§ 23-99-417. Coverage required for orthotic devices, orthotic services, prosthetic devices, and prosthetic services
(a) (1) Subject to subdivision (a)(2) of this section and subsections (b) and (c) of this section, a health benefit plan that is issued for delivery, delivered, renewed, or otherwise contracted for in this state shall provide coverage for eligible charges within limits of coverage that are no less than eighty percent (80%) of Medicare […]
§ 23-99-418. Coverage for autism spectrum disorders required — Definitions
(a) As used in this section: (1) “Applied behavior analysis” means the design, implementation, and evaluation of environmental modifications by a board-certified behavior analyst using behavioral stimuli and consequences to produce socially significant improvement in human behavior, including the use of direct observation, measurement, and functional analysis of the relationship between environment and behavior; (2) […]
§ 23-99-419. Gastric pacemakers
(a) As used in this section: (1) “Gastric pacemaker” means a medical device that: (A) Uses an external programmer and implanted electrical leads to the stomach; and (B) Transmits low-frequency, high-energy electrical stimulation to the stomach to entrain and pace the gastric slow waves to treat gastroparesis; and (2) (A) “Gastroparesis” means a neuromuscular stomach […]
§ 23-99-421. Pediatric dental benefits — Definitions
(a) As used in this section: (1) “Exchange” means a health benefit exchange that offers health benefits under a health benefit plan offered by a healthcare insurer in this state through a state-based health insurance exchange or a health insurance exchange operated by the federal government under the Patient Protection and Affordable Care Act, Pub. […]
§ 23-99-415. Enforcement and penalties
The Insurance Commissioner shall have all the powers to enforce this subchapter as are granted to the commissioner elsewhere in the Arkansas Insurance Code.
§ 23-99-416. Application of subchapter
This subchapter applies to all health benefit plans issued, renewed, extended, or modified on or after August 1, 1997. “Renewed, extended, or modified” shall include all health benefit plans in which the insurer has reserved the right to change the premium.
§ 23-99-401. Short title
This subchapter shall be known and may be cited as the “Arkansas Health Care Consumer Act”.
§ 23-99-402. Legislative findings and intent
As the state’s insurance sector becomes increasingly dominated by managed care features that include decisions regarding coverage and appropriateness of health care, there is a vital need to protect patients in this environment.
§ 23-99-403. Definitions
As used in this subchapter: (1) “Acute condition” means a medical condition, illness, or disease having a short and relatively severe course; (2) “Commissioner” means the Insurance Commissioner; (3) “Covered person” means a person on whose behalf the healthcare insurer issuing or delivering the health benefit plan is obligated to pay benefits pursuant to the […]
§ 23-99-404. Benefits for mothers and newborns
(a) (1) Except as provided in subsection (b) of this section, a healthcare insurer may not restrict benefits for any hospital stay in connection with childbirth for the mother or newborn child to less than forty-eight (48) hours following a normal vaginal delivery or to less than ninety-six (96) hours following cesarean section. (2) A […]