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AR HB1417

Bill

Status

Passed

3/10/2015

Primary Sponsor

Richard Womack

Click for details

Origin

House of Representatives

90th General Assembly (2015 Regular)

AI Summary

  • Renames "corrective surgery" to "reconstructive surgery" throughout Arkansas Code Title 23, Chapter 79, Subchapter 15 to clarify terminology for craniofacial anomaly procedures.

  • Requires all health benefit plans offered in Arkansas to cover reconstructive surgery and related medical care for craniofacial anomalies when medically necessary to improve functional impairment, for persons of any age.

  • Specifies that coverage determinations must be made by nationally accredited cleft-craniofacial teams approved by the American Cleft Palate-Craniofacial Association in Chapel Hill, North Carolina.

  • Mandates external review of coverage denials or limitations based on lack of medical necessity, through either State Insurance Department Rule 76 or similar third-party administrator procedures.

  • Requires medical care coverage to include reconstructive surgery, dental care, vision care, and at least one hearing aid.

Legislative Description

To Modify Coverage For Craniofacial Anomaly Reconstructive Surgery.

Last Action

Notification that HB1417 is now Act 373

3/10/2015

Committee Referrals

Insurance & Commerce3/2/2015
Insurance and Commerce2/19/2015

Full Bill Text

No bill text available