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---
type: "Bill"
title: "CONCERNING STEP THERAPY REQUIREMENTS FOR CERTAIN PRESCRIPTION DRUGS TO TREAT METASTATIC CANCER."
description: "CONCERNING STEP THERAPY REQUIREMENTS FOR CERTAIN PRESCRIPTION DRUGS TO TREAT METASTATIC CANCER."
jurisdiction: "us/states/ar"
legislature: "Arkansas Legislature"
session: "2019"
identifier: "SB 446"
citation: "Arkansas SB 446 (2019)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["G. Leding"]
version_count: 2
action_count: 24
vote_count: 3
first_action: "2019-02-26"
last_action: "2019-04-05"
source: "openstates"
source_identifier: "ocd-bill/1817e6ff-ec0a-4eb3-9041-134b143a37c6"
source_url: "ftp://www.arkleg.state.ar.us/SessionInformation/LegislativeMeasures.txt"
source_hash: "2a65f94fb353ea999189a6e3a3fe32b30e4a53ac9dd908883c362ba7a8c1d8e0"
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 446 (2019) — CONCERNING STEP THERAPY REQUIREMENTS FOR CERTAIN PRESCRIPTION DRUGS TO TREAT METASTATIC CANCER.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Amendment** (committee substitute) — [source](http://www.arkleg.state.ar.us/Bills/Document?type=pdf&chamber=&source=Amendments&bill=SB446-H1&ddBienniumSession=2019%2F2019R)
2. **SB 446** (committee substitute) — [source](ftp://www.arkleg.state.ar.us/Bills/2019R/Public/Searchable/SB446.pdf)
## Votes
- Read the third time and passed. — **350** (pass) · upper
- Read the third time and passed and ordered transmitted to the Senate. — **910** (pass) · lower
- Read the third time and passed. — **350** (pass) · upper
## Sponsors
- G. Leding — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2019-02-26** Filed `introduction`
- **2019-02-26** Read first time, rules suspended, read second time, referred to INSURANCE & COMMERCE - SENATE `reading-1, referral-committee`
- **2019-02-28** Returned by the Committee, with the recommendation that it Do Pass `committee-passage-favorable`
- **2019-03-04** Read the third time and passed. `passage, reading-3`
- **2019-03-04** Ordered immediately transmitted to the House.
- **2019-03-04** RECEIVED FROM THE SENATE
- **2019-03-04** 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`
- **2019-03-19** Returned by the Committee with the recommendation that it do pass as amended 1 `committee-passage`
- **2019-03-20** Placed on second reading for the purpose of amendment.
- **2019-03-20** Amendment No. 1 read and adopted and the bill ordered engrossed. `amendment-introduction, amendment-passage`
- **2019-03-20** REPORTED CORRECTLY ENGROSSED
- **2019-03-26** Read the third time and passed and ordered transmitted to the Senate. `passage, reading-3`
- **2019-03-26** Returned To Senate as passed, as amended # 1
- **2019-03-26** Returned From the House as passed as amended.
- **2019-03-26** Re-referred to INSURANCE & COMMERCE - SENATE `referral-committee`
- **2019-03-28** Returned by the Committee with the recommendation that it Do Pass concur in House Amendment No. 1 `committee-passage-favorable`
- **2019-04-01** Placed on second reading for purpose of amendment.
- **2019-04-01** House Amendment No. 1 read first time, rule suspended, read second time and concurred in.
- **2019-04-01** Rules suspended.
- **2019-04-01** Read the third time and passed. `passage, reading-3`
- **2019-04-01** ORDERED ENROLLED
- **2019-04-02** Reported correctly enrolled and ordered delivered to the Governor.
- **2019-04-02** DELIVERED TO GOVERNOR. `executive-receipt`
- **2019-04-05** Notification that SB446 is now Act 699 `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/1817e6ff-ec0a-4eb3-9041-134b143a37c6`. Confidence: reported (aggregated from official Arkansas legislature records).