All Roll Calls
Yes: 128 • No: 0
ArkansasHB13212025 Regular SessionHouseWALLET
TO REGULATE STEP THERAPY AND FAIL FIRST PROTOCOLS CONCERNING CERTAIN PRESCRIBED VENTILATORS.
Sponsored By: Dave Wallace (Republican), Jeremy Wooldridge (Republican)
Enacted
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
Fewer insurance hurdles for Arkansas ventilator patients
Covered Arkansas health plans cannot require patients to try another device or service first before covering a prescribed noninvasive ventilator. The ban applies when any one of three conditions holds. The ventilator needs frequent or substantial servicing, as classified by federal Medicare and Medicaid officials and determined by a healthcare professional. Or clinical evidence or the patient's history suggests alternatives will work less well or cause a bad reaction. Or the Food and Drug Administration deems the ventilator medically necessary. Covered plans include Medicaid, Arkansas Health and Opportunity for Me, state and public school employee plans, and self-insured government or church plans. Exclusions include dental-only, vision-only, disability-income, credit, liability-supplement, auto or homeowners medical-payment, long-term-care-only, and specified government-related coverage. State insurance, human services, and finance officials may issue rules for the plans they oversee.
Minimum ventilator payments for Arkansas Medicaid plans
Arkansas's human services secretary must ensure Medicaid managed care plans pay a minimum amount for noninvasive ventilators. Plans must pay at least 100% of the Arkansas Medicaid Program's listed ventilator payment rate. This is a payment floor for health plans, not a cash benefit for households. The law does not specify a reduction in patients' costs.
Sponsors & Cosponsors
Sponsors
Dave Wallace
Republican • Senate
Jeremy Wooldridge
Republican • House
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 4/7/2025
Senate Vote - Monday, April 7, 2025 5:35:49 PM
Yes: 34 • No: 0
House vote • 3/20/2025
House Vote - Thursday, March 20, 2025 2:46:25 PM
Yes: 94 • No: 0
Actions Timeline
Notification that HB1321 is now Act 513
4/10/2025HouseCorrectly enrolled and ordered transmitted to the Governor's Office.
4/8/2025HouseTO BE ENROLLED
4/7/2025HouseReturned from the Senate as passed.
4/7/2025HouseReturned to the House as Passed.
4/7/2025SenateRead the third time and passed.
4/7/2025SenateReturned by the Committee, with the recommendation that it Do Pass
4/1/2025SenateRead first time, rules suspended, read second time, referred to INSURANCE & COMMERCE - SENATE
3/20/2025SenateReceived from the House.
3/20/2025SenateRead the third time and passed and ordered transmitted to the Senate.
3/20/2025HouseReturned by the Committee Do Pass
3/19/2025HouseRead the first time, rules suspended, read the second time and referred to the Committee on INSURANCE & COMMERCE- HOUSE
1/30/2025HouseFiled
1/30/2025House
Bill Text
HB1321 - Introduced
1/30/2025
Act Version
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