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Arkansas General Assembly· HB 1290Died in House Committee at Sine Die adjournment.

An act TO MANDATE COVERAGE FOR MENTAL HEALTH WELLNESS 10 EXAMINATIONS, the official text

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 ArkansasAs Engrossed: H2/6/25 H2/11/25 H2/20/25 H3/20/25 S4/7/25

2 95th General Assembly                   A Bill

3 Regular Session, 2025                                           HOUSE BILL 1290

4

5 By: Representatives L. Johnson, Vaught

6 By: Senator J. Boyd

7

8                        For An Act To Be Entitled

9   AN ACT TO MANDATE COVERAGE FOR MENTAL HEALTH WELLNESS

10  EXAMINATIONS; TO ESTABLISH THE ARKANSAS SUPPORT OF

11  MENTAL HEALTH WELLNESS EXAMINATIONS ACT; AND FOR

12  OTHER PURPOSES.

13

14

15                                        Subtitle

16                       TO MANDATE COVERAGE FOR MENTAL HEALTH

17                       WELLNESS EXAMINATIONS; AND TO ESTABLISH

18                       THE ARKANSAS SUPPORT OF MENTAL HEALTH

19                       WELLNESS EXAMINATIONS ACT.

20

21 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS:

22

23  SECTION 1. DO NOT CODIFY. Title. This act shall be known and may be

24 cited as the "Arkansas Support of Mental Health Wellness Examinations Act".

25

26  SECTION 2. Arkansas Code Title 23, Chapter 79, is amended to add an

27 additional subchapter to read as follows:

28

29  Subchapter 29 -- Coverage for Mental Health Wellness Examinations

30

31  23-79-2901. Purpose.

32  The purpose of this subchapter is to require coverage under a health

33 benefit plan for mental health wellness examinations in an effort to promote

34 greater utilization of mental health wellness examinations and strengthen the

35 mental health of Arkansans.

36

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1   23-79-2902. Definitions.

2   As used in this subchapter:

3   (1)(A) "Health benefit plan" means:

4                         (i) An individual, blanket, or group plan or a

5 policy or contract for healthcare services offered, issued, renewed,

6 delivered, or extended in this state by a healthcare insurer; and

7                         (ii) A health benefit program receiving state or

8 federal appropriations from the State of Arkansas, including the Arkansas

9 Medicaid Program and the Arkansas Health and Opportunity for Me Program

10 established by the Arkansas Health and Opportunity for Me Act of 2021, � 23-

11 61-1001 et seq., or any successor program.

12  (B) "Health benefit plan" includes:

13                        (i) Indemnity and managed care plans; and

14                        (ii) Nonfederal governmental plans as defined in 29

15 U.S.C. � 1002(32), as it existed on January 1, 2025.

16  (C) "Health benefit plan" does not include:

17                        (i) A plan that provides only dental benefits or eye

18 and vision care benefits;

19                        (ii) A disability income plan;

20                        (iii) A credit insurance plan;

21                        (iv) Insurance coverage issued as a supplement to

22 liability insurance;

23                        (v) A medical payment under an automobile or

24 homeowners insurance plan;

25                        (vi) A health benefit plan provided under Arkansas

26 Constitution, Article 5, � 32, the Workers' Compensation Law, � 11-9-101 et

27 seq., or the Public Employee Workers' Compensation Act, � 21-5-601 et seq.;

28                        (vii) A plan that provides only indemnity for

29 hospital confinement;

30                        (viii) An accident-only plan;

31                        (ix) A specified disease plan; or

32                        (x) A long-term-care-only plan;

33  (2)(A) "Healthcare insurer" means an entity subject to the

34 insurance laws of this state or the jurisdiction of the Insurance

35 Commissioner that contracts or offers to contract to provide health insurance

36 coverage, including without limitation an insurance company, a hospital and

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1 medical service corporation, a health maintenance organization, a self-

2 insured governmental or church plan in this state, or the Arkansas Medicaid

3 Program.

4                (B) "Healthcare insurer" does not include an entity that

5 provides only dental benefits or eye and vision care benefits;

6           (3) "Mental health professional" means an individual licensed

7 by the state to provide mental health services, limited to the following:

8                (A) A physician or psychiatrist;

9                (B) A medical officer of the United States Government;

10               (C) A psychologist or clinical psychologist;

11               (D) A nurse practitioner or clinical nurse specialist with

12 a psychiatric, primary care, or mental health population focus licensed to

13 engage in advanced practice nursing;

14               (E) A licensed clinical social worker;

15               (F) A licensed marriage and family therapist;

16               (G) A licensed professional counselor; and

17               (H) A physician assistant; and

18          (4) "Mental health wellness examination" means an examination

19 that includes without limitation:

20               (A) A behavioral health screening;

21               (B) Education and consultation on health, wellness, and

22 behavioral changes;

23               (C) Referrals to ongoing treatment, mental health

24 services, and other supports as clinically appropriate;

25               (D) Age-appropriate screenings or observations to

26 understand an individual's mental health history, personal history, and

27 mental cognitive state; and

28               (E) If appropriate, relevant adult input through

29 screenings, interviews, and questions.

30

31  23-79-2903. Coverage for mental health wellness examinations.

32  (a) On and after January 1, 2026, a health benefit plan that is

33 offered, issued, renewed, delivered, or extended in this state shall provide

34 coverage for an annual standalone mental health wellness examination that is

35 performed by a licensed mental health professional to the extent permitted by

36 federal law.

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1   (b) The coverage for mental health wellness examinations under

2 subsection (a) of this section shall:

3            (1) Be no less extensive than the coverage provided for

4 preventive services or primary care benefits under a health benefit plan;

5   (2) Comply with the Paul Wellstone and Pete Domenici Mental Health

6 Parity and Addiction Equity Act of 2008, Pub. L. No. 110-343; and

7            (3)(A) Except as provided in subdivisions (b)(3)(B) and (C) of

8 this section, not be subject to an annual deductible, copayment, coinsurance

9 limit, or any other cost-sharing requirements.

10                   (B) Cost-sharing may be required if the applicable health

11 benefit plan is governed by the federal Internal Revenue Code and the health

12 benefit plan would lose its tax-exempt status as a result of the prohibition

13 on cost-sharing requirements for a mental health wellness examination.

14                   (C) Cost-sharing is required for a health benefit plan

15 issued by a healthcare insurer to a state entity under � 21-5-401 et seq.

16

17  23-79-2904. Rules.

18  (a) The Insurance Commissioner shall promulgate rules to implement

19 this subchapter.

20  (b) The Secretary of the Department of Human Services shall promulgate

21 rules necessary to implement this subchapter that may apply to the Arkansas

22 Medicaid Program or the Arkansas Health and Opportunity for Me Program, � 23-

23 61-1001 et seq.

24  (c) The State Board of Finance shall promulgate rules necessary to

25 implement this subchapter that may apply to the State and Public School Life

26 and Health Insurance Program.

27

28  SECTION 3. EFFECTIVE DATE. This act is effective on and after January

29 1, 2026.

30

31                                /s/L. Johnson

32

33

34

35

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