---
type: "Bill"
title: "TO MANDATE COVERAGE FOR USE OF INTRAVENOUS IMMUNOGLOBULIN TO TREAT CERTAIN PEDIATRIC DISORDERS CAUSED BY INFECTIONS; AND TO DECLARE AN EMERGENCY."
description: "TO MANDATE COVERAGE FOR USE OF INTRAVENOUS IMMUNOGLOBULIN TO TREAT CERTAIN PEDIATRIC DISORDERS CAUSED BY INFECTIONS; AND TO DECLARE AN EMERGENCY."
jurisdiction: "us/states/ar"
legislature: "Arkansas Legislature"
session: "2023"
identifier: "SB 181"
citation: "Arkansas SB 181 (2023)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["K. Hammer", "Warren"]
version_count: 4
action_count: 31
vote_count: 3
first_action: "2023-01-27T20:28:03+00:00"
last_action: "2023-04-13T14:11:46+00:00"
source: "openstates"
source_identifier: "ocd-bill/5be1c479-a157-4d1e-972a-342c20522c2c"
source_url: "ftp://www.arkleg.state.ar.us/SessionInformation/LegislativeMeasures.txt"
source_hash: "67e9265a40d75a52f1c6e106024c530d89691d50d635ec92cca7c211cb36fe47"
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 181 (2023) — TO MANDATE COVERAGE FOR USE OF INTRAVENOUS IMMUNOGLOBULIN TO TREAT CERTAIN PEDIATRIC DISORDERS CAUSED BY INFECTIONS; AND TO DECLARE AN EMERGENCY.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Act 876** (committee substitute) — [source](http://www.arkleg.state.ar.us/Acts/FTPDocument?path=%2FACTS%2F2023R%2FPublic%2F&file=876.pdf&ddBienniumSession=2023%2F2023R)
2. **Amendment H1** (committee substitute) — [source](http://www.arkleg.state.ar.us/Home/FTPDocument?path=%2FAMEND%2F2023R%2FPublic%2FSB181-H1.pdf)
3. **Amendment S1** (committee substitute) — [source](http://www.arkleg.state.ar.us/Home/FTPDocument?path=%2FAMEND%2F2023R%2FPublic%2FSB181-S1.pdf)
4. **SB 181** (committee substitute) — [source](https://www.arkleg.state.ar.us/assembly/2023/2023R/Bills/SB181.pdf)

## Votes

- Read the third time and passed and ordered transmitted to the Senate. — **95–1** (pass) · lower
- Read the third time and passed. — **33–0** (pass) · upper
- Read the third time and passed. — **35–0** (pass) · upper

## Sponsors

- K. Hammer — primary (person)
- Warren — primary (person)

## Timeline

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

- **2023-01-27T20:28:03+00:00** Filed `introduction`
- **2023-01-30T19:28:15+00:00** Read first time, rules suspended, read second time, referred to INSURANCE & COMMERCE - SENATE `reading-1, referral-committee`
- **2023-03-31T21:38:59+00:00** Returned by the Committee with the recommendation that it Do Pass as amended, Amendment # 1 `committee-passage-favorable`
- **2023-04-03T18:16:04+00:00** Placed on second reading for purpose of amendment.
- **2023-04-03T18:16:10+00:00** Amendment # 1 read the first time, rules suspended, read the second time and adopted, ordered engrossed.
- **2023-04-03T20:38:51+00:00** REPORTED CORRECTLY ENGROSSED
- **2023-04-03T21:25:05+00:00** Rules suspended.
- **2023-04-03T21:25:15+00:00** Read the third time and passed. `passage, reading-3`
- **2023-04-03T21:25:17+00:00** EMERGENCY CLAUSE ADOPTED
- **2023-04-03T21:25:23+00:00** Ordered immediately transmitted to the House.
- **2023-04-03T23:13:03+00:00** RECEIVED FROM THE SENATE
- **2023-04-04T00:41:28+00:00** Read the first time, rules suspended, read the second time and referred to the Committee on INSURANCE & COMMERCE- HOUSE `reading-1, reading-2, referral-committee`
- **2023-04-05T16:40:38+00:00** Returned by the Committee with the recommendation that it do pass as amended 1 `committee-passage`
- **2023-04-05T19:19:49+00:00** Placed on second reading for the purpose of amendment.
- **2023-04-05T19:19:54+00:00** Amendment No. 1 read and adopted and the bill ordered engrossed. `amendment-introduction, amendment-passage`
- **2023-04-05T21:45:34+00:00** REPORTED CORRECTLY ENGROSSED
- **2023-04-06T17:36:25+00:00** Read the third time and passed and ordered transmitted to the Senate. `passage, reading-3`
- **2023-04-06T17:37:15+00:00** EMERGENCY CLAUSE ADOPTED
- **2023-04-06T22:59:24+00:00** Returned from the House as passed, as amended # 1
- **2023-04-06T22:59:53+00:00** Re-referred to INSURANCE & COMMERCE - SENATE `referral-committee`
- **2023-04-07T16:20:46+00:00** Returned by the Committee with the recommendation that it Do Pass concur in House Amendment No. 1 `committee-passage-favorable`
- **2023-04-07T16:40:52+00:00** Rules suspended.
- **2023-04-07T16:40:56+00:00** Placed on second reading for purpose of amendment.
- **2023-04-07T16:41:00+00:00** House Amendment No. 1 read first time, rule suspended, read second time and concurred in.
- **2023-04-07T16:41:11+00:00** Rules suspended.
- **2023-04-07T16:41:19+00:00** Read the third time and passed. `passage, reading-3`
- **2023-04-07T16:41:23+00:00** EMERGENCY CLAUSE ADOPTED
- **2023-04-07T16:43:33+00:00** ORDERED ENROLLED
- **2023-04-07T19:20:58+00:00** Reported correctly enrolled and ordered delivered to the Governor.
- **2023-04-07T19:21:00+00:00** DELIVERED TO GOVERNOR. `executive-receipt`
- **2023-04-13T14:11:46+00:00** Notification that SB181 is now Act 876 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/5be1c479-a157-4d1e-972a-342c20522c2c`. Confidence: reported (aggregated from official Arkansas legislature records).