services included in the furnishing to any individual of medical or dental care, hospitalization, or services incident to the furnishing of care o…
Ark. Code Ann. § 23-99-703 Grievance system
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(a) All health carriers and networks shall make arrangements for handling and resolving grievances. (b) Each health carrier and network shall:(1) Maintain records of grievances filed with the health carrier and network concerning the quality of healthcare services; and(2) Submit …
Ark. Code Ann. § 23-99-704 Quality assessment and improvement systems
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(a) Each health carrier and network shall:(1) Make arrangements for measuring and improving the quality of healthcare services;(2) Maintain quality assessment and improvement programs and records measuring the outcomes of healthcare services; and(3) Submit to the Secretary of the…
Ark. Code Ann. § 23-99-705 Applicability and scope
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(a) This subchapter shall not apply to disability income, specified disease, Medicare supplement, hospital indemnity, accident-only policies, long-term care, short-term limited duration insurance, and all other supplemental insurance products issued by health carriers. (b) In ter…
Ark. Code Ann. § 23-99-706 Enforcement and penalties
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The Secretary of the Department of Health shall have the power to implement and enforce this subchapter.
Ark. Code Ann. § 23-99-801 Application and intent
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(a) The state's any willing provider laws shall not be construed:(1) To require all physicians or a percentage of physicians in the state or a locale to participate in the provision of services for a health maintenance organization; or(2) To take away the authority of health main…
Ark. Code Ann. § 23-99-802 Definitions
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(1) As used in this subchapter:(1) “Any willing provider law” means a law that prohibits discrimination against a provider willing to meet the terms and conditions for participation established by a health insurer or that otherwise precludes an insurer from prohibiting or limitin…
Ark. Code Ann. § 23-99-803 Agency enforcement
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(1) The Insurance Commissioner shall:(1) Enforce the state's any willing provider laws using powers granted to the commissioner in the Arkansas Insurance Code; and(2) Be entitled to seek an injunction against a health insurer in a court of competent jurisdiction. (1) Enforce the …
Ark. Code Ann. § 23-99-804 Health insurer — Healthcare provider contracts
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(a) A healthcare provider, including without limitation a physician, nurse, pharmacist, dentist, physical therapist, physician assistant, or any other healthcare provider licensed and in good standing with the state licensing board responsible for the licensing of the healthcare …
Ark. Code Ann. § 23-99-901 Legislative findings
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(1) The General Assembly finds that:(1) Under an alternative payment system, a healthcare payor, when determining a healthcare provider's patient care costs, may use factors that are not under the control of the healthcare provider;(2) A healthcare provider may not receive an app…
Ark. Code Ann. § 23-99-902 Definitions
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(1) As used in this subchapter:(1) “Alternative payment system” means a payment methodology used by a healthcare payor that includes a risk-sharing or gain-sharing component for a healthcare provider that participates in a plan, program, or network offered by the healthcare payor…
Ark. Code Ann. § 23-99-903 Physician penalties — Limitation
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(a) A healthcare payor doing business in this state, when determining any gain-sharing or risk-sharing for a healthcare provider, shall not attribute to a healthcare provider any costs that are a result of variations in the healthcare payor's freely negotiated contract pricing wi…
Ark. Code Ann. § 23-99-904 Waiver prohibited
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(a) The provisions of this subchapter shall not be waived by contract. (b) Contractual arrangements or actions taken in conflict with this subchapter or that purport to waive any requirements of this subchapter are void.
Ark. Code Ann. § 23-99-905 Enforcement
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(a) The State Insurance Department shall develop and promulgate rules for the implementation and enforcement of this subchapter. (b) In addition to or as an alternative to any enforcement action by the department, a healthcare provider or an organization that represents healthcar…