An act TO MANDATE COVERAGE FOR HEALTHCARE SERVICES 10 PROVIDED IN MOBILE UNITS, the official text

Stricken language would be deleted from and underlined language would be added to present law.

1 State of Arkansas              As Engrossed: H2/20/25
2 95th General Assembly
                                       A Bill

3 Regular Session, 2025                                      HOUSE BILL 1296

4

5 By: Representative L. Johnson

6 By: Senator Irvin

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8                                For An Act To Be Entitled

9   AN ACT TO MANDATE COVERAGE FOR HEALTHCARE SERVICES

10  PROVIDED IN MOBILE UNITS; AND FOR OTHER PURPOSES.

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12

13                                Subtitle

14                       TO MANDATE COVERAGE FOR HEALTHCARE

15                       SERVICES PROVIDED IN MOBILE UNITS.

16

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

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19  SECTION 1. Arkansas Code Title 23, Chapter 79, Subchapter 1, is

20 amended to add an additional section to read as follows:

21  23-79-169. Coverage for healthcare services provided in mobile units --

22 Definitions.

23  (a) As used in this section:

24  (1) "Cost-sharing requirement" means a deductible, coinsurance,

25 copayment, or any maximum limitation on the application of a deductible,

26 coinsurance, copayment, or similar out-of-pocket expense under a health

27 benefit plan;

28  (2)(A) "Health benefit plan" means:

29                               (i) An individual, blanket, or group plan, policy,

30 or contract for healthcare services issued or delivered by a healthcare

31 insurer; and

32                               (ii) A health benefit program receiving state or

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

34 Medicaid Program and the Arkansas Health and Opportunity for Me Program or

35 any successor program.

36                       (B) "Health benefit plan" does not include a health

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    As Engrossed: H2/20/25                                              HB1296

1 benefit plan provided under the Workers' Compensation Law, � 11-9-101 et

2 seq.;

3            (3)(A) "Healthcare insurer" means an insurance company, a

4 hospital and medical service corporation, a health maintenance organization,

5 a risk-based provider organization, or a sponsor of a self-funded health

6 benefit plan, that:

7                           (i) Is subject to:

8                               (a) The insurance laws of this state;

9                               (b) Section 23-75-101 et seq., pertaining to

10 hospital and medical service corporations; or

11                              (c) Section 23-76-101 et seq., pertaining to

12 health maintenance organizations; or

13                          (ii) For a healthcare insurer in another state:

14                              (a) Is not otherwise exempt from the insurance

15 laws of this state; and

16                              (b) Has any subscribers in this state.

17           (B) "Healthcare insurer" includes the Arkansas Medicaid

18 Program;

19       (4) "Healthcare provider" means:

20           (A) A doctor of medicine, a doctor of osteopathy, or

21 another licensed healthcare professional acting within the professional's

22 licensed scope of practice; or

23           (B) A healthcare facility licensed in the state where the

24 facility is located to provide healthcare services;

25           (5) "Healthcare service" means a healthcare procedure,

26 treatment, or service provided by a healthcare provider;

27           (6) "Mobile unit" means a premanufactured structure, trailer, or

28 self-propelled unit equipped with a chassis on wheels that:

29           (A) Is intended to provide healthcare services on a

30 temporary basis; and

31           (B) Conforms to applicable rules promulgated by the

32 Department of Health; and

33           (7) "Subscriber" means an individual who is entitled to receive

34 healthcare services under the terms of a health benefit plan.

35       (b) A healthcare insurer shall provide coverage to a subscriber for a

36 healthcare service that is:

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1              (1) Provided in a mobile unit;

2              (2) Billed by a healthcare provider using the place-of-service

3 code designated for a mobile unit; and

4              (3) Otherwise covered by the healthcare insurer in another place

5 of service.

6   (c) A healthcare insurer shall ensure that a subscriber's cost-sharing

7 requirement for a healthcare service that is provided in a mobile unit is no

8 less favorable than the cost-sharing requirement that is applicable to the

9 same healthcare service provided in another place of service.

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11                          /s/L. Johnson

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