§ 23-99-414. Rules
The Insurance Commissioner may promulgate necessary rules for carrying out this subchapter.
§ 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 […]
§ 23-99-405. Mastectomies
(a) Every health benefit plan providing mastectomy benefits and issued or renewed after July 16, 2003, shall conform with the requirements of the Women’s Health and Cancer Rights Act of 1998, 42 U.S.C. §§ 300gg-6 and 300gg-52, as it existed on January 1, 2003. (b) To the extent the requirements of this section do not […]
§ 23-99-406. Obstetrical and gynecological services
(a) In order to ensure that healthcare benefits are safely and appropriately delivered to women, insurers which require the selection or assignment of a primary care physician shall allow each covered person who is a woman to select a participating obstetrician/gynecologist in addition to her primary care physician. (b) If the woman chooses to make […]
§ 23-99-407. “Gag clause” prohibition
No participating provider may be prohibited, restricted, or penalized in any way from disclosing to any covered person any healthcare information that the participating provider deems appropriate regarding the nature of treatment, risks, or alternatives thereto, the availability of alternate therapies, consultations, or tests, the decision of utilization reviewers or similar persons to authorize or […]