ArkansasHB12582025 Regular SessionHouseWALLET

TO CREATE THE COMMUNITY HEALTH WORKER ACT; AND TO ESTABLISH A STATEWIDE CERTIFICATION FOR COMMUNITY HEALTH WORKERS.

Sponsored By: Missy Irvin (Republican), Lee Johnson (Republican)

Enacted

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 1 benefits, 0 costs, 2 mixed.

Certified community health workers receive service payments

Community health workers certified under this law receive payment for services they provide. Payment comes from Arkansas Medicaid or a health benefit plan. The law does not set a payment amount.

Community health workers face service and privacy rules

Community health workers have a defined role helping people connect with health and social services. Allowed work includes cultural mediation, health education, care coordination, case management, service navigation, coaching, and social support. They can also provide advocacy, capacity-building, outreach, basic home and health assessments, and evaluation or research work. Medication support must follow a patient care plan directed by a healthcare provider or professional. Direct services cannot require a professional license or special training, or be services a personal care attendant provides. Patient and personal information they access is confidential and protected from public disclosure; breaches carry applicable state and federal penalties. The Department of Health can deny, suspend, revoke, or refuse to renew certification for fraud, unethical conduct, or serious lack of skill or efficiency. Other grounds include using a false name, violating the act, or failing certification requirements. Proceedings must follow the Arkansas Administrative Procedure Act, and the department can issue certification and regulatory rules.

New certification paths for community health workers

Arkansas creates statewide certification for community health workers age 18 or older through four paths. One accepts certification from the Arkansas Community Health Worker Association. Another requires two years of work, including one in Arkansas, plus 120 hours of approved training. That training includes 80 hours of classroom instruction and 40 hours of guided field practice. A third requires one year of Arkansas work, 80 hours of supplemental training, and required mentoring and supervision. The fourth requires four years of experience showing core skills, including two years in Arkansas. Applicants pay $50, and certification lasts two years. Renewal requires 20 hours of related professional development during those two years and a renewal fee. The Department of Health sets that fee in consultation with the association. The association and Division of Higher Education must maintain a public list of approved training programs.

Sponsors & Cosponsors

Sponsors

  • Missy Irvin

    Republican • Senate

  • Lee Johnson

    Republican • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 209 • No: 5

House vote • 3/31/2025

House Vote - Monday, March 31, 2025 1:47:25 PM

Yes: 91 • No: 2 • Other: 4

Senate vote • 3/19/2025

Senate Vote - Wednesday, March 19, 2025 4:48:23 PM

Yes: 29 • No: 1 • Other: 3

House vote • 2/19/2025

House Vote - Wednesday, February 19, 2025 2:01:16 PM

Yes: 89 • No: 2

Actions Timeline

  1. Notification that HB1258 is now Act 435

    4/3/2025House
  2. Correctly enrolled and ordered transmitted to the Governor's Office.

    3/31/2025House
  3. TO BE ENROLLED

    3/31/2025House
  4. Senate amendment # 1 read and concurred in.

    3/31/2025House
  5. Returned from Senate as passed, as amended # 1

    3/19/2025House
  6. Returned to the House as passed as amended # 1 .

    3/19/2025Senate
  7. Read the third time and passed.

    3/19/2025Senate
  8. REPORTED CORRECTLY ENGROSSED

    3/18/2025Senate
  9. Amendment # 1 read the first time, rules suspended, read the second time and adopted, ordered engrossed.

    3/18/2025Senate
  10. Placed on second reading for purpose of amendment.

    3/18/2025Senate
  11. Returned by the Committee with the recommendation that it Do Pass as amended, Amendment # 1

    3/17/2025Senate
  12. Read first time, rules suspended, read second time, referred to PUBLIC HEALTH, WELFARE AND LABOR COMMITTEE - SENATE

    2/19/2025Senate
  13. Received from the House.

    2/19/2025Senate
  14. Read the third time and passed and ordered transmitted to the Senate.

    2/19/2025House
  15. Returned by the Committee Do Pass

    2/18/2025House
  16. REPORTED CORRECTLY ENGROSSED

    2/13/2025House
  17. Amendment No. 1 read and adopted and the bill ordered engrossed.

    2/13/2025House
  18. Placed on second reading for the purpose of amendment.

    2/13/2025House
  19. Read the first time, rules suspended, read the second time and referred to the Committee on PUBLIC HEALTH, WELFARE AND LABOR COMMITTEE- HOUSE

    1/27/2025House
  20. Filed

    1/27/2025House

Bill Text

  • HB1258 - Introduced

    1/27/2025

  • Act Version

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