StrickenHall languageof wouldthe beHouse deletedof fromRepresentatives and95th underlinedGeneralAssembly language- wouldRegular beSession, added2025 toAmendment presentForm law.______________________________________________________________________ Subtitle of House Bill 1333 TO MANDATE COVERAGE FOR BREASTFEEDINGAND LACTATION CONSULTANT SERVICES.

Act______________________________________________________________________ 627Amendment ofNo. the Regular Session State of ArkanAs Engrossed:

H2/3/252 H3/12/25to H3/13/25House H3/20/25Bill S4/2/251333 95thAmend GeneralHouse Assembly A Bill Regular1333 Session,as 2025engrossed HOUSEH2/3/25 BILL(version: 1333 5 By:

Representatives2/3/25 Hudson,09:21:10AM): D.

Garner,Page Bentley,1, A.delete lines 28 through 36, and substitute the following:

Brown,"(1)(A) K."Breastfeeding and lactation consultant" means:

Brown, Cavenaugh, Ennett, Gonzales Worthen, J.

Mayberry, McCullough, T.

Shephard, Springer, Clowney By:

Senators J.

Scott, Irvin 9 For An Act To Be Entitled AN ACT TO MANDATE COVERAGE FOR BREASTFEEDING AND LACTATION CONSULTANT SERVICES;

AND FOR OTHER PURPOSES.

Subtitle TO MANDATE COVERAGE FOR BREASTFEEDING AND LACTATION CONSULTANT SERVICES.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS:

SECTION 1.

Arkansas Code Title 23, Chapter 79, is amended to add an additional subchapter to read as follows:

Subchapter 29 — Coverage for Breastfeeding and Lactation Consultants 23-79-2901.

Definitions.

As used in this subchapter:

(1)(A) "Breastfeeding and lactation consultant" means:

and (ii)(a)(ii) A certified lactation counselor.

(b)(B) The individuals listed under subdivision (1)(A)(ii)(a)(1)(A) of this section are required to be supervised by a contractedcontracted" AND Page 2, delete lines 1 through 11 AND Page 2, line 14, delete "outpatient services provided" and in-networksubstitute healthcare"outpatient providerservices or hospital services, or both, provided" AND Page 2, line 16, delete "period;" and substitute "period to receiveaid reimbursement.in milk expression or infant nutrition;" *.ANS344* ANS344 - 03-06-2025 03:03:41 Page 1 of 2 AND Page 2, delete lines 17 and 18, and substitute the following:

(B)"(3)(A) The"Enrollee" Arkansasmeans Medicaidan Programindividual shallentitled reimburseto thecoverage individuals listed under subdivision (1)(A) of thishealthcare sectionservices forfrom breastfeedinga *ANS177*healthcare 04-02-2025insurer. 10:56:41 ANS177 As Engrossed:

H2/3/25(B) H3/12/25"Enrollee" H3/13/25includes H3/20/25a S4/2/25minor HB1333child;" AND Page 2, line 25, delete "Program and" and lactationsubstitute consulting"Program, servicesARKids ifFirst-A theor individuals:First-B, and" AND Page 3, line 28, delete "services to" and substitute "services in an outpatient setting to" The Amendment was read ________________________________________________________________________________ By:

(i)Representative HaveHudson aANS/ANS Medicaid- number;03-06-2025 03:03:41 _________________________ ANS344 Chief Clerk ANS344 - 03-06-2025 03:03Amendment No.

or2 (ii)to AreHouse otherwiseBill compliant1333 withPage all2 requirementsof for2 reimbursement under the Arkansas Medicaid Program;

(2) "Breastfeeding and lactation consultant services" means medically appropriate outpatient services or hospital services, or both, provided by a breastfeeding and lactation consultant during pregnancy and through the extended postpartum period to aid in milk expression or infant nutrition;

(3)(A) "Enrollee" means an individual entitled to coverage of healthcare services from a healthcare insurer.

(B) "Enrollee" includes a minor child;

(4)(A) "Health benefit plan" means:

(i) An individual, blanket, or group plan or a policy or contract for healthcare services offered, issued, renewed, delivered, or extended in this state by a healthcare insurer;

and (ii) A health benefit program receiving state or federal appropriations from the State of Arkansas, including the Arkansas Medicaid Program, ARKids First-A or First-B, and the Arkansas Health and Opportunity for Me Program established by the Arkansas Health and Opportunity for Me Act of 2021, § 23-61-1001 et seq.

(B) “Health benefit plan” includes:

(i) Indemnity and managed care plans;

and (ii) Plans providing health benefits to state and public school employees under § 21-5-401 et seq.

(C) “Health benefit plan” does not include:

(i) A plan that provides only dental benefits or eye and vision care benefits;

(ii) A disability income plan;

(iii) A credit insurance plan;

(iv) Insurance coverage issued as a supplement to liability insurance;