This bill establishes a licensure framework for Prescribed Pediatric Extended Care Centers (PPECCs) under the Arkansas Department of Health, introducing a new subchapter in the Arkansas Code that outlines definitions, licensing requirements, application processes, and operational standards. It mandates that no entity may operate a PPECC without a license, which necessitates the submission of an application, financial viability documentation, and compliance with local zoning laws. The bill emphasizes the criteria for admitting minors, requiring a physician's prescription and parental consent, and it also stipulates that the Arkansas Medicaid Program must reimburse PPECCs for the services they provide.

Additionally, the bill includes new provisions aimed at enhancing the quality and safety of care for medically or technologically dependent children. Key insertions include requirements for medical, developmental, and family training services, maintenance of building conditions to ensure health and safety, adherence to the National Fire Protection Association 101 Life Safety Code, and the establishment of sanitary conditions. It also specifies that children cannot attend these centers for more than twelve hours within a twenty-four-hour period and limits services to those provided to medically or technologically dependent children. The Department of Human Services is tasked with applying for any necessary federal waivers or Medicaid state plan amendments to implement these changes, ultimately aiming to improve the standards and accessibility of care for vulnerable children in Arkansas.