{"data":{"id":"us-ar/ark.-code-ann.-23-99-1602","jurisdiction":"us-ar","citation":"Ark. Code Ann. § 23-99-1602","heading":"Definitions","body":"As used in this subchapter: (1) \"Authorized designee\" means an entity that is: (A) Designated by a healthcare payor to operate on its behalf; and (B) Authorized to access an enrollee's protected health information under the Health Insurance Portability and Accountability Act of 1996, Pub. L. No. 104-191, as it existed on January 1, 2023; (2) \"Enrollee\" means an individual who is entitled to receive healthcare services under the terms of a health benefit plan; (3) (A) \"Health benefit plan\" means an individual, blanket, or group plan, policy, or contract for healthcare services issued, renewed, or extended in this state by a healthcare insurer, health maintenance organization, hospital medical service corporation, or self-insured governmental or church plan 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; (4) (A) \"Healthcare payor\" means: (i) A health insurance company; (ii) A health maintenance organization; (iii) A hospital and medical service corporation; or (iv) An entity that: (a) Provides or administers a self-funded health benefit plan, including a governmental plan; or (b) Performs utilization review for a self-funded health benefit plan, including a governmental plan. (B) \"Healthcare payor\" includes any entity that is subject to any of the following laws: (i) The insurance laws of this state; (ii) Section 23-75-101 et seq., pertaining to hospital and medical service corporations; or (iii) Section 23-76-101 et seq., pertaining to health maintenance organizations. (C) \"Healthcare payor\" does not include an entity that provides only dental benefits or eye and vision care benefits; (5) (A) \"Healthcare provider\" means a person that is licensed, certified, or otherwise authorized by the laws of this state to provide healthcare services. (B) \"Healthcare provider\" includes only: (i) Advanced practice nurses; (ii) Athletic trainers; (iii) Audiologists; (iv) Certified behavioral health providers; (v) Certified orthotists; (vi) Chiropractors; (vii) Community mental health centers or clinics; (viii) Dentists; (ix) Home health care; (x) Hospice care; (xi) Hospital-based services; (xii) Hospitals; (xiii) Licensed ambulatory surgery centers; (xiv) Licensed certified social workers; (xv) Licensed dieticians; (xvi) Licensed intellectual and developmental disabilities service providers; (xvii) Licensed professional counselors; (xviii) Licensed psychological examiners; (xix) Long-term care facilities; (xx) Occupational therapists; (xxi) Optometrists; (xxii) Pharmacists; (xxiii) Physical therapists; (xxiv) Physicians and surgeons; (xxv) Podiatrists; (xxvi) Prosthetists; (xxvii) Psychologists; (xxviii) Respiratory therapists; (xxix) Rural health clinics; and (xxx) Speech pathologists; (6) \"Healthcare services\" means services and products, including prescription medication, provided by a healthcare provider within the scope of the healthcare provider's license; (7) (A) \"Medical records\" means the hospital or clinic records, physicians' records, or other healthcare records that a healthcare provider retains on an enrollee related to the enrollee's medical conditions\npathologists; (6) \"Healthcare services\" means services and products, including prescription medication, provided by a healthcare provider within the scope of the healthcare provider's license; (7) (A) \"Medical records\" means the hospital or clinic records, physicians' records, or other healthcare records that a healthcare provider retains on an enrollee related to the enrollee's medical conditions. (B) \"Medical records\" includes other reports, documents, or records that a healthcare provider has concerning: (i) The healthcare services provided to the enrollee; (ii) The enrollee's medical history; and (iii) Prescription medications written, procedures ordered, or any other information related to the patient's overall health; and (8) \"Prescription medication\" means a drug or biologic that is prescribed by a healthcare provider to an enrollee for the purpose of alleviating, curing, preventing, or healing illness, injury, or physical disability. Added by Act 2023, No. 502,§ 1, eff. 1/1/2024.\n\nAs used in this subchapter:\n\n(1) \"Authorized designee\" means an entity that is: (A) Designated by a healthcare payor to operate on its behalf; and (B) Authorized to access an enrollee's protected health information under the Health Insurance Portability and Accountability Act of 1996, Pub. L. No. 104-191, as it existed on January 1, 2023;\n\n(A) Designated by a healthcare payor to operate on its behalf; and\n\n(B) Authorized to access an enrollee's protected health information under the Health Insurance Portability and Accountability Act of 1996, Pub. L. No. 104-191, as it existed on January 1, 2023;\n\n(2) \"Enrollee\" means an individual who is entitled to receive healthcare services under the terms of a health benefit plan;\n\n(3) (A) \"Health benefit plan\" means an individual, blanket, or group plan, policy, or contract for healthcare services issued, renewed, or extended in this state by a healthcare insurer, health maintenance organization, hospital medical service corporation, or self-insured governmental or church plan 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, or extended in this state by a healthcare insurer, health maintenance organization, hospital medical service corporation, or self-insured governmental or church plan 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.\nfor healthcare services issued, renewed, or extended in this state by a healthcare insurer, health maintenance organization, hospital medical service corporation, or self-insured governmental or church plan 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(4) (A) \"Healthcare payor\" means: (i) A health insurance company; (ii) A health maintenance organization; (iii) A hospital and medical service corporation; or (iv) An entity that: (a) Provides or administers a self-funded health benefit plan, including a governmental plan; or (b) Performs utilization review for a self-funded health benefit plan, including a governmental plan. (B) \"Healthcare payor\" includes any entity that is subject to any of the following laws: (i) The insurance laws of this state; (ii) Section 23-75-101 et seq., pertaining to hospital and medical service corporations; or (iii) Section 23-76-101 et seq., pertaining to health maintenance organizations. (C) \"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 service corporation; or (iv) An entity that: (a) Provides or administers a self-funded health benefit plan, including a governmental plan; or (b) Performs utilization review for 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 service corporation; or\n\n(iv) An entity that: (a) Provides or administers a self-funded health benefit plan, including a governmental plan; or (b) Performs utilization review for a self-funded health benefit plan, including a governmental plan.\n\n(a) Provides or administers a self-funded health benefit plan, including a governmental plan; or\n\n(b) Performs utilization review for a self-funded health benefit plan, including a governmental plan.\n\n(B) \"Healthcare payor\" includes any entity that is subject to any of the following laws: (i) The insurance laws of this state; (ii) Section 23-75-101 et seq., pertaining to hospital and medical service corporations; or (iii) Section 23-76-101 et seq., pertaining to health maintenance organizations.\n) Performs utilization review for a self-funded health benefit plan, including a governmental plan.\n\n(B) \"Healthcare payor\" includes any entity that is subject to any of the following laws: (i) The insurance laws of this state; (ii) Section 23-75-101 et seq., pertaining to hospital and medical service corporations; or (iii) Section 23-76-101 et seq., pertaining to health maintenance organizations.\n\n(i) The insurance laws of this state;\n\n(ii) Section 23-75-101 et seq., pertaining to hospital and medical service corporations; or\n\n(iii) Section 23-76-101 et seq., pertaining to health maintenance organizations.\n\n(C) \"Healthcare payor\" does not include an entity that provides only dental benefits or eye and vision care benefits;\n\n(5) (A) \"Healthcare provider\" means a person that is licensed, certified, or otherwise authorized by the laws of this state to provide healthcare services. (B) \"Healthcare provider\" includes only: (i) Advanced practice nurses; (ii) Athletic trainers; (iii) Audiologists; (iv) Certified behavioral health providers; (v) Certified orthotists; (vi) Chiropractors; (vii) Community mental health centers or clinics; (viii) Dentists; (ix) Home health care; (x) Hospice care; (xi) Hospital-based services; (xii) Hospitals; (xiii) Licensed ambulatory surgery centers; (xiv) Licensed certified social workers; (xv) Licensed dieticians; (xvi) Licensed intellectual and developmental disabilities service providers; (xvii) Licensed professional counselors; (xviii) Licensed psychological examiners; (xix) Long-term care facilities; (xx) Occupational therapists; (xxi) Optometrists; (xxii) Pharmacists; (xxiii) Physical therapists; (xxiv) Physicians and surgeons; (xxv) Podiatrists; (xxvi) Prosthetists; (xxvii) Psychologists; (xxviii) Respiratory therapists; (xxix) Rural health clinics; and (xxx) Speech pathologists;\n\n(A) \"Healthcare provider\" means a person that is licensed, certified, or otherwise authorized by the laws of this state to provide healthcare services.\n\n(B) \"Healthcare provider\" includes only: (i) Advanced practice nurses; (ii) Athletic trainers; (iii) Audiologists; (iv) Certified behavioral health providers; (v) Certified orthotists; (vi) Chiropractors; (vii) Community mental health centers or clinics; (viii) Dentists; (ix) Home health care; (x) Hospice care; (xi) Hospital-based services; (xii) Hospitals; (xiii) Licensed ambulatory surgery centers; (xiv) Licensed certified social workers; (xv) Licensed dieticians; (xvi) Licensed intellectual and developmental disabilities service providers; (xvii) Licensed professional counselors; (xviii) Licensed psychological examiners; (xix) Long-term care facilities; (xx) Occupational therapists; (xxi) Optometrists; (xxii) Pharmacists; (xxiii) Physical therapists; (xxiv) Physicians and surgeons; (xxv) Podiatrists; (xxvi) Prosthetists; (xxvii) Psychologists; (xxviii) Respiratory therapists; (xxix) Rural health clinics; and (xxx) Speech pathologists;\n\n(i) Advanced practice nurses;\n\n(ii) Athletic trainers;\n\n(iii) Audiologists;\n\n(iv) Certified behavioral health providers;\n\n(v) Certified orthotists;\n\n(vi) Chiropractors;\n\n(vii) Community mental health centers or clinics;\n\n(viii) Dentists;\n\n(ix) Home health care;\n(xxvi) Prosthetists; (xxvii) Psychologists; (xxviii) Respiratory therapists; (xxix) Rural health clinics; and (xxx) Speech pathologists;\n\n(i) Advanced practice nurses;\n\n(ii) Athletic trainers;\n\n(iii) Audiologists;\n\n(iv) Certified behavioral health providers;\n\n(v) Certified orthotists;\n\n(vi) Chiropractors;\n\n(vii) Community mental health centers or clinics;\n\n(viii) Dentists;\n\n(ix) Home health care;\n\n(x) Hospice care;\n\n(xi) Hospital-based services;\n\n(xii) Hospitals;\n\n(xiii) Licensed ambulatory surgery centers;\n\n(xiv) Licensed certified social workers;\n\n(xv) Licensed dieticians;\n\n(xvi) Licensed intellectual and developmental disabilities service providers;\n\n(xvii) Licensed professional counselors;\n\n(xviii) Licensed psychological examiners;\n\n(xix) Long-term care facilities;\n\n(xx) Occupational therapists;\n\n(xxi) Optometrists;\n\n(xxii) Pharmacists;\n\n(xxiii) Physical therapists;\n\n(xxiv) Physicians and surgeons;\n\n(xxv) Podiatrists;\n\n(xxvi) Prosthetists;\n\n(xxvii) Psychologists;\n\n(xxviii) Respiratory therapists;\n\n(xxix) Rural health clinics; and\n\n(xxx) Speech pathologists;\n\n(6) \"Healthcare services\" means services and products, including prescription medication, provided by a healthcare provider within the scope of the healthcare provider's license;\n\n(7) (A) \"Medical records\" means the hospital or clinic records, physicians' records, or other healthcare records that a healthcare provider retains on an enrollee related to the enrollee's medical conditions. (B) \"Medical records\" includes other reports, documents, or records that a healthcare provider has concerning: (i) The healthcare services provided to the enrollee; (ii) The enrollee's medical history; and (iii) Prescription medications written, procedures ordered, or any other information related to the patient's overall health; and\n\n(A) \"Medical records\" means the hospital or clinic records, physicians' records, or other healthcare records that a healthcare provider retains on an enrollee related to the enrollee's medical conditions.\n\n(B) \"Medical records\" includes other reports, documents, or records that a healthcare provider has concerning: (i) The healthcare services provided to the enrollee; (ii) The enrollee's medical history; and (iii) Prescription medications written, procedures ordered, or any other information related to the patient's overall health; and\n\n(i) The healthcare services provided to the enrollee;\n\n(ii) The enrollee's medical history; and\n\n(iii) Prescription medications written, procedures ordered, or any other information related to the patient's overall health; and\n\n(8) \"Prescription medication\" means a drug or biologic that is prescribed by a healthcare provider to an enrollee for the purpose of alleviating, curing, preventing, or healing illness, injury, or physical disability.","path":["AR Code","Title 23","Chapter 99","Subchapter 16"],"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":"5db940c198a4f0629d2f7bd3c7be43edc367ec84669fa4aa022551bbc245ba0d","source_id":"us-ar","stale":false,"prev":"us-ar/ark.-code-ann.-23-99-1601","next":"us-ar/ark.-code-ann.-23-99-1603"},"notice":"GroundRules: Original legal text. Not legal advice."}