Arkansas 2025 Regular Session

Arkansas House Bill HB1241 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1	1		Stricken language would be deleted from and underlined language would be added to present law.
2		-	Act 568 of the Regular Session
3		-	JMB102 03-19-2025 14:43:41 JMB102
4		-
5		-	State of Arkansas As Engrossed: H2/10/25 H3/19/25 1
	2	+	JMB102 01/27/2025 9:10:42 AM JMB102
	3	+	State of Arkansas 1
6	4		95th General Assembly A Bill 2
7	5		Regular Session, 2025 HOUSE BILL 1241 3
8	6		4
9		-	By: ~~Representatives~~ J. Mayberry~~, L. Johnson~~ 5
	7	+	By: Representative J. Mayberry 5
10	8		By: Senator Irvin 6
11	9		7
12	10		For An Act To Be Entitled 8
13	11		AN ACT TO ENSURE THAT THE ARKANSAS MEDICAID PROGRAM 9
14	12		REIMBURSES FOR DENTAL AND ANESTHESIA COSTS FOR HIGH 10
15	13		COMPLEXITY ORAL HEALTH CARE; AND FOR OTHER PURPOSES. 11
16	14		12
17	15		13
18	16		Subtitle 14
19	17		TO ENSURE THAT THE ARKANSAS MEDICAID 15
20	18		PROGRAM REIMBURSES FOR DENTAL AND 16
21	19		ANESTHESIA COSTS FOR HIGH COMPLEXITY 17
22	20		ORAL HEALTH CARE. 18
23	21		19
24	22		BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS: 20
25	23		21
26	24		SECTION 1. Arkansas Code Title 20, Chapter 77, Subchapter 1, is 22
27	25		amended to add an additional section to read as follows: 23
28	26		20-77-154. High complexity oral health care — Reimbursement — 24
29	27		Definitions. 25
30	28		(a) As used in this section: 26
31	29		(1) "Healthcare provider" means: 27
32	30		(A) An oral maxillofacial surgeon; 28
33	31		(B) A dentist; 29
34	32		(C) A dental specialist such as a endodontist, 30
35	33		orthodontist, periodontist, or prosthodontist; 31
36		-	(D) An anesthesiologist or other anesthesia provider; 32
37		-	(E) ~~A pediatric dentist;~~ or 33
38		-	~~(F) Support staff for an oral maxillofacial surgeon,~~ 34
39		-	~~dentist, specialty dentist, pediatric dentist, or anesthesiologist, or other~~ 35
40		-	~~anesthesia provider;~~ 36 ~~As Engrossed: H2/10/25 H3/19/25~~ HB1241
	34	+	(D) An anesthesiologist or other anesthesia provider; or 32
	35	+	(E) Support staff for an oral maxillofacial surgeon, 33
	36	+	dentist, specialty dentist, or anesthesiologist or other anesthesia provider; 34
	37	+	and 35
	38	+	(2) "High complexity oral health care" means any oral health 36 HB1241
41	39
42		-	2 03-19-2025 14:43:41 JMB102
43		-
44		-
45		-	(2) "High complexity oral health care" means any oral health 1
46		-	care that is complicated due to: 2
47		-	(A) A craniofacial condition as diagnosed by a plastic 3
48		-	surgeon, oral and maxillofacial surgeon, otolaryngologist, or geneticist who 4
49		-	is a member of a nationally approved cleft -craniofacial team of the American 5
50		-	Cleft Palate-Craniofacial Association and has evaluated the patient; or 6
51		-	(B) An intellectual or developmental disability; and 7
52		-	(3) “Intellectual or developmental disability” means the same as 8
53		-	defined in § 20-48-202. 9
54		-	(b)(1) The Arkansas Medicaid Program shall reimburse the dental 10
55		-	schools who are accredited by the Commission on Dental Accreditation and 11
56		-	academic medical centers for dental and anesthesia costs not to exceed three 12
57		-	thousand seven hundred fifty dollars ($3,750) per episode of care for 13
58		-	individuals with high complexity oral health care who are eighteen (18) years 14
59		-	of age or older and who require sedation dentistry with an annual cap per 15
60		-	individual of five thousand dollars ($5,000). 16
61		-	(2) The dental and anesthesia costs under subdivision (b)(1) of 17
62		-	this section: 18
63		-	(A) Shall only be reflective of professional fees and 19
64		-	supply costs; and 20
65		-	(B) Shall not include discounts or rebates received by the 21
66		-	dental schools who are accredited by the Commission on Dental Accreditation 22
67		-	and academic medical centers. 23
68		-	(3) The dental and anesthesia costs under subdivision (b)(1) of 24
69		-	this section that exceed the annual cap of five thousand dollars ($5,000) may 25
70		-	be approved by the Department of Human Services through a request for an 26
71		-	extension of benefits. 27
72		-	(c) The department shall apply for any federal waiver, Medicaid state 28
73		-	plan amendment, or other authorization necessary to implement this section. 29
	40	+	2 01/27/2025 9:10:42 AM JMB102
	41	+	care that is complicated due to: 1
	42	+	(A) A craniofacial condition as diagnosed by an 2
	43	+	otolaryngologist or by genetics testing; 3
	44	+	(B) An intellectual or developmental disability; or 4
	45	+	(C) An complex medical condition that significantly 5
	46	+	impacts oral health, including without limitation diabetes, heart conditions, 6
	47	+	severe allergies, radiation therapy side effects, or organ transplantation. 7
	48	+	(b)(1) The Arkansas Medicaid Program shall reimburse healthcare 8
	49	+	providers in a dental school in this state that is accredited by the 9
	50	+	Commission on Dental Accreditation for dental and anesthesia costs for 10
	51	+	individuals who are twelve (12) years of age or older that require high 11
	52	+	complexity oral health care or whose oral health care is complicated by 12
	53	+	craniofacial conditions, intellectual or developmental disabilities, or 13
	54	+	complex medical conditions. 14
	55	+	(2) The reimbursement shall be equal to one hundred one percent 15
	56	+	(101%) of the actual costs incurred by the healthcare providers. 16
	57	+	(c) The Department of Human Services shall apply for any federal 17
	58	+	waiver, Medicaid state plan amendment, or other authorization necessary to 18
	59	+	implement this section. 19
	60	+	20
	61	+	21
	62	+	22
	63	+	23
	64	+	24
	65	+	25
	66	+	26
	67	+	27
	68	+	28
	69	+	29
74	70		30
75		-	~~/s/J. Mayberry~~ 31
	71	+	31
76	72		32
77	73		33
78		-	~~APPROVED: 4/14/25~~ 34
	74	+	34
79	75		35
80	76		36