AR HB2121

Requires health benefit plans offered, issued, or renewed in Arkansas to cover corrective surgery and related medical care for persons of any age diagnosed with craniofacial anomalies if medically necessary to improve functional impairment.

Coverage must be determined and coordinated by a nationally accredited cleft-craniofacial team that evaluates patients and establishes treatment plans.

Includes coverage for corrective surgery, dental care, vision care, and at least one hearing aid.

Denials or coverage limitations based on lack of medical necessity must be referred for external review under State Insurance Department Rule 76 after the first denial.

Applies to health benefit plans including indemnity, managed care, and governmental plans, but excludes disability, credit, workers' compensation, accident-only, and specified disease plans.