Health Services discusses urgent care rule to improve access in Arkansas

A pivotal discussion on urgent care access took center stage at the Arkansas Public Health - Human Services Subcommittee meeting on May 23, 2025. Elizabeth Pittman from the Division of Medical Services presented a new rule aimed at improving access to urgent care for residents, particularly those who currently face barriers to receiving timely medical attention.

The proposed rule seeks to allow patients to visit urgent care facilities without needing a referral from their primary care physician (PCP). This change is designed to alleviate the pressure on emergency rooms, where many patients are forced to go when they cannot secure a timely appointment with their PCP. Pittman emphasized that the intent of the rule is not to undermine the PCP-patient relationship but to enhance access to care, particularly for those who may not have a PCP or whose PCPs are unavailable.

Under the new guidelines, patients with an assigned PCP would be allowed two urgent care visits without a referral, while those without a PCP could access four visits. The committee discussed the need for clarity around definitions of urgent and emergent care, with some members expressing concerns about the lack of a formal definition for "emergent clinics." This ambiguity raised questions about the effectiveness and implementation of the proposed rule.

Representative Johnson voiced support for the initiative, highlighting the access issues faced by patients in Arkansas and the potential for urgent care facilities to fill gaps in service. However, he also pointed out the existence of "urgent care deserts" in the state, where residents may lack access to these facilities altogether.

The meeting underscored the ongoing challenges in Arkansas's healthcare system, particularly regarding access to urgent care services. As the committee continues to refine the rule, the focus remains on ensuring that all residents can receive timely and appropriate medical care without unnecessary barriers. The next steps will involve further discussions and potential revisions to the rule to address the concerns raised during the meeting.