{"data":{"id":"us-ar/ark.-code-ann.-23-86-122","jurisdiction":"us-ar","citation":"Ark. Code Ann. § 23-86-122","heading":"Prior approval process for experimental and investigational surgical products and medical devices - Definition","body":"(a) As used in this section: (1) \"Health carrier\" means a: (A) Health maintenance organization; (B) Hospital medical service corporation; and (C) Disability insurance company; (2) \"Health carrier\" includes a: (A) Self-insured governmental or church plan; and (B) Third-party administrator that administers or adjusts disability benefits for a disability insurer, hospital medical service corporation, health maintenance organization, self-insured governmental plan, or self-insured church plan; and (3) \"Health carrier\" does not include: (A) An automobile insurer paying medical or hospital benefits under § 23-89-202(1) or a self-insured employer health benefits plan; or (B) A person, company, or organization licensed or registered to issue or that issues an insurance policy or insurance contract in this state as described in §§ 23-62-102 and 23-62-104 - 23-62-107 providing medical or hospital benefits for accidental injury or disability. (b) A health carrier that excludes or denies coverage for a specific surgical product or medical device approved for marketing by the United States Food and Drug Administration as experimental or investigational, or both, shall develop a process by which a surgeon, before utilizing the surgical product or medical device, may present medical evidence to obtain a review for the individual patient for coverage of the surgical product or medical device. Amended by Act 2015, No. 1164,§ 6, eff. 7/22/2015. Added by Act 2013, No. 464,§ 1, eff. 8/16/2013.\n\n(a) As used in this section: (1) \"Health carrier\" means a: (A) Health maintenance organization; (B) Hospital medical service corporation; and (C) Disability insurance company; (2) \"Health carrier\" includes a: (A) Self-insured governmental or church plan; and (B) Third-party administrator that administers or adjusts disability benefits for a disability insurer, hospital medical service corporation, health maintenance organization, self-insured governmental plan, or self-insured church plan; and (3) \"Health carrier\" does not include: (A) An automobile insurer paying medical or hospital benefits under § 23-89-202(1) or a self-insured employer health benefits plan; or (B) A person, company, or organization licensed or registered to issue or that issues an insurance policy or insurance contract in this state as described in §§ 23-62-102 and 23-62-104 - 23-62-107 providing medical or hospital benefits for accidental injury or disability.\n\n(1) \"Health carrier\" means a: (A) Health maintenance organization; (B) Hospital medical service corporation; and (C) Disability insurance company;\n\n(A) Health maintenance organization;\n\n(B) Hospital medical service corporation; and\n\n(C) Disability insurance company;\n\n(2) \"Health carrier\" includes a: (A) Self-insured governmental or church plan; and (B) Third-party administrator that administers or adjusts disability benefits for a disability insurer, hospital medical service corporation, health maintenance organization, self-insured governmental plan, or self-insured church plan; and\n\n(A) Self-insured governmental or church plan; and\n\n(B) Third-party administrator that administers or adjusts disability benefits for a disability insurer, hospital medical service corporation, health maintenance organization, self-insured governmental plan, or self-insured church plan; and\nrporation, health maintenance organization, self-insured governmental plan, or self-insured church plan; and\n\n(A) Self-insured governmental or church plan; and\n\n(B) Third-party administrator that administers or adjusts disability benefits for a disability insurer, hospital medical service corporation, health maintenance organization, self-insured governmental plan, or self-insured church plan; and\n\n(3) \"Health carrier\" does not include: (A) An automobile insurer paying medical or hospital benefits under § 23-89-202(1) or a self-insured employer health benefits plan; or (B) A person, company, or organization licensed or registered to issue or that issues an insurance policy or insurance contract in this state as described in §§ 23-62-102 and 23-62-104 - 23-62-107 providing medical or hospital benefits for accidental injury or disability.\n\n(A) An automobile insurer paying medical or hospital benefits under § 23-89-202(1) or a self-insured employer health benefits plan; or\n\n(B) A person, company, or organization licensed or registered to issue or that issues an insurance policy or insurance contract in this state as described in §§ 23-62-102 and 23-62-104 - 23-62-107 providing medical or hospital benefits for accidental injury or disability.\n\n(b) A health carrier that excludes or denies coverage for a specific surgical product or medical device approved for marketing by the United States Food and Drug Administration as experimental or investigational, or both, shall develop a process by which a surgeon, before utilizing the surgical product or medical device, may present medical evidence to obtain a review for the individual patient for coverage of the surgical product or medical device.","path":["AR Code","Title 23","Chapter 86","Subchapter 1"],"source_url":"https://oss-data-us.vaquill.ai/v2026.08/us_ar_statutes.parquet","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:41Z","sha256":"93b7271ed7758f18f66a89697bb1a988dd0161cd9850264b3b0e51ead44a5ad3","source_id":"us-ar","stale":false,"prev":"us-ar/ark.-code-ann.-23-86-121","next":"us-ar/ark.-code-ann.-23-86-123"},"notice":"GroundRules: Original legal text. Not legal advice."}