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AR HB1321

Bill

Status

Passed

4/10/2025

Primary Sponsor

Jeremy Wooldridge

Click for details

Origin

House of Representatives

95th General Assembly (2025 Regular)

AI Summary

  • 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

  • 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

  • Medicaid managed care organizations must reimburse for noninvasive ventilators at no less than 100% of the Arkansas Medicaid Program fee schedule

  • Grants rulemaking authority to the Insurance Commissioner, Secretary of the Department of Human Services, and State Board of Finance for implementation

  • 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

Committee Referrals

Insurance & Commerce3/20/2025
Insurance and Commerce1/30/2025

Full Bill Text

No bill text available