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Arkansas General Assembly· SB 178Notification that SB178 is now Act 202

An act TO AMEND THE ARKANSAS HEALTHCARE DECISIONS 10 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                   A Bill
2 95th General Assembly

3 Regular Session, 2025                                            SENATE BILL 178

4

5 By: Senator J. Boyd

6 By: Representative Rose

7

8                          For An Act To Be Entitled

9            AN ACT TO AMEND THE ARKANSAS HEALTHCARE DECISIONS

10           ACT; TO CLARIFY THE ABILITY OF A SURROGATE TO OBTAIN

11           RECORDS ON A PRINCIPAL'S INCOME, ASSETS, AND BANKING

12           AND FINANCIAL RECORDS; AND FOR OTHER PURPOSES.

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14

15                                    Subtitle

16                       TO AMEND THE ARKANSAS HEALTHCARE

17                       DECISIONS ACT; AND TO CLARIFY THE

18                       ABILITY OF A SURROGATE TO OBTAIN RECORDS

19                       ON A PRINCIPAL'S INCOME, ASSETS, AND

20                       BANKING AND FINANCIAL RECORDS.

21

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

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24  SECTION 1. Arkansas Code � 20-6-106(d), concerning the authority of a

25 surrogate under the Arkansas Healthcare Decisions Act, is amended to read as

26 follows:

27  (d)(1) A surrogate may apply for public benefits, such as Medicare and

28 Medicaid, for the principal, subject to any federal restrictions or

29 requirements, and have access to information to the extent required to make

30 an application, may obtain records regarding the principal's income, assets,

31 and banking and financial records to the extent required to make an

32 application on an account of which the principal is:

33                       (A) The owner or co-owner; or

34                       (B) A beneficiary, including without limitation a trust,

35 guardianship, or conservatorship.

36           (2) The authority under subdivision (d)(1) of this section

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1 includes without limitation the ability to assist with, submit, and execute

2 applications for benefits, redetermination of eligibility, and other ongoing

3 related communications.

4             (3) The authority under subdivision (d)(1) of this section shall

5 terminate when revoked by a principal who no longer lacks decisional

6 capacity, upon appointment or availability of a power of attorney or guardian

7 with such authority, or upon the death of the principal.

8             (4)(A) The authority under subdivision (d)(1) of this section

9 shall be granted to a surrogate from a principal in writing or recorded

10 orally shall only be exercised by the surrogate upon presentation of written

11 designation signed by the principal or supervising healthcare provider as

12 provided in � 20-6-105(c) that is either notarized or signed by two (2) non-

13 familial witnesses.

14                 (B) The written designation shall:

15                         (i) Identify the principal;

16                         (ii) Identify the designated surrogate;

17                         (iii) State the date of the designation of the

18 surrogate by the principal or by the supervising healthcare provider; and

19                         (iv) If appointed by a supervising healthcare

20 provider:

21                         (a) Attest that the principal has been

22 determined by a licensed physician to lack capacity and an agent or guardian

23 has not been appointed or the agent or guardian is not reasonably available;

24 and

25                         (b) State that the written document is

26 executed in conformance with this section for the purpose of allowing the

27 surrogate to apply for public benefits on behalf of the principal.

28            (5) The authority under subdivision (d)(1) of this section to

29 access records regarding the principal's income and assets, including bank

30 account and financial records, does not confer the authority to control,

31 direct, or otherwise access the principal's income, assets, or accounts upon

32 the surrogate.

33            (6)(A) A person or entity to whom a written designation is

34 presented as described in subdivision (d)(4) of this section may rely on the

35 written designation if the written designation appears on its face to comply

36 with this section.

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1                 (B) If the written designation does not appear on its face

2 to comply with this section or if the recipient has reasonable cause to

3 suspect the written designation does not comply with this section, the

4 recipient may decline to provide the requested record.

5                 (C) A person or entity that provides information or

6 records, or both, to a surrogate under this section is not liable to the

7 principal, surrogate, or other person or entity for providing the information

8 or records, or both.

9   (7)(A) If bank account or financial records are sought for an

10 account co-owned by the principal and another person or entity or an account

11 of which the principal is a beneficiary, the bank or financial institution

12 shall give written notice to the joint account holder or the signatory on the

13 entity account of the request and allow them an opportunity to object in

14 writing to the request within ten (10) business days.

15                (B) If the bank or financial institution does not receive

16 a written objection within ten (10) business days of the date on the notice

17 described in subdivision (d)(7)(A) of this section, the bank or financial

18 institution may allow the surrogate to obtain the records if the request is

19 otherwise in accordance with the requirements of this subchapter.

20                (C) If the bank or financial institution receives a

21 written objection within ten (10) business days of the date of the notice

22 described in subdivision (d)(7)(A) of this section, the bank or financial

23 institution shall notify the surrogate of the objection and decline the

24 request for records.

25  (8) Except as provided in subdivision (d)(7) of this section,

26 the surrogate may receive only records which the principal would be entitled

27 upon request to receive when making a request for records.

28  (9)(A) The records, materials, data, and information made

29 available by a financial services provider are confidential and shall not be

30 disclosed to any person other than as necessary to apply for public benefits

31 on behalf of the principal.

32                (B) The surrogate shall securely destroy all copies of the

33 information upon termination of the authority under subdivision (d)(3) of

34 this section.

35                (C) Upon request, all information and records obtained by

36 a surrogate under subdivision (d)(1) of this section shall be promptly and

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1 securely transferred to a properly appointed successor surrogate, power of

2 attorney, or guardian or to a principal who no longer lacks decisional

3 capacity.

4

5   SECTION 2. Arkansas Code � 20-6-111, concerning liability for a

6 healthcare provider or healthcare institution under the Arkansas Healthcare

7 Decisions Act, is amended to add an additional subsection to read as follows:

8   (d) A person or entity that relies in good faith on a written

9 surrogacy designation under this subchapter is not subject to civil or

10 criminal liability, including any administrative proceeding, for providing

11 the surrogate with access to records regarding the principal's income,

12 assets, and banking and financial accounts for the surrogate to make an

13 application for public benefits on behalf of the principal.

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