# Arkansas SB104: TO AMEND THE ARKANSAS PHARMACY BENEFITS MANAGER LICENSURE ACT; TO PROTECT PATIENTS' RIGHTS AND ACCESS TO MEDICATIONS; AND TO DECLARE AN EMERGENCY. Arkansas SB104, TO AMEND THE ARKANSAS PHARMACY BENEFITS MANAGER LICENSURE ACT; TO PROTECT PATIENTS' RIGHTS AND ACCESS TO MEDICATIONS; AND TO DECLARE AN EMERGENCY., is a 2025 Regular Session Senate bill sponsored by Clint Penzo (Republican), Robin Lundstrum (Republican); status enacted, last action 2025-04-10 (Notification that SB104 is now Act 514) (as of 2026-10-19). - Canonical: https://policyrisk.com/state-bill/AR-SB104-2025 - As of: 2026-10-19 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Arkansas SB104 - State: Arkansas - Session: 2025 Regular Session - Title: TO AMEND THE ARKANSAS PHARMACY BENEFITS MANAGER LICENSURE ACT; TO PROTECT PATIENTS' RIGHTS AND ACCESS TO MEDICATIONS; AND TO DECLARE AN EMERGENCY. - Status: enacted - Chamber: Senate - Introduced: 2025-01-27 - Last action: 2025-04-10, Notification that SB104 is now Act 514 - Sponsors: Clint Penzo (Republican), Robin Lundstrum (Republican) - Cosponsors: 1 - Touches household money: no - Roll calls: 3 (155 yes, 0 no in all) - Economic provisions PRIA read: 6 ## Summary No summary available. ## Bill overview: provisions PRIA read - Clearer pharmacy appeals for patients: benefit, medium. Patients and their representatives can request exceptions and appeal coverage decisions without plans, pharmacy managers, or affiliates blocking them. These businesses must post clear, accessible procedures on their websites. Payors must allow reasonable access to discuss benefits, get information… - Patients get safer pharmacy choice exceptions: benefit, medium. Plans and pharmacy benefit managers must account for patient limitations before requiring use of an affiliated pharmacy. These include medical, disability, mobility, mental-health, financial, transportation, housing, complex-treatment, and safe medication-handling needs. When affiliate services are… - Patients get usable Arkansas pharmacy networks: benefit, medium. Plans and pharmacy benefit managers must provide reasonable Arkansas access to in-person pharmacist consultations and medication pickup. Networks cannot rely solely on mail-order pharmacies or affiliates. Managers cannot maintain ghost networks listing unavailable providers, and plans and managers… - Stronger pharmacy choice and patient privacy: benefit, medium. Health plans, pharmacy benefit managers, and their affiliates cannot unfairly steer patients, hide pharmacy choices, or use coercive incentives. Affiliates include businesses linked by ownership or control, including through other companies. Pharmacy-choice protection covers pharmacies meeting reas… - Arkansas strengthens enforcement of pharmacy protections: benefit, low. The Attorney General can enforce violations using Arkansas's deceptive-trade law, including its remedies and penalties. Enforcement also reaches those who cause, encourage, assist, or indirectly carry out prohibited conduct. The Insurance Commissioner can set enforcement rules and penalties scaled… - Pharmacies face fewer extra certification demands: benefit, low. Pharmacy benefit managers cannot impose accreditation or certification demands that conflict with, exceed, or add to state pharmacy board requirements. The Insurance Commissioner can approve different or additional requirements after reviewing them with the Arkansas State Board of Pharmacy. ## Sponsors and cosponsors - Sponsor: Clint Penzo (Republican), Senate - Sponsor: Robin Lundstrum (Republican), House - Cosponsor: Mark Johnson (Republican), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-04-07 | Senate | Senate Vote - Monday, April 7, 2025 1:32:00 PM | pass | 32 | 0 | 3 | | 2025-04-02 | House | House Vote - Wednesday, April 2, 2025 3:20:22 PM | pass | 96 | 0 | | | 2025-03-17 | Senate | Senate Vote - Monday, March 17, 2025 2:23:38 PM | pass | 27 | 0 | 3 | ## Actions (30) - 2025-04-10: Notification that SB104 is now Act 514 (Senate) - 2025-04-08: DELIVERED TO GOVERNOR. (Senate) - 2025-04-08: Reported correctly enrolled and ordered delivered to the Governor. (Senate) - 2025-04-07: ORDERED ENROLLED (Senate) - 2025-04-07: EMERGENCY CLAUSE ADOPTED (Senate) - 2025-04-07: Read the third time and passed. (Senate) - 2025-04-07: Rules suspended. (Senate) - 2025-04-07: House Amendment No. 1 & 2 read first time, rule suspended, read second time and concurred in. (Senate) - 2025-04-07: Placed on second reading for purpose of amendment. (Senate) - 2025-04-03: Returned by the Committee with the recommendation that it Do Pass concur in House Amendment No. 1 & 2 (Senate) - 2025-04-02: Re-referred to INSURANCE & COMMERCE - SENATE (Senate) - 2025-04-02: Returned from the House as passed as amended # 1 & 2 . (Senate) - 2025-04-02: Returned to Senate as passed, as amended # 1 & 2 (House) - 2025-04-02: EMERGENCY CLAUSE ADOPTED (House) - 2025-04-02: Read the third time and passed and ordered transmitted to the Senate. (House) - 2025-04-01: REPORTED CORRECTLY ENGROSSED (House) - 2025-04-01: Amendment No. 2 read and adopted and the bill ordered engrossed. (House) - 2025-04-01: Placed on second reading for the purpose of amendment. (House) - 2025-03-31: Returned by the Committee with the recommendation that it do pass as amended 2 (House) - 2025-03-19: REPORTED CORRECTLY ENGROSSED (House) - 2025-03-19: Amendment No. 1 read and adopted and the bill ordered engrossed. (House) - 2025-03-19: Placed on second reading for the purpose of amendment. (House) - 2025-03-17: Read the first time, rules suspended, read the second time and referred to the Committee on INSURANCE & COMMERCE- HOUSE (House) - 2025-03-17: RECEIVED FROM THE SENATE (House) - 2025-03-17: Ordered immediately transmitted to the House. (Senate) - 2025-03-17: EMERGENCY CLAUSE ADOPTED (Senate) - 2025-03-17: Read the third time and passed. (Senate) - 2025-03-13: Returned by the Committee, with the recommendation that it Do Pass (Senate) - 2025-01-27: Read first time, rules suspended, read second time, referred to INSURANCE & COMMERCE - SENATE (Senate) - 2025-01-27: Filed (Senate) ## Bill text - SB104 - Introduced, 2025-01-27: [PDF](https://www.arkleg.state.ar.us/Home/FTPDocument?path=%2FBills%2F2025R%2FPublic%2FSB104.pdf) - Act Version: [PDF](https://www.arkleg.state.ar.us/Acts/FTPDocument?path=%2FACTS%2F2025R%2FPublic%2F&file=514.pdf&ddBienniumSession=2025%2F2025R) ## Related bills - HB1265: AN ACT FOR THE UNIVERSITY OF ARKANSAS AT LITTLE ROCK APPROPRIATION FOR THE 2025-2026 FISCAL YEAR. (enacted) - HB1237: TO PROHIBIT MEDICAL PROFESSIONALS FROM SOLICITING INJURED INDIVIDUALS; AND TO SET PENALTIES FOR A VIOLATION OF THE PROHIBITION OF SOLICITATION OF INJURED INDIV… (failed) - HB1686: TO AMEND THE LAW CONCERNING LICENSES TO CARRY CONCEALED HANDGUNS. (failed) - SB440: TO AMEND THE LAW CONCERNING EMBALMERS AND FUNERAL DIRECTORS; TO REGULATE THE USE OF ALKALINE HYDROLYSIS; AND TO REGULATE ALKALINE HYDROLYSIS FACILITIES. (failed) - HB1695: TO CLARIFY THE FORECLOSURE PROCESS FOR PROPERTY SUBJECT TO A MUNICIPAL LIEN; TO ALLOW A MUNICIPALITY TO PETITION TO SET ASIDE THE SALE OF PROPERTY TO CERTAIN P… (failed) - HR1012: TO AMEND THE RULES OF THE HOUSE OF REPRESENTATIVES OF THE NINETY-FIFTH GENERAL ASSEMBLY; TO REQUIRE THAT A MEMBER OF THE HOUSE OF REPRESENTATIVES BE SELECTED A… (failed) ## Sources - [SB104 - Introduced (PDF)](https://www.arkleg.state.ar.us/Home/FTPDocument?path=%2FBills%2F2025R%2FPublic%2FSB104.pdf) - [Act Version (PDF)](https://www.arkleg.state.ar.us/Acts/FTPDocument?path=%2FACTS%2F2025R%2FPublic%2F&file=514.pdf&ddBienniumSession=2025%2F2025R) ## Related - [HB1265: AN ACT FOR THE UNIVERSITY OF ARKANSAS AT LITTLE ROCK APPROPRIATION FOR THE 2025…](https://policyrisk.com/state-bill/AR-HB1265-2025) - [HB1237: TO PROHIBIT MEDICAL PROFESSIONALS FROM SOLICITING INJURED INDIVIDUALS; AND TO S…](https://policyrisk.com/state-bill/AR-HB1237-2025) - [HB1686: TO AMEND THE LAW CONCERNING LICENSES TO CARRY CONCEALED HANDGUNS.](https://policyrisk.com/state-bill/AR-HB1686-2025) - [SB440: TO AMEND THE LAW CONCERNING EMBALMERS AND FUNERAL DIRECTORS; TO REGULATE THE US…](https://policyrisk.com/state-bill/AR-SB440-2025) - [HB1695: TO CLARIFY THE FORECLOSURE PROCESS FOR PROPERTY SUBJECT TO A MUNICIPAL LIEN; TO…](https://policyrisk.com/state-bill/AR-HB1695-2025) - [HR1012: TO AMEND THE RULES OF THE HOUSE OF REPRESENTATIVES OF THE NINETY-FIFTH GENERAL…](https://policyrisk.com/state-bill/AR-HR1012-2025) - [Arkansas bills](https://policyrisk.com/states/arkansas/bills) - [Arkansas state hub](https://policyrisk.com/states/arkansas) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/AR-SB104-2025 (as of 2026-10-19).