The proposed bill mandates coverage for treatments related to severe obesity under the Arkansas Medicaid Program and private health benefit plans. It introduces a new section in Arkansas Code Title 20, Chapter 77, which requires the Medicaid Program to reimburse for medically necessary treatments for diseases and conditions caused by severe obesity, including bariatric surgery, preoperative care, and post-operative care. The bill specifies that coverage will not include injectable drugs for glucose levels or weight loss. Additionally, the Department of Human Services is tasked with applying for any necessary federal waivers to implement these changes.

Furthermore, the bill establishes a new subchapter in Arkansas Code Title 23, Chapter 79, detailing definitions and coverage requirements for health benefit plans. Starting January 1, 2026, these plans must provide coverage for medically necessary expenses related to severe obesity, including specific types of bariatric surgery and associated preoperative and postoperative care. The bill outlines qualifications for coverage, including the necessity for healthcare providers to issue written orders and for patients to complete certain preoperative requirements. It also allows insurers to impose limitations, such as requiring services to be provided in accredited facilities and obtaining prior authorization for treatments.