Volume 2; Issue 4                                                  February 19, 2025


April 28 - May 1, 2025 | Oaklawn Racing Casino Resort

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Hotel booking information can be found on the EMS Expo page. 


Stay tuned for the official 2025 Expo agenda 

 

Stay In The Know

Arkansas Legislative Updates

See Latest DBH Weekly Legislative Updates Here
dbhmanagement.com

DBH Management Week 5 Legislative Report 

Week 5 has come and gone, and the pace has definitely picked up. As one member said yesterday afternoon, “it has felt like the last couple of weeks of Session, this week”! Most committee agendas are filling up, but as it has been the past few sessions, the Revenue and Tax committees are hardly meeting. It appears they are not willing to consider any bill that has a general revenue impact, until they are further along on the budget. A few more of the Governor’s bills began moving this week, of course, those do have general revenue impacts, but are not going through Revenue and Tax!! This week also saw the movement of code revision bills. While not exciting to read or listen to, these bills are very important. With a package of them filed in both the House and the Senate, these bills make all of the technical corrections to the code from the past Session. The House and Senate Public Health committees are moving into what we all just call “Scope Week”. They will for the next few meetings, be dealing primarily with bills that impact the scope of practice act of some type of medical provider.  These bills usually fall into one of two categories, they are agreed to by all parties and fly through, or they are not agreed to, and require lots of testimony!

As a follow up to our reporting last week, Senator Breanne Davis appeared with Rep. Deann Vaught before the House State Agencies Committee this week to present SB102. While the first couple of questions she received were about the bill, Representatives Beaty and Wardlaw had questions about the “ice cream incident”. If you would like to watch, it is only about 45 seconds and starts at the 10:20:50 mark here. Additionally, it appears that at least on the House end, the duck controversy has been resolved, as the Mallard received 77 votes in favor of HB1417 on the floor yesterday afternoon. It has been assigned to the Senate State Agencies Committee, so we will see how quickly it takes off next week. 

On other follow up from a couple of weeks ago. While it does not appear to be hostile, and does appear to be to happening on both ends of the Capitol, members of one chamber do not appear to be able to just walk onto the floor of the other chamber. We saw multiple Senators sending in notes to members on the House floor this week as well as House members either texting or sending in notes to their Senators. Again, it was clear they knew what the “rules” were, and did not seem to be upset about it, but for those of us who have been around the Capitol for a long time, it just seems a bit strange. 

Max is officially on board! We are thrilled to be working with her, and she is very excited to be helping you all! Rep. Schulz had another lengthy meeting with Col Hagar this week, as he and Rep. Johnson continue to work on our behalf to see that an EMS Board is established. HB1286, the initial clean up language for Treat, Triage, moved off the House floor with 97 votes this week. 

We remain grateful that you have put your trust in us to represent you at the Arkansas Capitol. Your track is below, and please remember, things are starting to move, so let us know your thoughts and concerns!

Happy Valentine’s Day!

Bruce, Camie, Lee Ann, Michael & Holly


ARAA BILL TRACKING REPORT 02/14/25 

  

  

 HB 1111  

Joint Budget( ) An Act for the Office of the Treasurer of State - Assistance to local law enforcement and emergency medical appropriation for the 2025-2026 fiscal year.
Bill History: 01-23-25 S Emergency clause adopted
01-23-25 H Enrolled in the House - Sent to Governor
01-27-25 G Signed by the Governor (Act: 7)
 HB 1145  

Wooten, Jim(R)
Hill, Ricky(R)
To increase the purchase amount authorized for additional after-market equipment for a new motor vehicle purchased by a county or municipality.
Bill History: 02-13-25 On floor for consideration in the Senate 11:14am
02-13-25 S Passed (Vote Y: 33/N: 0)
02-13-25 H Received from Senate as amended - Calendar
 HB 1165  

Johnson, Lee(R) To prohibit different reimbursement rates for services performed by the same type of provider in different settings within the Arkansas Medicaid program.
Bill History: 01-16-25 H Introduced and referred to H-Public Health, Welfare and Labor
01-21-25 H Meeting set for Upon adjournment - Room 130, H-Public Health, Welfare and Labor 
01-27-25 H Moved to deferred list H-Public Health, Welfare and Labor
 HB 1166  

Johnson, Lee(R)
Penzo, Clint(R)
To clarify the types of epinephrine for use in elementary and secondary schools in this state.
Bill History: 02-13-25 H Meeting set for 10:00 a.m. - Room 130, H-Public Health, Welfare and Labor 
02-12-25 H Amendment(s) Filed
02-13-25 H Amendment 2 adopted 
 HB 1168  

Johnson, Lee(R) To provide criminal immunity for healthcare professionals for negligent acts or omissions.
Bill History: 01-21-25 H Moved to deferred list H-Judiciary
01-28-25 H Motion to withdraw from committee carried H-Judiciary
01-28-25 H Withdrawn from further consideration
 HB 1169  

Johnson, Lee(R) To clarify the admission criteria for an involuntary commitment to include a person who is in a mental condition as a result of a medical condition.
Bill History: 01-30-25 H Amendment 1 adopted 
02-05-25 H Amendment(s) Filed
02-06-25 H Amendment 2 adopted 
 HB 1172  

Johnson, Lee(R) To add definitions to the Medicaid Fairness Act to ensure that all rule enforcement actions are appealable.
Bill History: 01-16-25 H Introduced and referred to H-Public Health, Welfare and Labor
01-21-25 H Meeting set for Upon adjournment - Room 130, H-Public Health, Welfare and Labor 
01-27-25 H Moved to deferred list H-Public Health, Welfare and Labor
 HB 1176  

Joint Budget( ) An Act for the Department of Public Safety - Division of Emergency Management appropriation for the 2025-2026 fiscal year.
Bill History: 01-21-25 H Filed
01-21-25 H Introduced and referred to Joint Budget
 HB 1186  

Vaught, DeAnn(R)
Penzo, Clint(R)
To create the Pain Relief Parity Act; and to require pain relief parity in the Arkansas Medicaid Program.
Bill History: 02-13-25 H Placed on the House calendar
02-13-25 H Passed (Vote Y: 95/N: 0)
02-13-25 S Received in the Senate - Referred to S-Public Health, Welfare and Labor
 HB 1191  

Joint Budget( ) An Act for the Department of Public Safety appropriation for the 2025-2026 fiscal year.
Bill History: 01-22-25 H Filed
01-22-25 H Introduced and referred to Joint Budget
 HB 1204  

Eubanks, Jon(R)
Irvin, Missy(R)
To establish recovery of damages for necessary medical care, treatment, or services rendered.
Bill History: 02-06-25 S Passed (Vote Y: 18/N: 17)
02-06-25 H Enrolled in the House - Sent to Governor
02-11-25 G Signed by the Governor (Act: 28)
 HB 1253  

Johnson, Lee(R) To adopt the Emergency Medical Services Personnel Licensure Interstate Compact in Arkansas.
Bill History: 01-27-25 H Introduced and referred to H-Public Health, Welfare and Labor
02-13-25 H Set for special order of business on, H-Public Health, Welfare and Labor 
02-13-25 H Meeting set for 10:00 a.m. - Room 130, H-Public Health, Welfare and Labor 
 HB 1275  

Cavenaugh, Frances(R)
Johnson, Blake(R)
To prohibit prior authorizations for healthcare services provided for treatment of a mental health crisis.
Bill History: 01-27-25 H Filed
01-27-25 H Introduced and referred to H-Public Health, Welfare and Labor
02-11-25 H Meeting set for 10:00 a.m. - Room 130, H-Public Health, Welfare and Labor 
 HB 1285  

Johnson, Lee(R) To establish an exemption program for ambulance service's operators for certain healthcare services.
Bill History: 01-28-25 H Filed
01-29-25 H Introduced and referred to H-Public Health, Welfare and Labor
01-31-25 H Moved to deferred list H-Public Health, Welfare and Labor
 HB 1286  

Johnson, Lee(R) To amend the Arkansas Triage, Treat, and Transport to Alternative Destination Act.
Bill History: 02-12-25 On floor for consideration in the House 2:15pm
02-12-25 H Passed (Vote Y: 97/N: 1)
02-12-25 S Received in the Senate - Referred to S-Insurance and Commerce
 HB 1287  

Johnson, Lee(R)
Irvin, Missy(R)
To amend the Healthcare Contracting Simplification Act; to define "downcode" under the Healthcare Contracting Simplification Act; and to require notification by contracting entities of downcoding.
Bill History: 02-11-25 On floor for consideration in the House 2:03pm
02-11-25 H Passed (Vote Y: 99/N: 0)
02-11-25 S Received in the Senate - Referred to S-Insurance and Commerce
 HB 1294  

Johnson, Lee(R) To allow an ambulance service to order certain types of healthcare services without a referral from a physician; and to mandate insurance coverage for an ambulance service to order certain types of healthcare services.
Bill History: 01-29-25 H Filed
01-29-25 H Introduced and referred to H-Insurance and Commerce
02-12-25 H Meeting set for 10:00 a.m. - Room 149, H-Insurance and Commerce 
 HB 1295  

Johnson, Lee(R)
Irvin, Missy(R)
To create the Healthcare Cost-Sharing Collections Act.
Bill History: 01-29-25 H Filed
01-29-25 H Introduced and referred to H-Insurance and Commerce
02-12-25 H Meeting set for 10:00 a.m. - Room 149, H-Insurance and Commerce 
 HB 1296  

Johnson, Lee(R)
Irvin, Missy(R)
To mandate coverage for healthcare services provided in mobile units.
Bill History: 01-29-25 H Filed
01-29-25 H Introduced and referred to H-Insurance and Commerce
02-12-25 H Meeting set for 10:00 a.m. - Room 149, H-Insurance and Commerce 
 HB 1298  

Johnson, Lee(R)
Irvin, Missy(R)
To modify payment of benefits for certain healthcare providers under a health benefit plan.
Bill History: 02-10-25 H Amendment(s) Filed
02-11-25 H Amendment 1 adopted 
02-12-25 H Committee hearing set for 10:00 a.m. - Room 149, H-Insurance and Commerce 
 HB 1299  

Johnson, Lee(R)
Irvin, Missy(R)
To prohibit healthcare insurers from exercising recoupment for payment of healthcare services more than one year after the payment for healthcare services was made.
Bill History: 01-29-25 H Introduced and referred to H-Insurance and Commerce
02-05-25 H Meeting set for 10:00 a.m. - Room 149, H-Insurance and Commerce 
02-04-25 H Moved to deferred list H-Insurance and Commerce
 HB 1300  

Johnson, Lee(R)
Irvin, Missy(R)
To amend the Prior Authorization Transparency Act.
Bill History: 01-29-25 H Introduced and referred to H-Insurance and Commerce
02-05-25 H Meeting set for 10:00 a.m. - Room 149, H-Insurance and Commerce 
02-04-25 H Moved to deferred list H-Insurance and Commerce
 HB 1301  

Johnson, Lee(R)
Irvin, Missy(R)
To amend exemptions and requirements under the Prior Authorization Transparency Act.
Bill History: 02-04-25 H Amendment(s) Filed
02-04-25 H Moved to deferred list H-Insurance and Commerce
02-05-25 H Amendment 1 adopted 
 HB 1314  

Johnson, Lee(R)
Irvin, Missy(R)
To amend the law concerning certain audits of healthcare providers; and to create the Arkansas Medical Audit Bill of Rights Act.
Bill History: 01-29-25 H Introduced and referred to H-Insurance and Commerce
02-05-25 H Meeting set for 10:00 a.m. - Room 149, H-Insurance and Commerce 
02-04-25 H Moved to deferred list H-Insurance and Commerce
 HB 1315  

Torres, Randy(R)
Dees, Tyler(R)
To authorize a blood type designation to be placed on a driver's license or identification card.
Bill History: 02-13-25 H Passed (Vote Y: 98/N: 0)
02-13-25 S Received in the Senate - Referred to S-Transportation, Technology & Leg. Affairs
02-17-25 S Meeting set for Upon adjournment - Old Supreme Court, S-Transportation, Technology & Leg. Affairs 
 HB 1320  

Wooldridge, Jeremy(R)
Tucker, Clarke(D)
To amend the law concerning crisis stabilization units and healthcare insurers.
Bill History: 01-30-25 H Filed
01-30-25 H Introduced and referred to H-Insurance and Commerce
02-12-25 H Meeting set for 10:00 a.m. - Room 149, H-Insurance and Commerce 
 HB 1398  

Johnson, Lee(R) To require schools to support, establish, and implement a cardiac emergency response plan that integrates nationally recognized elements.
Bill History: 02-04-25 H Filed
02-04-25 H Introduced and referred to H-Education
02-13-25 H Meeting set for 10:00 a.m. - Room 138, H-Education 
 HB 1475  

Carr, Joey(R)
Crowell, Steve(R)
To authorize the use of green lights, to amend the restrictions on lamp colors, to amend the colors of lights that may be used by emergency vehicles, and to define a roadway construction or maintenance vehicle.
Bill History: 02-13-25 H Filed
02-13-25 H Introduced and referred to H-Public Transportation
 SB 226  

Leding, Greg(D)
McKenzie, Brit(R)
To amend the Sudden Cardiac Arrest Prevention Act and to modify the requirements for professional development in school districts related to sudden cardiac arrest.
Bill History: 02-13-25 S Filed
02-13-25 S Introduced and referred to S-Education
02-17-25 S Meeting set for 10:00 a.m. - Room 207, S-Education 
   All     Track   
Total Bills: 29   0  

2025 Legislative Session Dates & Deadlines

Arkansas State Chamber of Commerce Daily Legislative Updates

On the Horizon

Winter CJAA Meeting - Learn More Here

The ArAA is sponsoring a booth at the County Judges Association of Arkansas meeting from February 26–28, 2025, at the Wyndham Hotel in North Little Rock.

Email admin@aaaintouch.com if interested in working the booth and/or attending dinner and/or lunch.

Learn More

The Stars of Life Celebration will be held at the State Capitol on March 12, 2025. Sponsor, attend, & help shape the industry's future while gaining valuable recognition for your team and organization.

Click Here to Submit Nominations

Industry Insights

JEMS: EMS Staffing White Paper Released by NAEMT

Emergency Medical Services (EMS) play a critical role in saving lives and protecting communities. While traditional models focus on rapid response and ALS staffing, research shows that most EMS calls don’t require lifesaving interventions. This presents an opportunity to optimize resources while continuing to deliver high-quality care.

Key Challenges Faced by EMS:

  • Workforce Shortages: Despite an increase in certified EMTs and paramedics, EMS agencies struggle to fill field positions due to low wages, burnout, and competition from other healthcare sectors.
  • Financial Strain: EMS agencies often operate under financial pressure, with reimbursement rates falling short of covering operational costs, leading to service cuts and staff reductions.
  • Unrealistic Expectations: While fast response times are important in critical cases, studies show that for most calls, patient outcomes are not impacted by rapid arrival times, allowing for smarter deployment strategies.

Solutions to Empower EMS:

  • Tiered Response Models: Implementing a combination of ALS and BLS responses ensures critical patients receive advanced care while maintaining system efficiency.
  • Evidence-Based Response Times: Aligning response time goals with clinical needs prioritizes patient outcomes and reduces unnecessary strain on EMS resources.
  • Innovative Dispatch Strategies: Utilizing triage systems, telemedicine, and non-ambulance personnel for low-acuity calls ensures ambulances remain available for life-threatening emergencies.

Conclusion:
EMS providers are the backbone of community health and safety. By embracing data-driven strategies and flexible response models, we can strengthen EMS systems, support frontline providers, and ensure high-quality care for every patient. Investing in EMS means investing in safer, healthier communities.


Read More Here

EMS1: Cultivating EMS Educators

The EMS1 podcast episode "Cultivating EMS Educators: The Role of Mentorship" features Jonathan Jenkins and surprise guest Mike Taigman discussing the critical role of mentorship in developing new EMS educators. They share insights, personal stories, and practical advice on how mentorship can help EMS educators thrive. Whether you're an aspiring EMS educator or a seasoned professional, this conversation highlights the power of mentorship in the EMS field. 
Listen Here

EMS1: Why emergency medical services are vital to our healthcare system

Emergency Medical Services (EMS) play a crucial role in healthcare by providing rapid, community-based medical care beyond just life-threatening emergencies. In 2021, fire departments alone responded to 25 million medical calls, with over 85% being non-emergency situations, such as chronic disease management, mental health crises, and support for vulnerable populations.

EMS reduces hospital overcrowding, supports unhoused individuals, and fills gaps in behavioral health care. Innovative models like community paramedics, mobile crisis teams, and triaged 911 responses expand EMS’s reach.

To strengthen EMS, the system needs better data sharing, expanded reimbursement, broader paramedic roles, redefined first responder criteria, improved dispatch coordination, and more patient care destinations. Embracing these changes can create a more efficient, equitable, and community-focused healthcare system.

Read More Here

Arkansas Health Update


Respiratory Virus - % of Emergency Department Visits - CDC Data

The data is updated by the CDC weekly and can be accessed here.

Upcoming Events

February 26 - 28, 2025: Arkansas Winter County Judges Conference

March 5 - 9, 2025: NWA Fire EMS Conference

March 12, 2025: Arkansas Stars of Life

April 29, 30, & May 1, 2025: 2025 Southern Regional EMS Expo


Resources

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ArAA Mission

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Arkansas Ambulance Association  

P.O. Box 11330 El Dorado, AR 71730

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