The proposed bill aims to mandate coverage for acquired brain injuries under health benefit plans in Arkansas. It introduces a new subchapter, Subchapter 29, which defines "acquired brain injury" and outlines various related terms and therapies, including cognitive rehabilitation therapy, neurofeedback therapy, and community reintegration services. Starting January 1, 2026, health benefit plans must provide coverage for medically necessary treatments related to acquired brain injuries, ensuring that such coverage is not subject to lifetime or unreasonable annual limitations. The bill also stipulates that only a clinical peer reviewer may preauthorize coverage for these treatments and establishes a process for expedited appeals of adverse determinations by healthcare insurers.
Additionally, the bill emphasizes that coverage for medically necessary treatment must not impose greater deductibles or out-of-pocket limits than other benefits provided by the insurer. It mandates that the Insurance Commissioner and the Secretary of the Department of Human Services develop rules for the implementation and administration of this subchapter, particularly concerning the Arkansas Medicaid Program and the Arkansas Health and Opportunity for Me Program. Overall, the bill seeks to enhance access to essential rehabilitation services for individuals suffering from acquired brain injuries.