(a)

1. (1) Pursuant to Acts 2021, No. 725, an applicant may receive a waiver of the initial licensure fee, if eligible.

2. (2) Eligible applicants are applicants who:

   1. (A) Are receiving assistance through the:

(i) Arkansas, or current state of residence equivalent, Medicaid Program;

1. (ii) Supplemental Nutrition Assistance Program (SNAP);

   1. (iii) Special Supplemental Nutrition Program for Women, Infants, and Children (WIC);

      1. (iv) Temporary Assistance for Needy Families Program (TEA); or
      2. (v) Lifeline Assistance Program (LAP);
   2. (B) Were approved for unemployment within the last twelve (12) months; or
   3. (C) Have an income that does not exceed two hundred percent (200%) of the federal poverty income guidelines.

(b) Applicants shall provide documentation showing their receipt of benefits from the appropriate state agency:

1. (1) For Medicaid, SNAP, WIC, TEA, or LAP, documentation from the Department of Human Services or current state of residence equivalent agency;
2. (2) For unemployment benefits approval in the last twelve (12) months, the Department of Workforce Services or current state of residence equivalent agency; or

3. (3) For proof of income, copies of all Internal Revenue Service forms indicating applicant’s total personal income for the most recent tax year, e.g., W-2, 1099, etc.

   1. (c) Applicants shall attest that the documentation provided under subsection (b) of this section is a true and correct copy, and fraudulent or fraudulently obtained documentation shall be grounds for denial or revocation of license.