Stricken language would be deleted from and underlined language would be added to present law.
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State of Arkansas 1
95th General Assembly A Bill 2
Regular Session, 2025 HOUSE BILL 1053 3
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By: Representative Pilkington 5
By: Senator Irvin 6
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For An Act To Be Entitled 8
AN ACT TO REQUIRE REIMBURSEMENT FOR REMOTE ULTRASOUND 9
PROCEDURES AND REMOTE FETAL NONSTRESS TESTS IN THE 10
ARKANSAS MEDICAID PROGRAM; AND FOR OTHER PURPOSES. 11
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Subtitle 14
TO REQUIRE REIMBURSEMENT FOR REMOTE 15
ULTRASOUND PROCEDURES AND REMOTE FETAL 16
NONSTRESS TESTS IN THE ARKANSAS MEDICAID 17
PROGRAM. 18
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BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS: 20
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SECTION 1. Arkansas Code Title 20, Chapter 77, Subchapter 1, is 22
amended to add an additional section to read as follows: 23
20-77-153. Reimbursement for remote ultrasound procedures and remote 24
fetal nonstress tests. 25
(a)(1) The Arkansas Medicaid Program shall reimburse for remote 26
ultrasound procedures and remote fetal nonstress tests utilizing established 27
Current Procedural Terminology codes for remote ultrasound procedures and 28
fetal nonstress tests when the patient is in a residence or other off -site 29
location from the healthcare provider of the patient and the same standard of 30
care is met. 31
(2) Subdivision (a)(1) of this section shall apply to the fee -32
for-service categories of the program and any managed care plan within the 33
program. 34
(b) A remote ultrasound and remote fetal nonstress test shall be 35
reimbursable when the healthcare provider uses digital technology that: 36 HB1053
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(1) Collects medical and other forms of health data from a 1
patient and electronically transmits the information securely to a healthcare 2
provider in a different location for interpretation and recommendation; 3
(2) Is compliant with the Health Insurance Portability and 4
Accountability Act of 1996, 42 U.S.C. § 1320d et seq., as it existed on 5
January 1, 2025; and 6
(3) Is approved by the United States Food and Drug 7
Administration. 8
(c) A remote fetal nonstress test shall be reimbursed under a Current 9
Procedural Terminology code 5905 in the same manner as an in -person clinic 10
fetal nonstress test with the place of service at home and shall use remote 11
monitoring solutions that are approved by the United States Food and Drug 12
Administration for on -label use for monitoring fetal heart rate, maternal 13
heart rate, and uterine activity. 14
(d) The Department of Human Services shall: 15
(1) Apply for any federal waiver, Medicaid state plan 16
amendments, or other authority necessary to implement this section; and 17
(2) Adopt rules to implement this section. 18
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SECTION 2. DO NOT CODIFY. Rules. 20
(a) When adopting the initial rules required under this act, the 21
Department of Human Services shall file the final rules with the Secretary of 22
State for adoption under § 25 -15-204(f): 23
(1) On or before January 1, 2026; or 24
(2) If approval under § 10 -3-309 has not occurred by January 1, 25
2026, as soon as practicable after approval under § 10 -3-309. 26
(b) The department shall file the proposed rules with the Legislative 27
Council under § 10-3-309(c) sufficiently in advance of January 1, 2026, so 28
that the Legislative Council may consider the rules for approval before 29
January 1, 2026. 30
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