ARK LEG Mastectomy Ins Coverage Bill

Published on: Apr 21, 2025

On Apr. 14, ARK LEG enacted bill expanding coverage of mastectomies

  • ARK LEG enacted HB 1859, amending ARK INS 23-99-405 on mastectomy coverage.
  • Bill Provisions
  • Updates the compliance date for health benefit plans to align with update Women's Health and Cancer Rights Act, changing the reference Jan.1, 2003, to Jan. 1, 2025.
  • Mandates the insurance coverage of artificial or biological mesh used to support tissue.
  • Also mandates the coverage of a nerve graft to preserve or restore nerve function.
  • Specifies insurers are required to reimburse healthcare providers for these services.
  • At a rate equal to or greater than 100% of the health provider's acquisition cost.
  • Legislative History
  • On Mar. 19 2025, bill was introduced in House; on Apr. 1, 2025, bill passed House.
  • On Apr. 1, 2025, bill was introduced in Senate; on Apr. 8, 2025, bill passed Senate.
  • On Apr. 14, 2025, bill was signed by the governor and HB 1794 was assigned Act 561.
  • Effectiveness
  • Act effective 91 days after legislature adjourned sine die (May 5), so Aug. 4, 2025.
Regulators
ARK LEG
Entity Types
CNSM; Ins
Reference
PR, Act 561, Bill, HB1859, 4/14/2025; Citation: ARK INS 23-99-405;
Functions
Claims/Accelerated Benefits; Compliance; Financial; Legal; Underwriting
Countries
United States of America
Category
State
N/A
Products
Insurance; Insurance-Health
Rule Type
Final
Regions
Am
Rule Date
Apr 14, 2025
Effective Date
Aug 4, 2025
Rule ID
251193
Linked to
Reg. Last Update
Apr 14, 2025
Report Section
US Insurance