The proposed bill aims to mandate coverage for medically necessary treatments related to acquired brain injuries in Arkansas. It introduces a new subchapter, Subchapter 29, to Arkansas Code Title 23, Chapter 79, which defines "acquired brain injury" and outlines various forms of treatment that must be covered by health benefit plans starting January 1, 2026. These treatments include cognitive rehabilitation therapy, community reintegration services, neurobehavioral therapy, and post-acute care residential treatment, among others. The bill specifies that coverage cannot be subject to lifetime limitations or unreasonable annual limits and must not impose greater costs than other benefits provided by the insurer.

Additionally, the bill establishes that only a clinical peer reviewer may preauthorize coverage for these treatments and mandates the Insurance Commissioner to create a process for expedited appeals of adverse determinations made by healthcare insurers. It also requires that practitioners and treatment facilities providing care for individuals with acquired brain injuries possess the necessary qualifications and licenses. The Department of Human Services is tasked with applying for waivers to ensure beneficiaries under the Arkansas Medicaid Program receive appropriate home and community-based services.