Shown verbatim: the complete text as captured from the official PDF posted by the Arkansas General Assembly, fetched 2026-07-23. Page and line markers are part of the official record; nothing is edited or removed. The official bill page.
Stricken language would be deleted from and underlined language would be added to present law.
1 State of Arkansas As Engrossed: H2/10/25 H3/19/25
2 95th General Assembly
A Bill
3 Regular Session, 2025 HOUSE BILL 1241
4
5 By: Representatives J. Mayberry, L. Johnson
6 By: Senator Irvin
7
8 For An Act To Be Entitled
9 AN ACT TO ENSURE THAT THE ARKANSAS MEDICAID PROGRAM
10 REIMBURSES FOR DENTAL AND ANESTHESIA COSTS FOR HIGH
11 COMPLEXITY ORAL HEALTH CARE; AND FOR OTHER PURPOSES.
12
13
14 Subtitle
15 TO ENSURE THAT THE ARKANSAS MEDICAID
16 PROGRAM REIMBURSES FOR DENTAL AND
17 ANESTHESIA COSTS FOR HIGH COMPLEXITY
18 ORAL HEALTH CARE.
19
20 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS:
21
22 SECTION 1. Arkansas Code Title 20, Chapter 77, Subchapter 1, is
23 amended to add an additional section to read as follows:
24 20-77-154. High complexity oral health care -- Reimbursement --
25 Definitions.
26 (a) As used in this section:
27 (1) "Healthcare provider" means:
28 (A) An oral maxillofacial surgeon;
29 (B) A dentist;
30 (C) A dental specialist such as a endodontist,
31 orthodontist, periodontist, or prosthodontist;
32 (D) An anesthesiologist or other anesthesia provider;
33 (E) A pediatric dentist; or
34 (F) Support staff for an oral maxillofacial surgeon,
35 dentist, specialty dentist, pediatric dentist, or anesthesiologist, or other
36 anesthesia provider;
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As Engrossed: H2/10/25 H3/19/25 HB1241
1 (2) "High complexity oral health care" means any oral health
2 care that is complicated due to:
3 (A) A craniofacial condition as diagnosed by a plastic
4 surgeon, oral and maxillofacial surgeon, otolaryngologist, or geneticist who
5 is a member of a nationally approved cleft-craniofacial team of the American
6 Cleft Palate-Craniofacial Association and has evaluated the patient; or
7 (B) An intellectual or developmental disability; and
8 (3) "Intellectual or developmental disability" means the same as
9 defined in � 20-48-202.
10 (b)(1) The Arkansas Medicaid Program shall reimburse the dental
11 schools who are accredited by the Commission on Dental Accreditation and
12 academic medical centers for dental and anesthesia costs not to exceed three
13 thousand seven hundred fifty dollars ($3,750) per episode of care for
14 individuals with high complexity oral health care who are eighteen (18) years
15 of age or older and who require sedation dentistry with an annual cap per
16 individual of five thousand dollars ($5,000).
17 (2) The dental and anesthesia costs under subdivision (b)(1) of
18 this section:
19 (A) Shall only be reflective of professional fees and
20 supply costs; and
21 (B) Shall not include discounts or rebates received by the
22 dental schools who are accredited by the Commission on Dental Accreditation
23 and academic medical centers.
24 (3) The dental and anesthesia costs under subdivision (b)(1) of
25 this section that exceed the annual cap of five thousand dollars ($5,000) may
26 be approved by the Department of Human Services through a request for an
27 extension of benefits.
28 (c) The department shall apply for any federal waiver, Medicaid state
29 plan amendment, or other authorization necessary to implement this section.
30
31 /s/J. Mayberry
32
33
34
35
36
2 03-19-2025 14:43:41 JMB102Every fact on this page links to its source, starting with the official bill record.