{"data":{"id":"us-ar/ark.-code-ann.-23-99-1502","jurisdiction":"us-ar","citation":"Ark. Code Ann. § 23-99-1502","heading":"Definitions","body":"As used in this subchapter: (1) \"Enrollee\" means an individual who is entitled to receive healthcare services under the terms of a health benefit plan; (2) (A) \"Health benefit plan\" means an individual, blanket, or group plan, policy, or contract for healthcare services issued, renewed, delivered, or extended in this state by a healthcare payor in this state. (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; (v) Medical payments under an automobile or homeowners insurance plan; (vi) A health benefit plan provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., and the Public Employee Workers' Compensation Act, § 21-5-601 et seq.; (vii) A plan that provides only indemnity for hospital confinement; (viii) An accident-only plan; or (ix) A specified disease plan; (3) (A) \"Healthcare payor\" means: (i) A health insurance company; (ii) A health maintenance organization; (iii) A hospital and medical services corporation; and (iv) An entity that provides or administers a self-funded health benefit plan, including a governmental plan. (B) \"Healthcare payor\" does not include an entity that provides only dental benefits or eye and vision care benefits; (4) \"Healthcare provider\" means individuals or entities licensed by the State of Arkansas to provide healthcare services, limited to the following: (A) Advanced practice nurses; (B) Athletic trainers; (C) Audiologists; (D) Certified behavioral health providers; (E) Certified orthotists; (F) Chiropractors; (G) Community mental health centers or clinics; (H) Dentists; (I) Home health care; (J) Hospice care; (K) Hospital-based services; (L) Hospitals; (M) Licensed ambulatory surgery centers; (N) Licensed certified social workers; (O) Licensed dieticians; (P) Licensed intellectual and developmental disabilities service providers; (Q) Licensed professional counselors; (R) Licensed psychological examiners; (S) Long-term care facilities; (T) Occupational therapists; (U) Optometrists; (V) Pharmacists; (W) Physical therapists; (X) Physicians and surgeons (M.D. and D.O.); (Y) Podiatrists; (Z) Prosthetists; (AA) Psychologists; (BB) Respiratory therapists; (CC) Rural health clinics; and (DD) Speech pathologists; (5) \"Healthcare services\" means services and products, including prescription medication, provided by a healthcare provider within the scope of the healthcare provider's license; and (6) \"Prescription medication\" means a drug or biologic that is prescribed by a healthcare provider to a patient for the purpose of alleviating, curing, preventing, or healing illness, injury, or physical disability. Added by Act 2021, No. 1105,§ 1, eff. 7/28/2021.\n\nAs used in this subchapter:\n\n(1) \"Enrollee\" means an individual who is entitled to receive healthcare services under the terms of a health benefit plan;\nmedication\" means a drug or biologic that is prescribed by a healthcare provider to a patient for the purpose of alleviating, curing, preventing, or healing illness, injury, or physical disability. Added by Act 2021, No. 1105,§ 1, eff. 7/28/2021.\n\nAs used in this subchapter:\n\n(1) \"Enrollee\" means an individual who is entitled to receive healthcare services under the terms of a health benefit plan;\n\n(2) (A) \"Health benefit plan\" means an individual, blanket, or group plan, policy, or contract for healthcare services issued, renewed, delivered, or extended in this state by a healthcare payor in this state. (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; (v) Medical payments under an automobile or homeowners insurance plan; (vi) A health benefit plan provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., and the Public Employee Workers' Compensation Act, § 21-5-601 et seq.; (vii) A plan that provides only indemnity for hospital confinement; (viii) An accident-only plan; or (ix) A specified disease plan;\n\n(A) \"Health benefit plan\" means an individual, blanket, or group plan, policy, or contract for healthcare services issued, renewed, delivered, or extended in this state by a healthcare payor in this state.\n\n(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.\n\n(i) Indemnity and managed care plans; and\n\n(ii) Plans providing health benefits to state and public school employees under § 21-5-401 et seq.\n\n(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; (v) Medical payments under an automobile or homeowners insurance plan; (vi) A health benefit plan provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., and the Public Employee Workers' Compensation Act, § 21-5-601 et seq.; (vii) A plan that provides only indemnity for hospital confinement; (viii) An accident-only plan; or (ix) A specified disease plan;\n\n(i) A plan that provides only dental benefits or eye and vision care benefits;\n\n(ii) A disability income plan;\n\n(iii) A credit insurance plan;\n\n(iv) Insurance coverage issued as a supplement to liability insurance;\n\n(v) Medical payments under an automobile or homeowners insurance plan;\n\n(vi) A health benefit plan provided under Arkansas Constitution, Article 5, § 32, the Workers' Compensation Law, § 11-9-101 et seq., and the Public Employee Workers' Compensation Act, § 21-5-601 et seq.;\n\n(vii) A plan that provides only indemnity for hospital confinement;\n\n(viii) An accident-only plan; or\n\n(ix) A specified disease plan;\n\n(3) (A) \"Healthcare payor\" means: (i) A health insurance company; (ii) A health maintenance organization; (iii) A hospital and medical services corporation; and (iv) An entity that provides or administers a self-funded health benefit plan, including a governmental plan. (B) \"Healthcare payor\" does not include an entity that provides only dental benefits or eye and vision care benefits;\n\n(A) \"Healthcare payor\" means: (i) A health insurance company; (ii) A health maintenance organization; (iii) A hospital and medical services corporation; and (iv) An entity that provides or administers a self-funded health benefit plan, including a governmental plan.\nrnmental plan. (B) \"Healthcare payor\" does not include an entity that provides only dental benefits or eye and vision care benefits;\n\n(A) \"Healthcare payor\" means: (i) A health insurance company; (ii) A health maintenance organization; (iii) A hospital and medical services corporation; and (iv) An entity that provides or administers a self-funded health benefit plan, including a governmental plan.\n\n(i) A health insurance company;\n\n(ii) A health maintenance organization;\n\n(iii) A hospital and medical services corporation; and\n\n(iv) An entity that provides or administers a self-funded health benefit plan, including a governmental plan.\n\n(B) \"Healthcare payor\" does not include an entity that provides only dental benefits or eye and vision care benefits;\n\n(4) \"Healthcare provider\" means individuals or entities licensed by the State of Arkansas to provide healthcare services, limited to the following: (A) Advanced practice nurses; (B) Athletic trainers; (C) Audiologists; (D) Certified behavioral health providers; (E) Certified orthotists; (F) Chiropractors; (G) Community mental health centers or clinics; (H) Dentists; (I) Home health care; (J) Hospice care; (K) Hospital-based services; (L) Hospitals; (M) Licensed ambulatory surgery centers; (N) Licensed certified social workers; (O) Licensed dieticians; (P) Licensed intellectual and developmental disabilities service providers; (Q) Licensed professional counselors; (R) Licensed psychological examiners; (S) Long-term care facilities; (T) Occupational therapists; (U) Optometrists; (V) Pharmacists; (W) Physical therapists; (X) Physicians and surgeons (M.D. and D.O.); (Y) Podiatrists; (Z) Prosthetists; (AA) Psychologists; (BB) Respiratory therapists; (CC) Rural health clinics; and (DD) Speech pathologists;\n\n(A) Advanced practice nurses;\n\n(B) Athletic trainers;\n\n(C) Audiologists;\n\n(D) Certified behavioral health providers;\n\n(E) Certified orthotists;\n\n(F) Chiropractors;\n\n(G) Community mental health centers or clinics;\n\n(H) Dentists;\n\n(I) Home health care;\n\n(J) Hospice care;\n\n(K) Hospital-based services;\n\n(L) Hospitals;\n\n(M) Licensed ambulatory surgery centers;\n\n(N) Licensed certified social workers;\n\n(O) Licensed dieticians;\n\n(P) Licensed intellectual and developmental disabilities service providers;\n\n(Q) Licensed professional counselors;\n\n(R) Licensed psychological examiners;\n\n(S) Long-term care facilities;\n\n(T) Occupational therapists;\n\n(U) Optometrists;\n\n(V) Pharmacists;\n\n(W) Physical therapists;\n\n(X) Physicians and surgeons (M.D. and D.O.);\n\n(Y) Podiatrists;\n\n(Z) Prosthetists;\n\n(AA) Psychologists;\n\n(BB) Respiratory therapists;\n\n(CC) Rural health clinics; and\n\n(DD) Speech pathologists;\n\n(5) \"Healthcare services\" means services and products, including prescription medication, provided by a healthcare provider within the scope of the healthcare provider's license; and\n\n(6) \"Prescription medication\" means a drug or biologic that is prescribed by a healthcare provider to a patient for the purpose of alleviating, curing, preventing, or healing illness, injury, or physical disability.","path":["AR Code","Title 23","Chapter 99","Subchapter 15"],"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":"427a44eb260805875dd8e8aae02960bc7246de106d957318845d54eaa1dd0029","source_id":"us-ar","stale":false,"prev":"us-ar/ark.-code-ann.-23-99-1501","next":"us-ar/ark.-code-ann.-23-99-1503"},"notice":"GroundRules: Original legal text. Not legal advice."}