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HB 1172

TO ADD DEFINITIONS TO THE MEDICAID FAIRNESS ACT TO ENSURE THAT ALL RULE ENFORCEMENT ACTIONS ARE APPEALABLE.

2025 Regular Session Introduced by Zack Gramlich and 1 co-sponsor

Arkansas bill expanding Medicaid enforcement action appeal rights to ensure due process protections for providers and beneficiaries facing agency decisions—withdrawn by author in February 2025.

WITHDRAWN BY AUTHOR
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Bill Summary · HB 1172

Legislative bill overview

HB 1172 proposes amendments to Arkansas's Medicaid Fairness Act to expand the definition of appealable actions, ensuring that all rule enforcement actions taken by Medicaid administrators can be challenged through the appeals process. The bill aims to clarify which agency decisions are subject to appeal rights for Medicaid providers and beneficiaries.

Why is this important

Medicaid enforcement actions—such as claim denials, provider sanctions, or eligibility determinations—can have significant financial and operational consequences. Ensuring all enforcement actions are appealable provides due process protections and allows affected parties to challenge potentially erroneous or unfair decisions before an independent body.

Potential points of contention

  • Costs and administrative burden: Expanding appealable actions could increase workload for administrative law judges and appeal boards, potentially raising state costs
  • Provider advocacy vs. program integrity: Providers may want broader appeal rights while state officials may argue some routine enforcement decisions should proceed without delay to protect program integrity
  • Defining "rule enforcement": Determining which specific actions constitute appealable "rule enforcement" versus routine administrative decisions could be legally ambiguous

Compiled from official sources — confirm details with the bill’s official record.

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