AR · last verified 2026-05-12
Arkansas — NSA dispute pathway
Ground-ambulance balance-billing law
STATE LAW APPLIES
Ark. Code 23-99-1802 (Acts 578 & 597 of 2023; Act 867 of 2025)
State IDR pathway
[VERIFY PENDING]
Federal IDR (45 CFR §149.510)
ERISA self-funded plans
STATE DOI HAS NO JURISDICTION
Self-funded plans always route to Federal IDR + DOL/EBSA enforcement, regardless of state.
How Arkansas fits the NSA picture
Arkansas Acts 578 & 597 of 2023 (Act 867 of 2025 amends) set minimum reimbursement for OON ground ambulance; balance-billing of insureds prohibited. Rate floor was tightened in 2025 to lesser of 325% AR Rural Medicare or billed charges.
State DOI consumer-protection entry ↗Statute: Ark. Code 23-99-1802 (Acts 578 & 597 of 2023; Act 867 of 2025)
Free first step — CMS No Surprises Help Desk
The CMS-administered consumer complaint pathway. Free, federal, and the recommended first action for any balance-billed insured patient. You have 90 calendar days from when you knew or should have known of the NSA violation to file.