# Ark. Code Ann. § 23-79-1207: Cost-sharing

> Arkansas · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C79_S12_S23-79-1207

## Section

- **Citation:** Ark. Code Ann. § 23-79-1207
- **Heading:** Cost-sharing
- **Jurisdiction:** Arkansas
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** AR Code / Title 23 / Chapter 79 / Subchapter 12 / Section 23-79-1207

## Text

(a) To encourage colorectal cancer screenings, patients and healthcare providers shall not be required to meet burdensome criteria or overcome significant obstacles to obtain coverage. (b) (1) An individual shall not be required to pay an additional deductible or coinsurance for testing that is greater than an annual deductible or coinsurance established for similar benefits. (2) (A) Beginning on and after January 1, 2022, a healthcare policy offered to an employee at the time of hiring or healthcare policy renewal shall not contain a cost-sharing requirement for a follow-up colonoscopy. (B) A covered person shall not be subject to a deductible, coinsurance, or any other cost-sharing requirement for services received from participating providers under a healthcare policy following an abnormal noncolonoscopy screening test, as an initial screening test is not considered complete until a follow-up colonoscopy is performed. (c) If the program or contract does not cover a similar benefit, a deductible or coinsurance shall not be set at a level that materially diminishes the value of the colorectal cancer benefit required under this subchapter. (d) Reimbursement to healthcare providers for colorectal cancer screenings provided under this section shall be equal to or greater than reimbursement to healthcare providers under Medicare, Title XVII of the Social Security Act, 42 U.S.C. § 1395 et seq., as it existed on January 1, 2021. Amended by Act 2021, No. 779,§ 5, eff. 1/1/2022. Acts 2005, No. 2236, § 2.

(a) To encourage colorectal cancer screenings, patients and healthcare providers shall not be required to meet burdensome criteria or overcome significant obstacles to obtain coverage.

(b) (1) An individual shall not be required to pay an additional deductible or coinsurance for testing that is greater than an annual deductible or coinsurance established for similar benefits. (2) (A) Beginning on and after January 1, 2022, a healthcare policy offered to an employee at the time of hiring or healthcare policy renewal shall not contain a cost-sharing requirement for a follow-up colonoscopy. (B) A covered person shall not be subject to a deductible, coinsurance, or any other cost-sharing requirement for services received from participating providers under a healthcare policy following an abnormal noncolonoscopy screening test, as an initial screening test is not considered complete until a follow-up colonoscopy is performed.

(1) An individual shall not be required to pay an additional deductible or coinsurance for testing that is greater than an annual deductible or coinsurance established for similar benefits.

(2) (A) Beginning on and after January 1, 2022, a healthcare policy offered to an employee at the time of hiring or healthcare policy renewal shall not contain a cost-sharing requirement for a follow-up colonoscopy. (B) A covered person shall not be subject to a deductible, coinsurance, or any other cost-sharing requirement for services received from participating providers under a healthcare policy following an abnormal noncolonoscopy screening test, as an initial screening test is not considered complete until a follow-up colonoscopy is performed.

(A) Beginning on and after January 1, 2022, a healthcare policy offered to an employee at the time of hiring or healthcare policy renewal shall not contain a cost-sharing requirement for a follow-up colonoscopy.

(B) A covered person shall not be subject to a deductible, coinsurance, or any other cost-sharing requirement for services received from participating providers under a healthcare policy following an abnormal noncolonoscopy screening test, as an initial screening test is not considered complete until a follow-up colonoscopy is performed.

(c) If the program or contract does not cover a similar benefit, a deductible or coinsurance shall not be set at a level that materially diminishes the value of the colorectal cancer benefit required under this subchapter.
der a healthcare policy following an abnormal noncolonoscopy screening test, as an initial screening test is not considered complete until a follow-up colonoscopy is performed.

(c) If the program or contract does not cover a similar benefit, a deductible or coinsurance shall not be set at a level that materially diminishes the value of the colorectal cancer benefit required under this subchapter.

(d) Reimbursement to healthcare providers for colorectal cancer screenings provided under this section shall be equal to or greater than reimbursement to healthcare providers under Medicare, Title XVII of the Social Security Act, 42 U.S.C. § 1395 et seq., as it existed on January 1, 2021.

Amended by Act 2021, No. 779,§ 5, eff. 1/1/2022.

Acts 2005, No. 2236, § 2.

## Nearby sections

- [Ark. Code Ann. § 23-79-1201 Definitions](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C79_S12_S23-79-1201.md)
- [Ark. Code Ann. § 23-79-1202 Coverage - Applicability](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C79_S12_S23-79-1202.md)
- [Ark. Code Ann. § 23-79-1203 Certain activities not prohibited](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C79_S12_S23-79-1203.md)
- [Ark. Code Ann. § 23-79-1204 Exclusions and reductions - Benefits subject to annual deductible and coinsurance](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C79_S12_S23-79-1204.md)
- [Ark. Code Ann. § 23-79-1205 Coverage by participating providers - Selection criteria and utilization protocols - Maximum benefits - Exclusions](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C79_S12_S23-79-1205.md)
- [Ark. Code Ann. § 23-79-1206 Additional benefit costs](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C79_S12_S23-79-1206.md)
- [Ark. Code Ann. § 23-79-1207 Cost-sharing](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C79_S12_S23-79-1207.md)
- [Ark. Code Ann. § 23-79-1208 Referrals to participating providers](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C79_S12_S23-79-1208.md)
- [Ark. Code Ann. § 23-79-1209 Payment of nonparticipating providers](https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C79_S12_S23-79-1209.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_AR_T23_C79_S12_S23-79-1207. Check the current official text before relying on it. Not legal advice.