TO MANDATE COVERAGE FOR BREAST RECONSTRUCTION SURGERIES; TO REQUIRE PRIOR AUTHORIZATION FOR BREAST RECONSTR...
If you undergo breast reconstruction surgery, your health plan must now cover the costs.
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SB 83 — TO MANDATE COVERAGE FOR BREAST RECONSTRUCTION SURGERIES; TO REQUIRE PRIOR AUTHORIZATION FOR BREAST RECONSTRUCTION SURGERIES; AND TO ESTABLISH A MINIMUM REIMBURSEMENT RATE FOR BREAST RECONSTRUCTION SURGERIES.
Last action — Notification that SB83 is now Act 424
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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✓In Committee
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✓Passed Senate
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✓Passed House
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced January 21, 2025. Enacted.
Signed by Governor Sarah Huckabee Sanders (Republican) on April 07, 2025.
Prognosis
Where this bill stands today.
Odds of enactment
HighHow often bills like it became law.
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Enacted
Current position in the legislative process.
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2 sponsors
2 primary, 0 co-sponsors signed on.
Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.
In plain language
The bill mandates coverage and reimbursement for breast reconstruction surgeries.
This bill requires health insurers to cover breast reconstruction surgeries, mandates prior authorization for such procedures, and sets a minimum reimbursement rate for the services. It aims to ensure comprehensive financial support for individuals undergoing these surgeries.
What this means for you
- Workers: If you undergo breast reconstruction surgery, your health plan must now cover the costs.
Bill Text
What changed in the latest version
1 added · 2 removedPlain-language change summary
In the latest version of Bill SB 83, a specific section from an earlier law, Act 424 of the Regular Session, has been removed. This change signifies that the rules or provisions established in that act are no longer being considered as part of this new bill. This matters because it could clarify the goals of SB 83 and potentially streamline the legislative process by eliminating outdated regulations.
Act 424 of the Regular Session State of Arkansas As Engrossed:
Bryant APPROVED:8 03-19-2025 14:21:43 ANS056
4/3/25 8 03-19-2025 14:21:43 ANS056
AI-generated reading aid from the bill's amendatory text — verify against the official bill.
The bill mandates coverage, prior authorization, and establishes a minimum reimbursement rate for breast reconstruction surgeries in Arkansas.
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23-79-2902
On and after January 1, 2026, a health benefit plan that is offered, issued, or renewed in this state shall provide coverage for all modalities, types, and techniques of a healthcare service provided for a breast reconstruction surgery and shall cover any surgery determined as the best course of treatment by a healthcare professional, consistent with prevailing medical standards, and in consultation with the patient.
Health benefit plans must cover all aspects of breast reconstruction surgery.
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23-79-2902
The coverage for breast reconstruction surgery under this section: (1) Shall be subject to policy deductibles, copayment requirements, or coinsurance requirements of a healthcare insurer at a cost that is no more than those costs associated with the health benefit plan's in-network rate for the healthcare service; (2) Does not diminish or limit benefits otherwise allowable under a health benefit plan; (3) Shall not affect an enrollee's eligibility or continued eligibility to enroll or renew coverage under the terms of the health benefit plan solely for the purpose of avoiding the requirements of this subchapter.
Establishes specifics about coverage costs, limits, and maintains enrollee eligibility.
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23-79-2903
A healthcare insurer shall require prior authorization for breast reconstruction surgery.
Mandates that insurers obtain prior authorization for breast reconstruction surgeries.
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23-79-2903
If a healthcare insurer does not have a participating provider who provides a breast reconstruction surgery that has been determined as the best course of treatment by a healthcare professional and is consistent with prevailing medical standards and in consultation with the patient, then the healthcare insurer that provides a prior authorization or predetermination of the healthcare service shall automatically approve a single case agreement at the same rate as specified under § 23-79-2904(a).
Requires automatic approval for cases where network providers are unavailable.
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23-79-2904
If a healthcare insurer does not have a participating provider who provides a breast reconstruction surgery that has been determined as the best course of treatment by a healthcare professional and is consistent with prevailing medical standards and in consultation with the patient, then the healthcare insurer that provides a prior authorization or predetermination of the healthcare service shall automatically approve a single case agreement at the same rate as specified under § 23-79-2904(a).
Ensures patients can receive necessary surgeries even when in-network options are lacking.
Amendments
2 amendments- Amendment S2 March 18, 2025 Show changes
- Amendment S1 March 03, 2025 Show changes
Click Show changes on an amendment above to see how it modifies the bill.
Action History
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Notification that SB83 is now Act 424
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DELIVERED TO GOVERNOR.
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Reported correctly enrolled and ordered delivered to the Governor.
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ORDERED ENROLLED
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Returned from the House as passed.
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Returned to the Senate as passed.
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Read the third time and passed and ordered transmitted to the Senate.
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Returned by the Committee Do Pass
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Read the first time, rules suspended, read the second time and referred to the Committee on INSURANCE & COMMERCE- HOUSE
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RECEIVED FROM THE SENATE
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Ordered immediately transmitted to the House.
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Read the third time and passed.
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REPORTED CORRECTLY ENGROSSED
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Amendment # 2 read the first time, rules suspended, read the second time and adopted, ordered engrossed.
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Placed on second reading for purpose of amendment.
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Returned by the Committee with the recommendation that it Do Pass as amended, Amendment # 2
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Re-referred to INSURANCE & COMMERCE - SENATE
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REPORTED CORRECTLY ENGROSSED
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Amendment # 1 read the first time, rules suspended, read the second time and adopted, ordered engrossed.
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Withdrawn from Committee and placed on 2nd reading for purpose of amendment # 1
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Read first time, rules suspended, read second time, referred to INSURANCE & COMMERCE - SENATE
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Filed
Sponsors
- Kendra Moore · Primary
- Joshua Bryant · Primary
Sponsorship breakdown
Export CSV (upgrade) →2 sponsors · 0 co-sponsors · 136 not signed on
Sponsors (2)
Co-sponsors (0)
None.
Not signed on (136)
136 members have not signed on to this bill.
Show all 136 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Subjects
Frequently asked questions
- Who sponsors SB 83?
- SB 83 is sponsored by Kendra Moore and Joshua Bryant.
- What is the current status of SB 83?
- This bill has been enacted into law. Introduced January 21, 2025. Enacted.
- Where can I track SB 83?
- Track SB 83 free on One Click Politics — get push/email alerts when it moves.
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