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) e 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) ices;(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.
Arkansas Legal Code