| 6 | 4 | | 95th General Assembly A Bill 2 |
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| 7 | 5 | | Regular Session, 2025 HOUSE BILL 1255 3 |
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| 8 | 6 | | 4 |
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| 9 | 7 | | By: Representative Wooldridge 5 |
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| 10 | 8 | | By: Senator B. Davis 6 |
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| 11 | 9 | | 7 |
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| 12 | 10 | | For An Act To Be Entitled 8 |
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| 13 | 11 | | AN ACT TO AMEND THE COVERAGE OF A CONTINUOUS GLUCOSE 9 |
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| 14 | 12 | | MONITOR IN THE ARKANSAS MEDICAID PROGRAM; AND FOR 10 |
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| 15 | 13 | | OTHER PURPOSES. 11 |
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| 16 | 14 | | 12 |
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| 17 | 15 | | 13 |
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| 18 | 16 | | Subtitle 14 |
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| 19 | 17 | | TO AMEND THE COVERAGE OF A CONTINUOUS 15 |
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| 20 | 18 | | GLUCOSE MONITOR IN THE ARKANSAS MEDICAID 16 |
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| 21 | 19 | | PROGRAM. 17 |
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| 22 | 20 | | 18 |
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| 23 | 21 | | BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS: 19 |
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| 24 | 22 | | 20 |
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| 25 | 23 | | SECTION 1. Arkansas Code § 20 -77-148(c), concerning the coverage of a 21 |
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| 26 | 24 | | continuous glucose monitor within the Arkansas Medicaid Program, is amended 22 |
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| 27 | 25 | | to read as follows: 23 |
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| 28 | 26 | | (c) Coverage for a continuous glucose monitor under the Arkansas 24 |
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| 29 | 27 | | Medicaid Program shall allow the beneficiary to obtain a continuous glucose 25 |
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| 30 | 28 | | monitor through: 26 |
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| 31 | 29 | | (1) A a prescription at a pharmacy and be eligible for rebates 27 |
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| 32 | 30 | | as a pharmacy benefit ; or 28 |
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| 33 | 31 | | (2)(A) A written order from a ordering practitioner for durable 29 |
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| 34 | 32 | | medical equipment provided by a durable medical equipment provider and be 30 |
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| 35 | 33 | | eligible as a durable medical equipment benefit. 31 |
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| 36 | 34 | | (B) A durable medical provider shall not be required to 32 |
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| 37 | 35 | | submit a National Drug Code as part of any claim submission under this 33 |
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| 38 | 36 | | section. 34 |
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| 39 | 37 | | 35 |
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| 50 | | - | (1) Implement consistent approval requirements; and 6 |
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| 51 | | - | (2) Reimburse for a continuous glucose monitor provided by a 7 |
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| 52 | | - | durable medical equipment provider at no less than the Medicare reimbursement 8 |
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| 53 | | - | under the Healthcare Common Procedure Coding System. 9 |
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| 54 | | - | 10 |
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| 55 | | - | /s/Wooldridge 11 |
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| 46 | + | (1) Implement consistent approval processes and paperwork 6 |
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| 47 | + | requirements; and 7 |
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| 48 | + | (2) Reimburse for a continuous glucose monitor provided by a 8 |
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| 49 | + | durable medical equipment provider at no less than the Medicare reimbursement 9 |
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| 50 | + | under the Healthcare Common Procedure Coding System. 10 |
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| 51 | + | 11 |
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