ArkansasSB1782025 Regular SessionSenate

TO AMEND THE ARKANSAS HEALTHCARE DECISIONS ACT; AND TO CLARIFY THE ABILITY OF A SURROGATE TO OBTAIN RECORDS ON A PRINCIPAL'S INCOME, ASSETS, AND BANKING AND FINANCIAL RECORDS.

Sponsored By: Justin Boyd (Republican), Ryan A. Rose (Republican)

Enacted

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Bill Overview

Analyzed Economic Effects

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

Financial privacy rules limit surrogate record sharing

For co-owned or beneficiary accounts, banks must give written notice to the joint account holder or entity-account signatory. That person has 10 business days from the notice date to object in writing. An objection requires the bank to notify the surrogate and refuse the request. Without an objection, the bank can release records only when the request otherwise meets the law's requirements. Records are confidential, and surrogates can share them only as needed to apply for the principal's public benefits. When authority ends, surrogates must securely destroy all copies. Upon request, they must promptly and securely transfer records to a properly appointed successor surrogate, power of attorney, guardian, or principal who regains decision-making capacity.

Surrogates get limited access for benefit applications

In Arkansas, a surrogate is a designated health care decision-maker for another person, called the principal. Surrogates can help complete, sign, and submit public-benefit applications, including Medicare and Medicaid applications, subject to federal restrictions. They can also handle eligibility renewals and ongoing eligibility communications. They can get necessary income, asset, and account records, including trust, guardianship, and conservatorship accounts the principal owns, co-owns, or benefits from. This does not grant control over money or accounts, or change benefit eligibility. Except through the shared-account process, surrogates can get only records the principal is entitled to request. This authority ends at death, when an authorized power of attorney or guardian is appointed or becomes available, or when a principal who regains decision-making capacity revokes it.

Surrogates need written proof to request records

Surrogates must present a written designation signed by the principal or supervising health care provider. It must name both people, give the date, and be notarized or signed by two witnesses who are not family. A provider-signed form must confirm a licensed doctor found the principal lacks decision-making capacity. It must also confirm no agent or guardian is appointed or reasonably available, and state its purpose: applying for public benefits. Recipients can rely on a form that appears valid, but can refuse records when it appears invalid or they reasonably doubt compliance. Good-faith reliance on the written designation protects recipients from civil or criminal liability and administrative proceedings for providing benefit-related records.

Sponsors & Cosponsors

Sponsors

  • Justin Boyd

    Republican • Senate

  • Ryan A. Rose

    Republican • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 126 • No: 0

House vote • 2/26/2025

House Vote - Wednesday, February 26, 2025 3:21:43 PM

Yes: 94 • No: 0

Senate vote • 2/12/2025

Senate Vote - Wednesday, February 12, 2025 2:21:03 PM

Yes: 32 • No: 0

Actions Timeline

  1. Notification that SB178 is now Act 202

    2/27/2025Senate
  2. DELIVERED TO GOVERNOR.

    2/26/2025Senate
  3. Reported correctly enrolled and ordered delivered to the Governor.

    2/26/2025Senate
  4. ORDERED ENROLLED

    2/26/2025Senate
  5. Returned from the House as passed.

    2/26/2025Senate
  6. Returned to the Senate as passed.

    2/26/2025House
  7. Read the third time and passed and ordered transmitted to the Senate.

    2/26/2025House
  8. Returned by the Committee Do Pass

    2/25/2025House
  9. Read the first time, rules suspended, read the second time and referred to the Committee on PUBLIC HEALTH, WELFARE AND LABOR COMMITTEE- HOUSE

    2/12/2025House
  10. RECEIVED FROM THE SENATE

    2/12/2025House
  11. Ordered immediately transmitted to the House.

    2/12/2025Senate
  12. Read the third time and passed.

    2/12/2025Senate
  13. Returned by the Committee, with the recommendation that it Do Pass

    2/10/2025Senate
  14. Read first time, rules suspended, read second time, referred to PUBLIC HEALTH, WELFARE AND LABOR COMMITTEE - SENATE

    2/3/2025Senate
  15. Filed

    2/3/2025Senate

Bill Text

  • SB178 - Introduced

    2/3/2025

  • Act Version

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