1 | 1 | | Stricken language would be deleted from and underlined language would be added to present law. |
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2 | 2 | | *JMB078* 11/25/2024 12:40:46 PM JMB078 |
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3 | 3 | | State of Arkansas 1 |
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4 | 4 | | 95th General Assembly A Bill 2 |
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5 | 5 | | Regular Session, 2025 HOUSE BILL 1053 3 |
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6 | 6 | | 4 |
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7 | 7 | | By: Representative Pilkington 5 |
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8 | 8 | | By: Senator Irvin 6 |
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9 | 9 | | 7 |
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10 | 10 | | For An Act To Be Entitled 8 |
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11 | 11 | | AN ACT TO REQUIRE REIMBURSEMENT FOR REMOTE ULTRASOUND 9 |
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12 | 12 | | PROCEDURES AND REMOTE FETAL NONSTRESS TESTS IN THE 10 |
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13 | 13 | | ARKANSAS MEDICAID PROGRAM; AND FOR OTHER PURPOSES. 11 |
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14 | 14 | | 12 |
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15 | 15 | | 13 |
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16 | 16 | | Subtitle 14 |
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17 | 17 | | TO REQUIRE REIMBURSEMENT FOR REMOTE 15 |
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18 | 18 | | ULTRASOUND PROCEDURES AND REMOTE FETAL 16 |
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19 | 19 | | NONSTRESS TESTS IN THE ARKANSAS MEDICAID 17 |
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20 | 20 | | PROGRAM. 18 |
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21 | 21 | | 19 |
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22 | 22 | | BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS: 20 |
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23 | 23 | | 21 |
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24 | 24 | | SECTION 1. Arkansas Code Title 20, Chapter 77, Subchapter 1, is 22 |
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25 | 25 | | amended to add an additional section to read as follows: 23 |
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26 | 26 | | 20-77-153. Reimbursement for remote ultrasound procedures and remote 24 |
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27 | 27 | | fetal nonstress tests. 25 |
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28 | 28 | | (a)(1) The Arkansas Medicaid Program shall reimburse for remote 26 |
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29 | 29 | | ultrasound procedures and remote fetal nonstress tests utilizing established 27 |
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30 | 30 | | Current Procedural Terminology codes for remote ultrasound procedures and 28 |
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31 | 31 | | fetal nonstress tests when the patient is in a residence or other off -site 29 |
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32 | 32 | | location from the healthcare provider of the patient and the same standard of 30 |
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33 | 33 | | care is met. 31 |
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34 | 34 | | (2) Subdivision (a)(1) of this section shall apply to the fee -32 |
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35 | 35 | | for-service categories of the program and any managed care plan within the 33 |
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36 | 36 | | program. 34 |
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37 | 37 | | (b) A remote ultrasound and remote fetal nonstress test shall be 35 |
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38 | 38 | | reimbursable when the healthcare provider uses digital technology that: 36 HB1053 |
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39 | 39 | | |
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40 | 40 | | 2 11/25/2024 12:40:46 PM JMB078 |
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41 | 41 | | (1) Collects medical and other forms of health data from a 1 |
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42 | 42 | | patient and electronically transmits the information securely to a healthcare 2 |
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43 | 43 | | provider in a different location for interpretation and recommendation; 3 |
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44 | 44 | | (2) Is compliant with the Health Insurance Portability and 4 |
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45 | 45 | | Accountability Act of 1996, 42 U.S.C. § 1320d et seq., as it existed on 5 |
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46 | 46 | | January 1, 2025; and 6 |
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47 | 47 | | (3) Is approved by the United States Food and Drug 7 |
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48 | 48 | | Administration. 8 |
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49 | 49 | | (c) A remote fetal nonstress test shall be reimbursed under a Current 9 |
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50 | 50 | | Procedural Terminology code 5905 in the same manner as an in -person clinic 10 |
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51 | 51 | | fetal nonstress test with the place of service at home and shall use remote 11 |
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52 | 52 | | monitoring solutions that are approved by the United States Food and Drug 12 |
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53 | 53 | | Administration for on -label use for monitoring fetal heart rate, maternal 13 |
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54 | 54 | | heart rate, and uterine activity. 14 |
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55 | 55 | | (d) The Department of Human Services shall: 15 |
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56 | 56 | | (1) Apply for any federal waiver, Medicaid state plan 16 |
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57 | 57 | | amendments, or other authority necessary to implement this section; and 17 |
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58 | 58 | | (2) Adopt rules to implement this section. 18 |
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59 | 59 | | 19 |
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60 | 60 | | SECTION 2. DO NOT CODIFY. Rules. 20 |
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61 | 61 | | (a) When adopting the initial rules required under this act, the 21 |
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62 | 62 | | Department of Human Services shall file the final rules with the Secretary of 22 |
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63 | 63 | | State for adoption under § 25 -15-204(f): 23 |
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64 | 64 | | (1) On or before January 1, 2026; or 24 |
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65 | 65 | | (2) If approval under § 10 -3-309 has not occurred by January 1, 25 |
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66 | 66 | | 2026, as soon as practicable after approval under § 10 -3-309. 26 |
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67 | 67 | | (b) The department shall file the proposed rules with the Legislative 27 |
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68 | 68 | | Council under § 10-3-309(c) sufficiently in advance of January 1, 2026, so 28 |
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69 | 69 | | that the Legislative Council may consider the rules for approval before 29 |
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70 | 70 | | January 1, 2026. 30 |
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