everything you want to know (and don't) about arkansas politics

Bi-partisan Sponsorship
Healthcare

HB1427

To Create The Healthy Moms, Healthy Babies Act; And To Amend Arkansas Law To Improve Maternal Health In This State.

Passed

Last Action (Feb. 20, 2025): Notification that HB1427 is now Act 124

Sponsors

AI-Generated Summary

House Bill 1427, known as the 'Healthy Moms, Healthy Babies Act,' proposes several changes to the Arkansas Medicaid Program to improve maternal health outcomes. The bill mandates Medicaid reimbursement for depression screenings, self-measurement blood pressure monitoring devices, and remote ultrasound procedures for pregnant and postpartum women. It requires the state to move away from global payment models for maternity services in favor of separate reimbursement for individual prenatal, delivery, and postpartum services. The bill also establishes presumptive eligibility for pregnant women to ensure immediate access to prenatal care and authorizes Medicaid reimbursement for home visitation services provided by doulas and community health workers. Additionally, the bill amends the statute of limitations for medical injury claims occurring during childbirth, setting a deadline for filing until the minor's fifth birthday. The Department of Human Services is directed to seek any necessary federal waivers or state plan amendments to implement these provisions.

Potential Impact Analysis

Who Might Benefit?

The primary beneficiaries of this bill are pregnant and postpartum women in Arkansas who rely on Medicaid, as they would gain expanded access to specialized maternal health services, prenatal care, and essential monitoring equipment. Doulas and community health workers would also benefit through the authorization of Medicaid reimbursement for their home visitation services. Additionally, healthcare providers who offer remote monitoring, ultrasound services, or maternal care stand to benefit from the shift to a fee-for-service payment model and clearer coverage policies.

Who Might Suffer?

The bill could potentially increase administrative and fiscal costs for the Arkansas Department of Human Services, which is tasked with implementing these program changes and seeking federal approvals. While the bill aims to improve care, the transition away from global payment models could create billing or operational complexities for some healthcare systems or managed care entities that currently utilize all-inclusive reimbursement methodologies. Furthermore, parties involved in medical injury litigation regarding childbirth may be impacted by the specific statute of limitations provision, which places a deadline of the child's fifth birthday for such claims.

Vote Records

Third Reading

Feb. 18, 2025
Yea: 24 Nay: 0 NV: 8 Absent: 3 Passed
View individual votes (35)
Legislator Party Chamber Vote
Jane English Republican Senate Yea
Jonathan Dismang Republican Senate Yea
Greg Leding Democrat Senate Yea
Missy Irvin Republican Senate Yea
Bryan King Republican Senate NV
Kim Hammer Republican Senate Yea
Stephanie Flowers Democrat Senate Absent
Frederick Love Democrat Senate NV
Terry Rice Republican Senate Yea
Reginald Murdock Democrat Senate Yea
Gary Stubblefield Republican Senate Yea
Jim Dotson Republican Senate NV
John Payton Republican Senate Absent
Alan Clark Republican Senate NV
Ronald Caldwell Republican Senate Yea
Bart Hester Republican Senate Yea
Jimmy Hickey Republican Senate NV
Dan Sullivan Republican Senate Yea
David Wallace Republican Senate Yea
Blake Johnson Republican Senate Yea
Justin Boyd Republican Senate Yea
Clarke Tucker Democrat Senate Yea
Scott Flippo Republican Senate Yea
Clint Penzo Republican Senate NV
Mark Johnson Republican Senate Yea
Ricky Hill Republican Senate Yea
Jamie Scott Democrat Senate Yea
Breanne Davis Republican Senate Yea
Ben Gilmore Republican Senate Yea
Joshua Bryant Republican Senate Absent
Matt McKee Republican Senate NV
Jim Petty Republican Senate Yea
Steve Crowell Republican Senate Yea
Tyler Dees Republican Senate NV
Matt Stone Republican Senate Yea

Third Reading

Feb. 12, 2025
Yea: 86 Nay: 6 NV: 8 Absent: 0 Passed
View individual votes (100)
Legislator Party Chamber Vote
Tracy Steele Democrat House Yea
Fred Allen Democrat House Yea
Lane Jean Republican House Yea
Stephen Meeks Republican House Yea
Mark Perry Democrat House Yea
Jon Eubanks Republican House Yea
Matthew Shepherd Republican House Yea
Jeff Wardlaw Republican House Yea
Bruce Cozart Republican House Yea
David Whitaker Democrat House Yea
Mike Holcomb Republican House Yea
Stephen Magie Democrat House Yea
Mark McElroy Republican House Yea
Richard Womack Republican House Yea
Jack Ladyman Republican House Nay
Robin Lundstrum Republican House Yea
Dwight Tosh Republican House Yea
Rick Beck Republican House Yea
Mary Bentley Republican House Yea
Les Eaves Republican House Yea
Justin Gonzales Republican House Yea
Julie Mayberry Republican House Nay
Ken Ferguson Democrat House Yea
Ron Mcnair Republican House Yea
Marcus Richmond Republican House Yea
Deann Vaught Republican House Yea
Karilyn Brown Republican House Yea
Sonia Eubanks Barker Republican House Yea
Frances Cavenaugh Republican House Yea
Jimmie Gazaway Republican House NV
Roger Lynch Republican House Yea
John Maddox Republican House Yea
Aaron Pilkington Republican House Yea
Johnny Rye Republican House Yea
Les Warren Republican House Yea
Carlton Wing Republican House Yea
Austin Mccollum Republican House NV
Carol Dalby Republican House Yea
Steve Hollowell Republican House Yea
Brian Evans Republican House Yea
Lee Johnson Republican House Yea
Andrew Collins Democrat House Yea
Stan Berry Republican House Yea
Harlan Breaux Republican House Yea
Cameron Cooper Republican House NV
Nicole Clowney Democrat House Yea
Cindy Crawford Republican House Yea
Denise Garner Democrat House Yea
Tippi McCullough Democrat House Yea
Jay Richardson Democrat House Yea
Jim Wooten Republican House Nay
Denise Ennett Democrat House Yea
Richard McGrew Republican House NV
Joy Springer Democrat House Yea
Howard Beaty Republican House Yea
Tony Furman Republican House Yea
Kendon Underwood Republican House Yea
David Ray Republican House Nay
John Carr Republican House Yea
Rick McClure Republican House Yea
Keith Brooks Republican House Yea
Ashley Hudson Democrat House Yea
Jon Milligan Republican House Yea
RJ Hawk Republican House Yea
Wade Andrews Republican House Yea
Rebecca Burkes Republican House Yea
Hope Duke Republican House Nay
Zack Gramlich Republican House Yea
Mindy McAlindon Republican House Yea
Matt Duffield Republican House NV
Stetson Painter Republican House Yea
Steve Unger Republican House Yea
Wayne Long Republican House NV
Scott Richardson Republican House Yea
Brandon Achor Republican House Yea
Jeremiah Moore Republican House Yea
Joey Carr Republican House Yea
Matt Brown Republican House Yea
Shad Pearce Republican House Yea
Chad Puryear Republican House Yea
Ryan Rose Republican House Yea
Bart Schulz Republican House Yea
Trey Steimel Republican House Yea
Tara Shephard Democrat House Yea
Jeremy Wooldridge Republican House Yea
Kendra Moore Republican House Yea
Brit McKenzie Republican House NV
Steven Walker Republican House Yea
Glenn Barnes Democrat House Yea
Lincoln Barnett Democrat House Yea
Alyssa Brown Republican House Yea
Nick Burkes Republican House Yea
Paul Childress Republican House Yea
James Eaton Republican House Nay
Brad Hall Republican House Yea
Dolly Henley Republican House Yea
Jessie McGruder Democrat House Yea
Jason Nazarenko Republican House Yea
Randy Torres Republican House NV
Diana Gonzales Worthen Democrat House Yea
Read Full Bill on arkleg.state.ar.us