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. (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. 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. (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. 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. (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. 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; (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; (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. (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; (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; (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. (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. (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. (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; (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; (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. (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 (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 (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.
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