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Arkansas General Assembly· HB 1664Recommended for study in the Interim by the Committee on

An act TO AMEND "QUINCY'S LAW" CONCERNING PHYSICAL 10 EXAMS AND OTHER TESTING IN AN INVESTIGATION INVOLVING 11 ALLEGED ABUSE UNDER THE CHILD MALTREATMENT ACT, 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 Arkansas            As Engrossed: H4/2/25
2 95th General Assembly
                                    A Bill

3 Regular Session, 2025                                            HOUSE BILL 1664

4

5 By: Representative K. Brown

6

7

8                              For An Act To Be Entitled

9   AN ACT TO AMEND "QUINCY'S LAW" CONCERNING PHYSICAL

10  EXAMS AND OTHER TESTING IN AN INVESTIGATION INVOLVING

11  ALLEGED ABUSE UNDER THE CHILD MALTREATMENT ACT; TO

12  PROVIDE FOR THE RIGHT OF A PARENT, GUARDIAN, OR

13  CUSTODIAN TO BE PROVIDED WITH THE MEDICAL RECORDS OF

14  A CHILD WHO HAS BEEN REMOVED FROM THE CUSTODY OF THE

15  PARENT, PUTATIVE PARENT, GUARDIAN, OR CUSTODIAN OR IS

16  IN THE CUSTODY OF THE DEPARTMENT OF HUMAN SERVICES;

17  TO DECLARE AN EMERGENCY; AND FOR OTHER PURPOSES.

18

19

20                             Subtitle

21                       TO AMEND "QUINCY'S LAW" CONCERNING

22                       PHYSICAL EXAMS AND OTHER TESTING IN AN

23                       INVESTIGATION INVOLVING ALLEGED ABUSE

24                       UNDER THE CHILD MALTREATMENT ACT; AND TO

25                       DECLARE AN EMERGENCY.

26

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

28

29  SECTION 1. DO NOT CODIFY. Legislative findings and intent.

30  (a) The General Assembly finds that:

31                       (1) Child maltreatment investigations have at times led to

32 the wrongful or mistaken allegation of child maltreatment against a parent or

33 other caretaker when the child's symptoms that may, at first or superficial

34 glance, appear to be manifestations of abuse or neglect, are actually the

35 result of a medical condition that may or may not be known to the child's

36 family, including genetic conditions that the parent himself or herself may

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    As Engrossed: H4/2/25                                                  HB1664

1 unknowingly have;

2                    (2) When such a child maltreatment investigation results

3 in a child being removed from his or her home and placed in foster care, it

4 may result in varying levels of trauma to the child, his or her siblings, his

5 or her parent or parents, and other members of the child's family;

6                    (3) A parent or other caretaker of a child who is

7 wrongfully or mistakenly alleged to have caused or contributed to the abuse

8 or neglect of a child who is actually presenting symptoms of a medical

9 condition that are not caused by abuse or neglect to the child may be

10 subjected to not only separation from his or her child, but also threats to

11 his or her liberty in the form of having a petition for dependency-neglect or

12 a petition for termination of parental rights filed against him or her, or

13 even having his or her name placed on the Child Maltreatment Central Registry

14 or a criminal prosecution against him or her when there was not in fact child

15 maltreatment or a criminal offense committed;

16                   (4) These detrimental effects can cause loss of time,

17 money, and mental and emotional wellbeing to many persons affected by the

18 wrongful or mistaken allegation of child maltreatment; and

19                   (5) Although the intent of the Child Maltreatment Act, �

20 12-18-101 et seq., is to protect children from maltreatment, wrongful or

21 mistaken allegations of child maltreatment for symptoms of a medical

22 condition may actually contribute to the child's suffering not only in the

23 form of trauma, but also in that, if a child's underlying medical condition

24 is overlooked or ignored, the child remains untreated for that medical

25 condition and the parent or caretaker deprived of otherwise discovering and

26 being able to provide for the proper medical care of his or her child.

27  (b) It is the intent of the General Assembly for this act to

28 contribute not only to the protection of a wrongfully or mistakenly accused

29 parent, but also the protection of the child, the family unit, and the

30 overall integrity of the state's child welfare, hospital, and legal systems.

31

32  SECTION 2. Arkansas Code � 12-18-614 is amended to read as follows:

33  12-18-614. Submission to a physical exam or other testing.

34  (a) An investigation under this chapter may include a physical

35 examination, a drug test, radiology procedures, photographs, and a

36 psychological or psychiatric examination of all children subject to the care,

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    As Engrossed: H4/2/25                                                   HB1664

1 custody, or control of the alleged offender.

2   (b)(1) If the report of child maltreatment or suspected child

3 maltreatment alleges abuse as defined in �12-18-103 � 12-18-103(3), the

4 alleged offender may:

5               (A)(i) For the purpose of obtaining a second opinion,

6 request that the alleged victim be examined by a licensed healthcare provider

7 of the alleged offender's choosing who:

8                          (a) Did not perform the initial examination,

9 test, or procedure described under subsection (a) of this section; and

10                         (b) Routinely provides medical care to

11 pediatric patients.

12                         (ii) An examination performed under subdivision

13 (b)(1)(A)(i) of this section shall:

14                         (a) Shall be paid for by the alleged offender

15 or as otherwise covered by insurance or Medicaid; and

16                         (b) May be requested by the alleged offender

17 regardless of whether the alleged victim has been taken into or placed in the

18 custody of the Department of Human Services; and

19              (B)(i) For the purpose of ruling out a possible

20 differential diagnosis, request that a licensed healthcare provider who

21 routinely provides medical care to pediatric patients examine the alleged

22 victim to determine whether or not if the alleged victim has one (1) or more

23 of the following medical conditions a congenital cutaneous variant, bone

24 fragility, a coagulation disorder, capillary fragility associated with a

25 genetic disorder or that may be caused by a defect in the collagen elastin

26 matrix, hyperextensible skin, multiple broken bones in various stages of

27 healing and including without limitation classic metaphyseal lesions, blue or

28 grey sclera, impaired bone mineralization, or another medical condition that

29 may appear to be caused by suspected abuse or increase the risk of

30 misdiagnosis of abuse as defined in � 12-18-103(3), including without

31 limitation:

32                         (a) Marfan's syndrome;

33                         (b) Hypermobility spectrum disorders;

34                         (a)(c) Rickets;

35                         (b)(d) Ehlers-Danlos syndrome;

36                         (c)(e) Osteogenesis imperfecta;

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    As Engrossed: H4/2/25                                                 HB1664

1                          (d)(f) Vitamin D deficiency; or

2                          (e)(g) Another medical condition that may:

3 Vitamin K deficiency

4                                      (1) Appear to be caused by suspected

5 abuse as defined in � 12-18-103; or

6                                      (2) Increase the risk of a misdiagnosis

7 of abuse as defined in � 12-18-103.

8                          (ii) An examination performed under subdivision

9 (b)(1)(B)(i) of this section shall be paid for by the alleged offender or as

10 otherwise covered by insurance or Medicaid.

11                         (iii) If the alleged victim undergoes genetic

12 testing under subdivision (b)(1)(B)(i) of this section, the genetic testing

13 shall include a complete family medical history even if the alleged victim's

14 family members have not been diagnosed with a genetic condition, which shall

15 include the licensed healthcare provider who routinely provides medical care

16 to pediatric patients ascertaining if there is a family medical history of:

17                         (a) Joint hypermobility;

18                         (b) Sprains;

19                         (c) Bruising;

20                         (d) Connective tissue disorder or the physical

21 manifestations of a connective tissue disorder; or

22                         (e) Fractures, including without limitation

23 the cause of each fracture and the age of the family member at the time of

24 the fracture.

25  (2) A licensed healthcare provider examination under subdivision

26 (b)(1) of this section shall not be requested for the purpose of obtaining a

27 second opinion on to determine whether or not if an alleged victim has been a

28 victim of: sexual

29                    (A) Sexual abuse; or

30                    (B) Physical abuse when the alleged victim is:

31                         (i) In a critical medical condition; or

32                         (ii) Receiving life-sustaining medical treatment.

33

34  SECTION 3. Arkansas Code Title 12, Chapter 18, Subchapter 6, is

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

36  12-18-624. Right of parent, guardian, or custodian to medical records

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    As Engrossed: H4/2/25                                                   HB1664

1 of child -- Definitions.

2          (a)(1) A court with jurisdiction may order a healthcare institution or

3 practitioner to provide an alleged child victim's medical records to an

4 alleged offender if the alleged offender:

5               (A) Has been accused of physical abuse; and

6               (B) Is a parent, putative parent, guardian, or custodian

7 of the alleged victim.

8               (2) A court with jurisdiction may enter a protective order

9 restricting the dissemination of the medical records or from making any use

10 of the medical records other than for purposes of a specific case before the

11 court.

12              (3) Medical records shall include hospital or clinic records,

13 physicians' records, or other healthcare records, including without

14 limitation:

15              (A) An admissions form, discharge summary, history and

16 physical exam records, progress notes, physicians' orders, reports of

17 operations, recovery room records, lab reports, consultation reports,

18 medication administration records, nurses' notes, and other reports

19 catalogued and maintained by the medical records department of a hospital,

20 doctor's office, medical clinic, or any other medical facility; and

21              (B) A paper entry, electronic entry, or image that is:

22                          (i) Captured in relation to a diagnosis, treatment,

23 or other service provided to a child; or

24                          (ii) Relied upon by a healthcare provider to

25 diagnose or provide treatment or other services to a child.

26              (4) A healthcare institution or provider shall redact the

27 alleged child victim's address, phone number, email address, and other

28 information regarding the alleged child victim's foster placement before

29 providing medical records under this section.

30              (5) A healthcare institution or provider that fails to provide

31 medical records under this section pursuant to a valid court order may be

32 held in contempt of court under � 16-10-108.

33

34         SECTION 4. EMERGENCY CLAUSE. It is found and determined by the

35 General Assembly of the State of Arkansas that "Quincy's Law", Acts 2021, No.

36 976, is a crucial protection for persons who are the subject of an

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    As Engrossed: H4/2/25                                                 HB1664

1 investigation under the Child Maltreatment Act, � 12-18-101 et seq.; that

2 since the enactment of Quincy's Law in 2021, an additional need for further

3 protections under Quincy's Law has been demonstrated, most notably to provide

4 further clarity in child maltreatment investigations involving differential

5 diagnoses that may present as possible child abuse without additional testing

6 that the provisions in this act make available; that this act is needed not

7 only to protect wrongfully accused parents, but also to assist a parent who

8 may not be aware of his or her child's condition and be given the opportunity

9 to provide his or her child necessary medical treatment; that this act is

10 also urgent to protect families from undergoing unnecessary trauma related to

11 family separation and wrongful or mistaken allegations of child maltreatment

12 that are actually manifestations of medical conditions; and that numerous

13 child maltreatment investigations are taking place at any given time, and

14 thus there is an urgent need for the provisions in this act to become

15 effective. Therefore, an emergency is declared to exist, and this act being

16 immediately necessary for the preservation of the public peace, health, and

17 safety shall become effective on:

18           (1) The date of its approval by the Governor;

19           (2) If the bill is neither approved nor vetoed by the Governor,

20 the expiration of the period of time during which the Governor may veto the

21 bill; or

22           (3) If the bill is vetoed by the Governor and the veto is

23 overridden, the date the last house overrides the veto.

24

25                                    /s/K. Brown

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