(a) (1) The Department of Human Services, in coordination with the State Insurance Department and other necessary state agencies, shall:

(A) Provide health insurance or medical assistance under this subchapter to eligible individuals;

(B) Create and administer the Arkansas Works Program;

(C) Submit and apply for any federal waivers, Medicaid state plan amendments, or other authority necessary to implement the Arkansas Works Program in a manner consistent with this subchapter;

(D) Offer incentive benefits to promote personal responsibility; and

(E) Seek a waiver to eliminate retroactive eligibility for an eligible individual under this subchapter.

(2) The Governor shall request the assistance and involvement of other state agencies that he or she deems necessary for the implementation of the Arkansas Works Program.

(b) Health insurance benefits under this subchapter shall be provided through:

(1) Individual premium assistance for enrollment of Arkansas Works Program participants in individual qualified health insurance plans;

(2) Employer-sponsored premium assistance for certain eligible individuals who enroll in employer health insurance coverage; and

(3) Supplemental benefits to incentivize personal responsibility.

(c) The Department of Human Services, the State Insurance Department, the Department of Workforce Services, and other necessary state agencies shall promulgate and administer rules to implement the Arkansas Works Program.

(d) (1) Within thirty (30) days of a reduction in federal medical assistance percentages as described in this section, the Department of Human Services shall present to the Centers for Medicare and Medicaid Services a plan to terminate the Arkansas Works Program and transition eligible individuals out of the Arkansas Works Program within one hundred twenty (120) days of a reduction in any of the following federal medical assistance percentages:

(A) Ninety-five percent (95%) in the year 2017;

(B) Ninety-four percent (94%) in the year 2018;

(C) Ninety-three percent (93%) in the year 2019; and

(D) Ninety percent (90%) in the year 2020 or any year after the year 2020.

(2) An eligible individual shall maintain coverage during the process to implement the plan to terminate the Arkansas Works Program and the transition of eligible individuals out of the Arkansas Works Program.

(e) State obligations for uncompensated care shall be tracked and reported to identify potential incremental future decreases.

(f) The Department of Human Services shall track the hospital assessment fee imposed by § 20-77-1902 and report to the General Assembly subsequent decreases based upon reduced uncompensated care.

(g) (1) On a quarterly basis, the Department of Human Services, the State Insurance Department, the Department of Workforce Services, and other necessary state agencies shall report to the Legislative Council, or to the Joint Budget Committee if the General Assembly is in session, available information regarding the overall Arkansas Works Program, including without limitation:

(A) Eligibility and enrollment;

(B) Utilization;

(C) Premium and cost-sharing reduction costs;

(D) Health insurer participation and competition;

(E) Avoided uncompensated care; and

(F) Participation in job training and job search programs.

(2)

(A) A health insurer who is providing an individual qualified health insurance plan or employer health insurance coverage for an eligible individual shall submit claims and enrollment data to the State Insurance Department to facilitate reporting required under this subchapter or other state or federally required reporting or evaluation activities.

(B) A health insurer may utilize existing mechanisms with supplemental enrollment information to fulfill requirements under this subchapter, including without limitation the state's all-payer claims database established under the Arkansas Healthcare Transparency Initiative Act of 2015, § 23-61-901 et seq., for claims and enrollment data submission.

(h) The Governor shall request a block grant under relevant federal law and regulations for the funding of the Arkansas Medicaid Program as soon as practical if the federal law or regulations change to allow the approval of a block grant for this purpose.