Legislation: batch A — AK AL AR AZ CO CT DE GA HI IA ID

Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>

legislation/us/states/ar/2021/sb-639.md

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+---
+type: "Bill"
+title: "TO AUTHORIZE OFF-LABEL USE OF DRUG TREATMENTS TO TREAT PATIENTS DIAGNOSED WITH PEDIATRIC ACUTE-ONSET NEUROPSYCHIATRIC SYNDROME AND PEDIATRIC AUTOIMMUNE NEUROPSYCHIATRIC DISORDERS ASSOCIATED WITH STREPTOCOCCAL INFECTION."
+description: "TO AUTHORIZE OFF-LABEL USE OF DRUG TREATMENTS TO TREAT PATIENTS DIAGNOSED WITH PEDIATRIC ACUTE-ONSET NEUROPSYCHIATRIC SYNDROME AND PEDIATRIC AUTOIMMUNE NEUROPSYCHIATRIC DISORDERS ASSOCIATED WITH STREPTOCOCCAL INFECTION."
+jurisdiction: "us/states/ar"
+legislature: "Arkansas Legislature"
+session: "2021"
+identifier: "SB 639"
+citation: "Arkansas SB 639 (2021)"
+classification: ["bill"]
+subjects: []
+status: "enacted"
+primary_sponsors: ["Cloud", "K. Hammer"]
+version_count: 3
+action_count: 27
+vote_count: 3
+first_action: "2021-04-06T18:33:00+00:00"
+last_action: "2021-04-30T19:26:36+00:00"
+source: "openstates"
+source_identifier: "ocd-bill/2c347892-a3ae-4077-8651-a3214fed9b78"
+source_url: "ftp://www.arkleg.state.ar.us/SessionInformation/LegislativeMeasures.txt"
+source_hash: "a0f648c2057da2073c09da195f7026aaa9459980299dec5605fba76f7e559807"
+vintage: "2026-07-01"
+source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
+retrieved_at: "2026-07-06"
+confidence: "reported"
+tags: ["legislation", "bill", "us-ar"]
+---
+
+# Arkansas SB 639 (2021) — TO AUTHORIZE OFF-LABEL USE OF DRUG TREATMENTS TO TREAT PATIENTS DIAGNOSED WITH PEDIATRIC ACUTE-ONSET NEUROPSYCHIATRIC SYNDROME AND PEDIATRIC AUTOIMMUNE NEUROPSYCHIATRIC DISORDERS ASSOCIATED WITH STREPTOCOCCAL INFECTION.
+
+## Version chain
+
+The bill's text revisions, in order — the diff chain from filing to enrollment.
+
+1. **Amendment H1** (committee substitute) — [source](http://www.arkleg.state.ar.us/Bills/FTPDocument?path=%2FAMEND%2F2021R%2FPublic%2FSB639-H1.pdf)
+2. **Amendment S1** (committee substitute) — [source](http://www.arkleg.state.ar.us/Bills/FTPDocument?path=%2FAMEND%2F2021R%2FPublic%2FSB639-S1.pdf)
+3. **SB 639** (committee substitute) — [source](ftp://www.arkleg.state.ar.us/Bills/2021R/Public/Searchable/SB639.pdf)
+
+## Votes
+
+- Read the third time and passed. — **33–0** (pass) · upper
+- Read the third time and passed. — **35–0** (pass) · upper
+- Read the third time and passed and ordered transmitted to the Senate. — **94–0** (pass) · lower
+
+## Sponsors
+
+- Cloud — primary (person)
+- K. Hammer — primary (person)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2021-04-06T18:33:00+00:00** Filed `introduction`
+- **2021-04-06T19:29:47+00:00** Read first time, rules suspended, read second time, referred to INSURANCE & COMMERCE - SENATE `reading-1, referral-committee`
+- **2021-04-13T22:30:33+00:00** Returned by the Committee with the recommendation that it Do Pass as amended, Amendment # 1 `committee-passage-favorable`
+- **2021-04-15T18:48:27+00:00** Placed on 2nd Reading for purpose of Amendment#1.
+- **2021-04-15T18:48:46+00:00** Amendment # 1 read the first time, rules suspended, read the second time and adopted, ordered engrossed.
+- **2021-04-15T21:53:32+00:00** REPORTED CORRECTLY ENGROSSED
+- **2021-04-19T18:51:50+00:00** Read the third time and passed. `passage, reading-3`
+- **2021-04-19T18:55:11+00:00** Ordered immediately transmitted to the House.
+- **2021-04-19T22:15:36+00:00** RECEIVED FROM THE SENATE
+- **2021-04-19T23:11:19+00:00** Read the first time, rules suspended, read the second time and referred to the Committee on PUBLIC HEALTH, WELFARE AND LABOR COMMITTEE- HOUSE `reading-1, reading-2, referral-committee`
+- **2021-04-21T00:49:16+00:00** Returned by the Committee with the recommendation that it do pass as amended 1 `committee-passage`
+- **2021-04-21T13:39:29+00:00** Placed on second reading for the purpose of amendment.
+- **2021-04-21T13:39:32+00:00** Amendment No. 1 read and adopted and the bill ordered engrossed. `amendment-introduction, amendment-passage`
+- **2021-04-21T16:22:09+00:00** REPORTED CORRECTLY ENGROSSED
+- **2021-04-21T21:16:57+00:00** Read the third time and passed and ordered transmitted to the Senate. `passage, reading-3`
+- **2021-04-21T21:17:06+00:00** Returned To Senate as passed, as amended # 1
+- **2021-04-22T03:02:10+00:00** Returned from the House as passed, as amended, Amendment #1.
+- **2021-04-22T03:02:22+00:00** Re-referred to INSURANCE & COMMERCE - SENATE `referral-committee`
+- **2021-04-26T18:18:43+00:00** Returned by the Committee with the recommendation that it Do Pass concur in House Amendment No. 1 `committee-passage-favorable`
+- **2021-04-27T16:05:07+00:00** Placed on second reading for purpose of amendment.
+- **2021-04-27T16:05:17+00:00** House Amendment No. 1 read first time, rule suspended, read second time and concurred in.
+- **2021-04-27T16:05:28+00:00** Rules suspended.
+- **2021-04-27T16:05:50+00:00** Read the third time and passed. `passage, reading-3`
+- **2021-04-27T16:06:00+00:00** ORDERED ENROLLED
+- **2021-04-27T18:55:46+00:00** Reported correctly enrolled and ordered delivered to the Governor.
+- **2021-04-27T18:55:52+00:00** DELIVERED TO GOVERNOR. `executive-receipt`
+- **2021-04-30T19:26:36+00:00** Notification that SB639 is now Act 1054 `executive-signature`
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/2c347892-a3ae-4077-8651-a3214fed9b78`. Confidence: reported (aggregated from official Arkansas legislature records).
+