ARK LEG Cancer Exam and Cost Sharing

Published on: Mar 18, 2025

On Mar. 12, ARK LEG enacted bill re coverage for breast cancer exams.

  • ARK LEG reported approval of Bill HB 1309 to amend Arkansas code ARK INS 23-79-140(c) and ARK INS 23-79-140(e) re mammogram and breast ultrasound coverage.
  • Also aims to clarify the cost-sharing requirements for examinations for breast cancer.
  • Breast Cancer Coverage
  • Healthcare insurer will not pay for mammographies performed in unaccredited facility.
  • Applies to a credentialed or accredited place of service in which the service is provided.
  • Health benefit plan will not impose a cost-sharing requirement for mammogram, even if the service is provided on different days, or more than one service on the same day.
  • Legislative History
  • On Jan. 29, 2025, bill introduced in Senate; on Feb. 6, 2025, bill passed in Senate.
  • On Feb. 6, 2025, bill delivered to House; on Mar. 10, 2025, bill was passed in House.
  • On Mar. 10, bill returned to Senate; on Mar. 11, 2025, bill was delivered to governor.
  • On Mar. 12, 2025, bill was approved by the governor, and was assigned Act 268.
  • Effectiveness
  • Act effective 91 days after legislature adjourned sine die (May 5), so Aug. 4, 2025.
  • In Apr. 2025, ARK LEG enacted SB 123, Act 553, on mammogram coverage, #251164.
Regulators
ARK LEG
Entity Types
CNSM; IB; Ins
Reference
Act 268, PR, Bill HB1309, 3/12/2025; Citation: *ARK INS* 23-79-140;
Functions
Claims/Accelerated Benefits; Financial; Product Administration; Registration/Licensing
Countries
United States of America
Category
State
N/A
Products
Insurance; Insurance-Health
Rule Type
Final
Regions
Am
Rule Date
Mar 12, 2025
Effective Date
Aug 4, 2025
Rule ID
246819
Linked to
N/A
Reg. Last Update
Mar 12, 2025
Report Section
US Insurance