Stricken language would be deleted from and underlined language would be added to present law.
1 State of Arkansas
2 95th General Assembly A Bill
3 Regular Session, 2025 HOUSE BILL 1053
4
5 By: Representative Pilkington
6 By: Senator Irvin
7
8 For An Act To Be Entitled
9 AN ACT TO REQUIRE REIMBURSEMENT FOR REMOTE ULTRASOUND
10 PROCEDURES AND REMOTE FETAL NONSTRESS TESTS IN THE
11 ARKANSAS MEDICAID PROGRAM; AND FOR OTHER PURPOSES.
12
13
14 Subtitle
15 TO REQUIRE REIMBURSEMENT FOR REMOTE
16 ULTRASOUND PROCEDURES AND REMOTE FETAL
17 NONSTRESS TESTS IN THE ARKANSAS MEDICAID
18 PROGRAM.
19
20 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS:
21
22 SECTION 1. Arkansas Code Title 20, Chapter 77, Subchapter 1, is
23 amended to add an additional section to read as follows:
24 20-77-153. Reimbursement for remote ultrasound procedures and remote
25 fetal nonstress tests.
26 (a)(1) The Arkansas Medicaid Program shall reimburse for remote
27 ultrasound procedures and remote fetal nonstress tests utilizing established
28 Current Procedural Terminology codes for remote ultrasound procedures and
29 fetal nonstress tests when the patient is in a residence or other off-site
30 location from the healthcare provider of the patient and the same standard of
31 care is met.
32 (2) Subdivision (a)(1) of this section shall apply to the fee-
33 for-service categories of the program and any managed care plan within the
34 program.
35 (b) A remote ultrasound and remote fetal nonstress test shall be
36 reimbursable when the healthcare provider uses digital technology that:
*JMB078* 11/25/2024 12:40:46 PM JMB078
 HB1053
1 (1) Collects medical and other forms of health data from a
2 patient and electronically transmits the information securely to a healthcare
3 provider in a different location for interpretation and recommendation;
4 (2) Is compliant with the Health Insurance Portability and
5 Accountability Act of 1996, 42 U.S.C. § 1320d et seq., as it existed on
6 January 1, 2025; and
7 (3) Is approved by the United States Food and Drug
8 Administration.
9 (c) A remote fetal nonstress test shall be reimbursed under a Current
10 Procedural Terminology code 5905 in the same manner as an in-person clinic
11 fetal nonstress test with the place of service at home and shall use remote
12 monitoring solutions that are approved by the United States Food and Drug
13 Administration for on-label use for monitoring fetal heart rate, maternal
14 heart rate, and uterine activity.
15 (d) The Department of Human Services shall:
16 (1) Apply for any federal waiver, Medicaid state plan
17 amendments, or other authority necessary to implement this section; and
18 (2) Adopt rules to implement this section.
19
20 SECTION 2. DO NOT CODIFY. Rules.
21 (a) When adopting the initial rules required under this act, the
22 Department of Human Services shall file the final rules with the Secretary of
23 State for adoption under § 25-15-204(f):
24 (1) On or before January 1, 2026; or
25 (2) If approval under § 10-3-309 has not occurred by January 1,
26 2026, as soon as practicable after approval under § 10-3-309.
27 (b) The department shall file the proposed rules with the Legislative
28 Council under § 10-3-309(c) sufficiently in advance of January 1, 2026, so
29 that the Legislative Council may consider the rules for approval before
30 January 1, 2026.
31
32
33
34
35
36
2 11/25/2024 12:40:46 PM JMB078