Arkansas 2025 Regular Session

Arkansas House Bill HB1296 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 556 of the Regular Session
3		-	ANS080 02-20-2025 11:34:40 ANS080
4		-
5		-	State of Arkansas As Engrossed: H2/20/25 1
	2	+	ANS080 01/29/2025 10:00:40 AM ANS080
	3	+	State of Arkansas 1
6	4		95th General Assembly A Bill 2
7	5		Regular Session, 2025 HOUSE BILL 1296 3
8	6		4
9	7		By: Representative L. Johnson 5
10	8		By: Senator Irvin 6
11	9		7
12	10		For An Act To Be Entitled 8
13	11		AN ACT TO MANDATE COVERAGE FOR HEALTHCARE SERVICES 9
14	12		PROVIDED IN MOBILE UNITS; AND FOR OTHER PURPOSES. 10
15	13		11
16	14		12
17	15		Subtitle 13
18	16		TO MANDATE COVERAGE FOR HEALTHCARE 14
19	17		SERVICES PROVIDED IN MOBILE UNITS. 15
20	18		16
21	19		BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS: 17
22	20		18
23	21		SECTION 1. Arkansas Code Title 23, Chapter 79, Subchapter 1, is 19
24	22		amended to add an additional section to read as follows: 20
25	23		23-79-169. Coverage for healthcare services provided in mobile units — 21
26	24		Definitions. 22
27	25		(a) As used in this section: 23
28	26		(1) "Cost-sharing requirement" means a deductible, coinsurance, 24
29	27		copayment, or any maximum limitation on the application of a deductible, 25
30	28		coinsurance, copayment, or similar out -of-pocket expense under a health 26
31	29		benefit plan; 27
32	30		(2)(A) "Health benefit plan" means: 28
33	31		(i) An individual, blanket, or group plan, policy, 29
34	32		or contract for healthcare services issued or delivered by a healthcare 30
35	33		insurer; and 31
36	34		(ii) A health benefit program receiving state or 32
37	35		federal appropriations from the State of Arkansas, including the Arkansas 33
38	36		Medicaid Program and the Arkansas Health and Opportunity for Me Program or 34
39	37		any successor program. 35
40		-	(B) "Health benefit plan" does not include ~~a health~~ 36 ~~As Engrossed: H2/20/25~~ HB1296
	38	+	(B) "Health benefit plan" does not include: 36 HB1296
41	39
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	40	+	2 01/29/2025 10:00:40 AM ANS080
	41	+	(i) A plan that includes only eye and vision care 1
	42	+	benefits; or 2
	43	+	(ii) A health benefit plan provided under the 3
	44	+	Workers' Compensation Law, § 11-9-101 et seq.; 4
	45	+	(3)(A) "Healthcare insurer" means an insurance company, a 5
	46	+	hospital and medical service corporation, a health maintenance organization, 6
	47	+	a risk-based provider organization, or a sponsor of a self -funded health 7
	48	+	benefit plan, that: 8
	49	+	(i) Is subject to: 9
	50	+	(a) The insurance laws of this state; 10
	51	+	(b) Section 23-75-101 et seq., pertaining to 11
	52	+	hospital and medical service corporations; or 12
	53	+	(c) Section 23-76-101 et seq., pertaining to 13
	54	+	health maintenance organizations; or 14
	55	+	(ii) For a healthcare insurer in another state: 15
	56	+	(a) Is not otherwise exempt from the insurance 16
	57	+	laws of this state; and 17
	58	+	(b) Has any subscribers in this state. 18
	59	+	(B) "Healthcare insurer" includes the Arkansas Medicaid 19
	60	+	Program. 20
	61	+	(C) "Healthcare insurer" does not include an entity that 21
	62	+	provides only eye and vision care benefits; 22
	63	+	(4) "Healthcare provider" means: 23
	64	+	(A) A doctor of medicine, a doctor of osteopathy, or 24
	65	+	another licensed healthcare professional acting within the professional's 25
	66	+	licensed scope of practice; or 26
	67	+	(B) A healthcare facility licensed in the state where the 27
	68	+	facility is located to provide healthcare services; 28
	69	+	(5) "Healthcare service" means a healthcare procedure, 29
	70	+	treatment, or service provided by a healthcare provider; 30
	71	+	(6) "Mobile unit" means a premanufactured structure, trailer, or 31
	72	+	self-propelled unit equipped with a chassis on wheels that: 32
	73	+	(A) Is intended to provide healthcare services on a 33
	74	+	temporary basis; and 34
	75	+	(B) Conforms to applicable rules promulgated by the 35
	76	+	Department of Health; and 36 HB1296
43	77
44		-
45		-	benefit plan provided under the Workers' Compensation Law, § 11 -9-101 et 1
46		-	seq.; 2
47		-	(3)(A) "Healthcare insurer" means an insurance company, a 3
48		-	hospital and medical service corporation, a health maintenance organization, 4
49		-	a risk-based provider organization, or a sponsor of a self -funded health 5
50		-	benefit plan, that: 6
51		-	(i) Is subject to: 7
52		-	(a) The insurance laws of this state; 8
53		-	(b) Section 23-75-101 et seq., pertaining to 9
54		-	hospital and medical service corporations; or 10
55		-	(c) Section 23-76-101 et seq., pertaining to 11
56		-	health maintenance organizations; or 12
57		-	(ii) For a healthcare insurer in another state: 13
58		-	(a) Is not otherwise exempt from the insurance 14
59		-	laws of this state; and 15
60		-	(b) Has any subscribers in this state. 16
61		-	(B) "Healthcare insurer" includes the Arkansas Medicaid 17
62		-	Program; 18
63		-	(4) "Healthcare provider" means: 19
64		-	(A) A doctor of medicine, a doctor of osteopathy, or 20
65		-	another licensed healthcare professional acting within the professional's 21
66		-	licensed scope of practice; or 22
67		-	(B) A healthcare facility licensed in the state where the 23
68		-	facility is located to provide healthcare services; 24
69		-	(5) "Healthcare service" means a healthcare procedure, 25
70		-	treatment, or service provided by a healthcare provider; 26
71		-	(6) "Mobile unit" means a premanufactured structure, trailer, or 27
72		-	self-propelled unit equipped with a chassis on wheels that: 28
73		-	(A) Is intended to provide healthcare services on a 29
74		-	temporary basis; and 30
75		-	(B) Conforms to applicable rules promulgated by the 31
76		-	Department of Health; and 32
77		-	(7) "Subscriber" means an individual who is entitled to receive 33
78		-	healthcare services under the terms of a health benefit plan. 34
79		-	(b) A healthcare insurer shall provide coverage to a subscriber for a 35
80		-	healthcare service that is: 36 As Engrossed: H2/20/25 HB1296
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84		-
85		-	(1) Provided in a mobile unit; 1
86		-	(2) Billed by a healthcare provider using the place -of-service 2
87		-	code designated for a mobile unit; and 3
88		-	(3) Otherwise covered by the healthcare insurer in another place 4
89		-	of service. 5
90		-	(c) A healthcare insurer shall ensure that a subscriber's cost -sharing 6
91		-	requirement for a healthcare service that is provided in a mobile unit is no 7
92		-	less favorable than the cost -sharing requirement that is applicable to the 8
93		-	same healthcare service provided in another place of service. 9
94		-	10
95		-	/s/L. Johnson 11
96		-	12
97		-	13
98		-	APPROVED: 4/14/25 14
	78	+	3 01/29/2025 10:00:40 AM ANS080
	79	+	(7) "Subscriber" means an individual who is entitled to receive 1
	80	+	healthcare services under the terms of a health benefit plan. 2
	81	+	(b) A healthcare insurer shall provide coverage to a subscriber for a 3
	82	+	healthcare service that is: 4
	83	+	(1) Provided in a mobile unit; 5
	84	+	(2) Billed by a healthcare provider using the place -of-service 6
	85	+	code designated for a mobile unit; and 7
	86	+	(3) Otherwise covered by the healthcare insurer in another place 8
	87	+	of service. 9
	88	+	(c) A healthcare insurer shall ensure that a subscriber's cost -sharing 10
	89	+	requirement for a healthcare service that is provided in a mobile unit is no 11
	90	+	less favorable than the cost -sharing requirement that is applicable to the 12
	91	+	same healthcare service provided in another place of service. 13
	92	+	14
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