Arkansas House Bill HB1172

Arkansas 2025 Regular Session

• Introduced: 1/16/25
• Refer: 1/16/25

Caption

To Add Definitions To The Medicaid Fairness Act To Ensure That All Rule Enforcement Actions Are Appealable.

Impact

The bill establishes new definitions that may provide additional protection for Medicaid providers against arbitrary enforcement actions. It mandates that providers receive a minimum notice period prior to scheduled monitoring visits, allowing them to prepare adequately for such inspections. Moreover, it allows providers the opportunity to challenge violations through a reconsideration process. If a reconsideration request is not addressed in a timely manner, the violation can be vacated, further emphasizing due process in enforcement actions.

Summary

House Bill 1172 seeks to amend the Medicaid Fairness Act by introducing definitions and ensuring that all rule enforcement actions related to Medicaid are appealable. The bill clarifies that an adverse action does not necessarily need to involve monetary penalties but must have direct consequences for the provider involved. This clarification aims to enhance transparency and fairness in the administration of Medicaid services.

Contention

Notable points of contention surrounding HB 1172 include concerns about the administrative burden it may impose on the Department of Human Services, as the bill requires them to adhere to strict guidelines on notification and handling of enforcement actions. Critics may argue that while the bill seeks to offer protections for providers, it could potentially slow down the enforcement process needed to ensure compliance with Medicaid standards. Supporters advocate for the bill, emphasizing that it promotes fairness and accountability in Medicaid rule enforcement.