---
type: "Bill"
title: "TO AUTHORIZE THE ARKANSAS MEDICAID PROGRAM TO RECOGNIZE AN ADVANCED PRACTICE REGISTERED NURSE AS A PRIMARY CARE PROVIDER."
description: "TO AUTHORIZE THE ARKANSAS MEDICAID PROGRAM TO RECOGNIZE AN ADVANCED PRACTICE REGISTERED NURSE AS A PRIMARY CARE PROVIDER."
jurisdiction: "us/states/ar"
legislature: "Arkansas Legislature"
session: "2021"
identifier: "HB 1254"
citation: "Arkansas HB 1254 (2021)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["K. Hammer", "Wardlaw"]
version_count: 4
action_count: 22
vote_count: 3
first_action: "2021-01-25T19:43:30+00:00"
last_action: "2021-04-05T18:11:37+00:00"
source: "openstates"
source_identifier: "ocd-bill/0782191a-5ffe-4515-a9e3-7d013269f3c0"
source_url: "ftp://www.arkleg.state.ar.us/SessionInformation/LegislativeMeasures.txt"
source_hash: "01eca7d332f47c7d6404d4370bc50a6e1305a836c51ff2bd2cb39cd62dd7f7cb"
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 HB 1254 (2021) — TO AUTHORIZE THE ARKANSAS MEDICAID PROGRAM TO RECOGNIZE AN ADVANCED PRACTICE REGISTERED NURSE AS A PRIMARY CARE PROVIDER.

## 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%2FHB1254-H1.pdf)
2. **Amendment H2** (committee substitute) — [source](http://www.arkleg.state.ar.us/Bills/FTPDocument?path=%2FAMEND%2F2021R%2FPublic%2FHB1254-H2.pdf)
3. **Amendment S1** (committee substitute) — [source](http://www.arkleg.state.ar.us/Bills/FTPDocument?path=%2FAMEND%2F2021R%2FPublic%2FHB1254-S1.pdf)
4. **HB 1254** (committee substitute) — [source](ftp://www.arkleg.state.ar.us/Bills/2021R/Public/Searchable/HB1254.pdf)

## Votes

- Read the third time and passed. — **20–9** (pass) · upper
- Senate amendment # 1 read and concurred in. — **79–6** (pass) · lower
- Read the third time and passed and ordered transmitted to the Senate. — **63–20** (pass) · lower

## Sponsors

- K. Hammer — primary (person)
- Wardlaw — primary (person)
- Dotson — cosponsor (person)
- M. Gray — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2021-01-25T19:43:30+00:00** Filed `introduction`
- **2021-01-25T21:39:46+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`
- **2021-02-23T19:04:14+00:00** Returned by the Committee with the recommendation that it do pass as amended 1 `committee-passage`
- **2021-02-24T14:24:20+00:00** Placed on second reading for the purpose of amendment.
- **2021-02-24T14:24:29+00:00** Amendment No. 1 & 2 read and adopted and the bill ordered engrossed.
- **2021-02-24T17:40:36+00:00** REPORTED CORRECTLY ENGROSSED
- **2021-02-25T19:36:27+00:00** Read the third time and passed and ordered transmitted to the Senate. `passage, reading-3`
- **2021-02-25T22:31:16+00:00** Received from the House.
- **2021-02-25T22:31:37+00:00** Read first time, rules suspended, read second time, referred to PUBLIC HEALTH, WELFARE AND LABOR COMMITTEE - SENATE `reading-1, referral-committee`
- **2021-03-16T18:37:37+00:00** Returned by the Committee with the recommendation that it Do Pass as amended, Amendment # 1 `committee-passage-favorable`
- **2021-03-17T18:18:07+00:00** Placed on second reading for purpose of amendment.
- **2021-03-17T18:18:18+00:00** Amendment # 1 read the first time, rules suspended, read the second time and adopted, ordered engrossed.
- **2021-03-17T20:48:52+00:00** REPORTED CORRECTLY ENGROSSED
- **2021-03-18T21:18:05+00:00** Read the third time and passed. `passage, reading-3`
- **2021-03-18T21:18:23+00:00** Returned To the House as passed as amended.
- **2021-03-18T23:46:53+00:00** Returned From Senate as passed, as amended # 1
- **2021-03-18T23:47:15+00:00** Re-referred to the Committee on PUBLIC HEALTH, WELFARE AND LABOR COMMITTEE- HOUSE `referral-committee`
- **2021-03-30T23:29:28+00:00** Returned by the Committee with the recommendation that it do pass, concur in Senate Amendment No. 1 `committee-passage`
- **2021-03-31T18:16:36+00:00** Senate amendment # 1 read and concurred in.
- **2021-03-31T18:16:39+00:00** TO BE ENROLLED
- **2021-04-01T13:48:53+00:00** Correctly enrolled and ordered transmitted to the Governor's Office.
- **2021-04-05T18:11:37+00:00** Notification that HB1254 is now Act 569 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/0782191a-5ffe-4515-a9e3-7d013269f3c0`. Confidence: reported (aggregated from official Arkansas legislature records).