Stricken language would be deleted from and underlined language would be added to present law. *JMB547* 03/17/2025 3:35:28 PM JMB547 State of Arkansas 1 95th General Assembly A Bill 2 Regular Session, 2025 HOUSE BILL 1840 3 4 By: Representative L. Johnson 5 6 7 For An Act To Be Entitled 8 AN ACT TO AMEND THE MEDICAID PROVIDER -LED ORGANIZED 9 CARE ACT TO ENSURE THAT SEDATION DENTISTRY IS COVERED 10 BY RISK-BASED PROVIDER ORGANIZATIONS; AND FOR OTHER 11 PURPOSES. 12 13 14 Subtitle 15 TO AMEND THE MEDICAID PROVIDER -LED 16 ORGANIZED CARE ACT TO ENSURE THAT 17 SEDATION DENTISTRY IS COVERED BY RISK -18 BASED PROVIDER ORGANIZATIONS. 19 20 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS: 21 22 SECTION 1. Arkansas Code § 20 -77-2703(6), concerning the definition of 23 "direct service provider" within the Medicaid Provider -Led Organized Care 24 Act, is amended to read as follows: 25 (6) “Direct service provider” means an organization or 26 individual that delivers healthcare services , including sedation dentistry, 27 to enrollable Medicaid beneficiary populations; 28 29 SECTION 2. Arkansas Code § 20 -77-2703, concerning definitions within 30 the Medicaid Provider -Led Organized Care Act, is amended to add an additional 31 subdivision to read as follows: 32 (15) "Sedation dentistry" means the administration of sedative 33 medications during dental procedures to address routine and complex dental 34 care needs, including minimal sedation, moderate sedation, deep sedation, and 35 general anesthesia. 36 HB1840 2 03/17/2025 3:35:28 PM JMB547 1 SECTION 3. Arkansas Code § 20 -77-2705(b), concerning the excluded 2 services under the Medicaid Provider -Led Organized Care Act, is amended to 3 read as follows: 4 (b) The Medicaid provider -led organized care system shall be 5 implemented to the extent possible, but shall not include the following 6 services when provided to enrollable Medicaid beneficiary populations: 7 (1) Nonemergency medical transportation in a capitated program; 8 (2) Dental benefits in a capitated program , not including 9 sedation dentistry; 10 (3) School-based services provided by school employees; 11 (4) Skilled nursing facility services; 12 (5) Assisted living facility services; 13 (6) Human development center services; or 14 (7) Waiver services provided to adults with physical 15 disabilities through the ARChoices in Homecare program or the Arkansas 16 IndependentChoices program. 17 18 SECTION 4. Arkansas Code § 20 -77-2706(f)(3), concerning the 19 characteristics and duties of a risk -based provider organization under the 20 Medicaid Provider-Led Organized Care Act, is amended to read as follows: 21 (3)(A) Process claims, including medical claims and dental 22 claims for sedation dentistry, or otherwise ensure payment to direct service 23 providers within time frames established under federal regulations for goods 24 and services delivered to the enrollable Medicaid beneficiary populations . 25 (B) Services provided by a risk -based provider 26 organization shall include medical and dental coverage for sedation dentistry 27 services; 28 29 30 31 32 33 34 35 36