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2025R: HB1004

TO REQUIRE MEDICAID COVERAGE FOR POSTPARTUM MOTHERS FOR ONE YEAR AFTER GIVING BIRTH.

Latest action: Died in Senate Committee at Sine Die adjournment.

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lead
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WhenChamberAction
Nov 20, 2024, 10:28 a.m. CTHouseFiled
Jan 13, 2025, 2:52 p.m. CTHouseRead the first time, rules suspended, read the second time and referred to the Committee on PUBLIC HEALTH, WELFARE AND LABOR COMMITTEE- HOUSE
Mar 20, 2025, 5:58 p.m. CTHouseReturned by the Committee with the recommendation that it do pass as amended 1
Mar 31, 2025, 8:38 a.m. CTHousePlaced on second reading for the purpose of amendment.
Mar 31, 2025, 8:38 a.m. CTHouseAmendment No. 1 read and adopted and the bill ordered engrossed.
Mar 31, 2025, 2:10 p.m. CTHouseREPORTED CORRECTLY ENGROSSED
Apr 1, 2025, 2:49 p.m. CTHouseRead the third time and passed and ordered transmitted to the Senate. ·
Apr 1, 2025, 7:16 p.m. CTSenateRead first time, rules suspended, read second time, referred to PUBLIC HEALTH, WELFARE AND LABOR COMMITTEE - SENATE
May 5, 2025, 1:12 p.m. CTSenateDied in Senate Committee at Sine Die adjournment.

Meetings

WhenMeetingVideo
Mar 18, 2025, 10:00 a.m. CT House Public Health, Welfare, and Labor Committee Meeting · Committee Room 130 Video Add to Google Calendar Add to Apple Calendar
Mar 20, 2025, 10:00 a.m. CT House Public Health, Welfare, and Labor Committee Meeting · Committee Room 130 Video Add to Google Calendar Add to Apple Calendar
Apr 1, 2025, 1:30 p.m. CT House Meeting · House Video Add to Google Calendar Add to Apple Calendar
Apr 9, 2025, 10:00 a.m. CT Senate Public Health Welfare And Labor · Senate Room 272 Video Add to Google Calendar Add to Apple Calendar

Filed amendments on record: H1 (House) by Pilkington, filed Mar 21, 2025, 6:47 a.m. CT: Hall of the House of Representatives 95th General Assembly - Regular Session, 2025 Amendment Form ______________________________________________________________________ Subtitle of House Bill 1004 TO REQUIRE MEDICAID COVERAGE FOR POSTPARTUM MOTHERS FOR ONE YEAR AFTER GIVING BIRTH.

NumberChamberSponsorIntroduced
H1 HousePilkingtonMar 21, 2025, 6:47 a.m. CT

Fiscal impact

Other1 · Apr 2, 2025

HB 1004 - Fiscal ImpactHB 1004 - Fiscal Impact Full Full Population DescriptionPopulation Description Per Update Per Update SFY 2023 Full Pregnant Women SFY 2023 Full Pregnant Women $234 $234 PMPM EstimatePMPM Estimate 10 Months - Per Member$2,340 10 Months - Per Member$2,340 Recipient Active ID Count - No Recipient Active ID Count - No 48194819 New Segment - SFY 2024New Segment - SFY 2024 Full Pregnant Women Coverage - Full Pregnant Women Coverage - $11,276,460 $11,276,460 Additional 10 monthsAdditional 10 months Estimating 70% of Pregnant 69.71%78.80% FMAPwomen - traditional categoryFMAP Estimating 30% of Pregnant 90.00%78.80% ARHOME FMAPwomen - ARHome categoryFMAP Federal Share$8,547,218 Federal Share$8,885,850 State Share$2,729,242 State Share$2,390,610 State Match would still be required to received Federal Match. We would estimate a State Share of $2.4 Million. Utilizing CHIP Admin would cost $339K less in State Share than traditional FMAP. This Bill is not a net cost avoidance. Prepared by Arkansas Department of Human Services $338,632 ($338,632) State Match would still be required to received Federal Match. We would estimate a State Share of $2.4 Million. Utilizing CHIP Adm

Committee actions

  • Do Pass as amended · House · Mar 20, 2025, 5:58 p.m. CT
    Returned by the Committee with the recommendation that it do pass as amended 1

Floor roll calls

House · RCS 809

Tuesday, April 1, 2025 2:49:57 PM · arkleg

71Yea
10Nay
12Not voting
7Present
0Excused

Yea (71)

Nay (10)

Present (7)

Not voting (12)

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In the News

News stories that mention HB1004, found by bill number and title words and filtered for Arkansas coverage. Checked about every 12 hours for bills people follow.

Last checked Nov 12, 2026, 2:10 p.m. CT.

AI Summary

HB1004 seeks to amend Arkansas Code Title 20, Chapter 77, Subchapter 1 by requiring Medicaid coverage for postpartum mothers for a full year after giving birth. SECTION 1 This legislation primarily affects postpartum mothers and mandates actions from the Department of Human Services (DHS). The key provision requires DHS to extend postpartum Medicaid coverage for one year. The bill specifies that if a mother is eligible under the Arkansas Health and Opportunity for Me Act of 2021, § 23-61-1001 et seq., the extended coverage must follow those rules; otherwise, it will be delivered through the traditional Arkansas Medicaid Program. Furthermore, the bill mandates that DHS take necessary action to obtain federal approval—including submitting for a state plan amendment or waiver—to adopt this one-year postpartum coverage. It also requires DHS to request Centers for Medicare & Medicaid Services (CMS) use Children's Health Insurance Program funding for this extension. The bill successfully passed the House of Representatives on April 1, 2025, but its current status is that it died in the Senate Committee at the Sine Die adjournment on May 5, 2025.

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What changed

The bill was amended in the House. On March 31, 2025, Amendment No. 1 was read and adopted by the House, after which the bill was ordered engrossed.

Cached Oct 11, 2026, 2:09 p.m. CT · google/gemma-4-e4b

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