3 | 2 | | *MBM133* 02/06/2025 12:24:18 PM MBM133 |
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4 | 3 | | State of Arkansas 1 |
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5 | 4 | | 95th General Assembly A Bill 2 |
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6 | 5 | | Regular Session, 2025 SENATE BILL 213 3 |
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7 | 6 | | 4 |
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8 | 7 | | By: Senators Irvin, B. Davis 5 |
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9 | 8 | | By: Representatives Pilkington, Wardlaw, Hudson, L. Johnson, Bentley 6 |
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10 | 9 | | 7 |
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11 | 10 | | For An Act To Be Entitled 8 |
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12 | 11 | | AN ACT TO CREATE THE HEALTHY MOMS, HEALTHY BABIES 9 |
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13 | 12 | | ACT; TO AMEND ARKANSAS LAW TO IMPROVE MATERNAL HEALTH 10 |
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14 | 13 | | IN THIS STATE; AND FOR OTHER PURPOSES. 11 |
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15 | 14 | | 12 |
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16 | 15 | | 13 |
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17 | 16 | | Subtitle 14 |
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18 | 17 | | TO CREATE THE HEALTHY MOMS, HEALTHY 15 |
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19 | 18 | | BABIES ACT; AND TO AMEND ARKANSAS LAW TO 16 |
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20 | 19 | | IMPROVE MATERNAL HEALTH IN THIS STATE. 17 |
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21 | 20 | | 18 |
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22 | 21 | | BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS: 19 |
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23 | 22 | | 20 |
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24 | 23 | | SECTION 1. DO NOT CODIFY. Title. 21 |
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25 | 24 | | This act shall be known and may be cited as the "Healthy Moms, Healthy 22 |
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26 | 25 | | Babies Act". 23 |
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27 | 26 | | 24 |
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28 | 27 | | SECTION 2. Arkansas Code § 20-77-151 is repealed to be reenacted and 25 |
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29 | 28 | | transferred to another subchapter of the Arkansas Code. 26 |
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30 | 29 | | 20-77-151. Depression screening for pregnant women. 27 |
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31 | 30 | | (a) The Arkansas Medicaid Program shall reimburse for depression 28 |
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32 | 31 | | screening of a pregnant woman. 29 |
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33 | 32 | | (b) The Department of Human Services shall apply for any federal 30 |
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34 | 33 | | waiver, Medicaid state plan amendments, or other authority necessary to 31 |
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35 | 34 | | implement this section. 32 |
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36 | 35 | | 33 |
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37 | 36 | | SECTION 3. Arkansas Code Title 20, Chapter 77, is amended to add an 34 |
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38 | 37 | | additional subchapter to read as follows: 35 |
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39 | 38 | | Subchapter 29 — Maternal Health 36 SB213 |
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40 | 39 | | |
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41 | 40 | | 2 02/06/2025 12:24:18 PM MBM133 |
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42 | 41 | | 1 |
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43 | 42 | | 20-77-2901. Depression screening for pregnant women. 2 |
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44 | 43 | | (a) The Arkansas Medicaid Program shall reimburse for depression 3 |
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45 | 44 | | screening of a pregnant woman. 4 |
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46 | 45 | | (b) The Department of Human Services shall apply for any federal 5 |
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47 | 46 | | waiver, Medicaid state plan amendments, or other authority necessary to 6 |
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48 | 47 | | implement this section. 7 |
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49 | 48 | | 8 |
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50 | 49 | | 20-77-2902. Coverage of prenatal, delivery, and postpartum services. 9 |
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51 | 50 | | (a) The Arkansas Medicaid Program shall reimburse for prenatal, 10 |
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52 | 51 | | delivery, and postpartum services separately in lieu of a global payment or 11 |
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53 | 52 | | an all-inclusive payment methodology for maternity services. 12 |
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54 | 53 | | (b) Prenatal, delivery, and postpartum services include without 13 |
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55 | 54 | | limitation: 14 |
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56 | 55 | | (1) Office visits; 15 |
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57 | 56 | | (2) Laboratory fees; 16 |
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58 | 57 | | (3) Physician ordered testing; 17 |
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59 | 58 | | (4) Blood work; 18 |
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60 | 59 | | (5) Remote monitoring; 19 |
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61 | 60 | | (6) Fetal nonstress tests; and 20 |
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62 | 61 | | (7) Continuous glucose monitors or other services for 21 |
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63 | 62 | | gestational diabetes when medically necessary. 22 |
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64 | 63 | | (c) This section does not alter coverage provided through the Arkansas 23 |
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65 | 64 | | Health and Opportunity for Me Program or a risk -based provider organization 24 |
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66 | 65 | | under the Medicaid Provider -Led Organized Care Act, § 20 -77-2701 et seq. 25 |
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67 | 66 | | 26 |
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68 | 67 | | 20-77-2903. Presumptive eligibility for pregnant women. 27 |
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69 | 68 | | (a) The Arkansas Medicaid Program shall make presumptive eligibility 28 |
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70 | 69 | | determinations for pregnant women who are applying for the program to improve 29 |
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71 | 70 | | access to prenatal care and allow prenatal care to be delivered immediately 30 |
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72 | 71 | | while waiting for a full application to be processed. 31 |
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73 | 72 | | (b) The program may designate one (1) or more qualified entities to 32 |
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74 | 73 | | screen for eligibility and immediately enroll pregnant women into the 33 |
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75 | 74 | | program. 34 |
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76 | 75 | | 35 |
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77 | 76 | | 20-77-2904. Blood pressure monitoring for pregnant and postpartum 36 SB213 |
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78 | 77 | | |
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80 | 79 | | women. 1 |
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81 | 80 | | (a) The Arkansas Medicaid Program shall provide coverage and 2 |
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82 | 81 | | reimbursement for self -measurement blood pressure monitoring services for 3 |
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83 | 82 | | pregnant women and postpartum women. 4 |
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84 | 83 | | (b) Self-measurement blood pressure monitoring services shall include: 5 |
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85 | 84 | | (1) Validated blood pressure monitoring devices, such as a blood 6 |
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86 | 85 | | pressure cuff and replacement cuffs, as medically necessary, to diagnose or 7 |
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87 | 86 | | treat hypertension; 8 |
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88 | 87 | | (2) Patient education and training on the set -up and use of a 9 |
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89 | 88 | | self-measurement blood pressure measurement device that is validated for 10 |
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90 | 89 | | clinical accuracy, device calibration, and the procedure for obtaining self -11 |
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91 | 90 | | measurement readings; and 12 |
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92 | 91 | | (3) Collection of data reports by the patient or caregiver for 13 |
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93 | 92 | | submission to a healthcare provider to communicate blood pressure readings 14 |
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94 | 93 | | and create or modify treatment plans. 15 |
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95 | 94 | | 16 |
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96 | 95 | | 20-77-2905. Reimbursement for remote ultrasound procedures. 17 |
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97 | 96 | | (a)(1) The Arkansas Medicaid Program shall reimburse for medically 18 |
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98 | 97 | | necessary remote ultrasound procedures utilizing established Current 19 |
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99 | 98 | | Procedural Terminology codes for remote ultrasound procedures when the 20 |
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100 | 99 | | patient is in a residence or other off -site location from the healthcare 21 |
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101 | 100 | | provider of the patient and the same standard of care is met. 22 |
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102 | 101 | | (2) Subdivision (a)(1) of this section shall apply to the fee -23 |
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103 | 102 | | for-service categories of the program and any managed care plan within the 24 |
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104 | 103 | | program. 25 |
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105 | 104 | | (b) A remote ultrasound procedure shall be reimbursable when the 26 |
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106 | 105 | | healthcare provider uses digital technology that: 27 |
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107 | 106 | | (1) Collects medical and other forms of health data from a 28 |
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108 | 107 | | patient and electronically transmits the information securely to a healthcare 29 |
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109 | 108 | | provider in a different location for interpretation and recommendation; 30 |
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110 | 109 | | (2) Is compliant with the Health Insurance Portability and 31 |
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111 | 110 | | Accountability Act of 1996, 42 U.S.C. § 1320d et seq., as it existed on 32 |
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112 | 111 | | January 1, 2025; and 33 |
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113 | 112 | | (3) Is approved by the United States Food and Drug 34 |
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114 | 113 | | Administration. 35 |
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115 | 114 | | 36 SB213 |
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116 | 115 | | |
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118 | 117 | | 20-77-2906. Coverage for certain services provided by doulas and 1 |
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119 | 118 | | community health workers. 2 |
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120 | 119 | | The Arkansas Medicaid Program shall reimburse doulas and community 3 |
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121 | 120 | | health workers for home visitation related to prenatal care and postpartum 4 |
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122 | 121 | | care. 5 |
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123 | 122 | | 6 |
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124 | 123 | | 20-77-2907. Implementation and rules. 7 |
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125 | 124 | | The Department of Human Services shall: 8 |
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126 | 125 | | (1) Apply for any federal waiver, Medicaid state plan 9 |
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127 | 126 | | amendments, or other authority necessary to implement this subchapter; and 10 |
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128 | 127 | | (2) Adopt rules to implement this subchapter. 11 |
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129 | 128 | | 12 |
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130 | 129 | | SECTION 4. Arkansas Code § 16 -114-203(c), concerning the statute of 13 |
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131 | 130 | | limitations, is amended to read as follows: 14 |
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132 | 131 | | (c)(1) If Except as otherwise provided in this subsection, if an 15 |
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133 | 132 | | individual is nine (9) years of age or younger at the time of the act, 16 |
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134 | 133 | | omission, or failure complained of, the minor or person claiming on behalf of 17 |
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135 | 134 | | the minor shall have until the later of the minor's eleventh birthday or two 18 |
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136 | 135 | | (2) years from the act, omission, or failure in which to commence an action. 19 |
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137 | 136 | | (2) However, if If no medical injury is known and could not 20 |
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138 | 137 | | reasonably have been discovered prior to the minor's eleventh birthday, then 21 |
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139 | 138 | | the minor or his or her representative shall have until two (2) years after 22 |
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140 | 139 | | the medical injury is known or reasonably could have been discovered, or 23 |
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141 | 140 | | until the minor's nineteenth birthday, whichever is earlier, in which to 24 |
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142 | 141 | | commence an action. 25 |
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143 | 142 | | (3) If an alleged medical injury occurred during childbirth, the 26 |
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144 | 143 | | minor or his or her representative shall have until the minor's fifth 27 |
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145 | 144 | | birthday to commence an action. 28 |
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146 | 145 | | 29 |
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147 | 146 | | 30 |
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