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AR HB1321
Bill
Status
4/10/2025
Primary Sponsor
Jeremy Wooldridge
Click for details
AI Summary
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Healthcare insurers are prohibited from requiring step therapy or fail first protocols for noninvasive ventilators when the device requires frequent servicing, clinical evidence suggests alternatives would be less effective or cause adverse reactions, or the FDA deems it medically necessary
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Applies to individual, group, and blanket health plans, including Arkansas Medicaid, the Arkansas Health and Opportunity for Me Program, and state/public school employee health plans
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Medicaid managed care organizations must reimburse for noninvasive ventilators at no less than 100% of the Arkansas Medicaid Program fee schedule
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Grants rulemaking authority to the Insurance Commissioner, Secretary of the Department of Human Services, and State Board of Finance for implementation
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Approved on April 10, 2025
Legislative Description
To Regulate Step Therapy And Fail First Protocols Concerning Certain Prescribed Ventilators.
Last Action
Notification that HB1321 is now Act 513
4/10/2025