The proposed bill aims to regulate step therapy and fail first protocols specifically concerning noninvasive ventilators. It introduces a new subchapter, "Coverage for Noninvasive Ventilators," to the Arkansas Code, which defines key terms such as "enrollee," "health benefit plan," "healthcare insurer," "healthcare professional," and "healthcare service." The bill prohibits healthcare insurers from requiring step therapy or fail first protocols for noninvasive ventilators if certain conditions are met, such as the ventilator requiring substantial servicing, clinical evidence suggesting alternative treatments would be less effective or harmful, or if the ventilator is deemed medically necessary by the FDA.

Additionally, the bill mandates that the Secretary of the Department of Human Services ensure Medicaid managed care organizations reimburse for noninvasive ventilators at a rate of at least 100% of the Arkansas Medicaid Program's fee schedule. It also grants the Insurance Commissioner, the Secretary of the Department of Human Services, and the State Board of Finance the authority to develop rules for the implementation and administration of this subchapter, ensuring that it applies to various health benefit programs, including those for state and public school employees.