District 45 · 5th Term

About

Meet Aaron Pilkington

Aaron Pilkington is a proud Arkansan, devoted husband to Emmaline, and father of four. Born in Fort Smith in 1990, he built his career in healthcare administration, working for ARcare and earning his Master's degree from the University of Arkansas for Medical Sciences (UAMS). He brings that professional expertise to work for District 45 every session in the State Capitol.

First elected in 2016, Aaron has served five consecutive terms in the Arkansas House representing portions of Johnson and Pope counties. In 2024 he won re-election with 76.7% of the vote. He holds an A+ rating from the NRA, maintains a 100% pro-life voting record, and serves as Chair of the House Human Services Subcommittee, Co-Chair of the Joint Budget Peer Review committee, and Co-Chair of the bipartisan Arkansas Future Caucus.

Prior to running for office, Aaron served as a campaign manager for Republican candidates and was driven to seek office by a desire to represent conservative constituents more authentically — with limited government, individual responsibility, and empirical solutions for the real challenges facing rural Arkansas.

5th

Term

A+

NRA

100%

Pro-Life

76.7%

2024 Vote

2017

First Elected

The Issues

Where Aaron Stands

Aaron's priorities are shaped by the people of Johnson and Pope counties — hardworking Arkansans who deserve a representative who fights for them every single day.

Core Conviction

Sanctity of Life

Aaron is 100% pro-life — without exception. He believes every human life is sacred from conception to natural death and has a perfect pro-life voting record across every session in Little Rock. His Healthy Moms, Healthy Babies Act (Act 124) reflects his conviction that protecting life includes caring for mothers throughout pregnancy and beyond — investing $45.3 million annually in maternal health outcomes.

100% Pro-Life

Second Amendment

Right to Keep and Bear Arms

Aaron holds an A+ rating from the National Rifle Association. He sponsored the Aaron Pilkington Act (2023) protecting concealed carry rights for medical marijuana cardholders, championed Stand Your Ground legislation (2021), and authored the Second Amendment Financial Privacy Act to prevent financial institutions from tracking gun purchases. He will never compromise on the Second Amendment.

NRA Rated A+

Healthcare

Access for Rural Arkansans

As a healthcare administrator at ARcare with a Master's from UAMS, Aaron is one of the most qualified voices on healthcare in the legislature. He authored the Healthy Moms, Healthy Babies Act, expanded APRN delegation authority to address rural physician shortages, advanced the Interstate Medical Licensure Compact, and chairs the House Human Services Subcommittee directing reviews of social services statewide.

Chair, Human Services Subcommittee

Fiscal Policy

Responsible Government Spending

As Co-Chair of the Joint Budget Peer Review committee, Aaron directly oversees how Arkansas spends its approximately $6.49 billion general revenue budget. He co-sponsored the Grocery Tax Relief Act to eliminate the state grocery tax, has advanced income tax reduction legislation, and consistently fights to eliminate government waste while maintaining Arkansas's strong reserve funds.

Co-Chair, Joint Budget Peer Review

Bipartisan Leadership

Arkansas Future Caucus

As Co-Chair of the bipartisan Arkansas Future Caucus, Aaron works with young legislators from both parties to develop long-range solutions to Arkansas's challenges — from healthcare and broadband access to workforce development and economic opportunity in rural communities.

Co-Chair, Bipartisan

District 45

Rural Arkansas & Local Communities

Aaron is committed to investment in Johnson and Pope counties — in infrastructure, broadband, and economic development. He co-sponsored the Grocery Tax Relief Act, the Generating Arkansas Jobs Act, and multiple economic development bills directing state funding toward new and small businesses. He stays deeply connected to Russellville, Clarksville, Knoxville, and the surrounding communities.

His Record

Landmark Legislation

Aaron has sponsored or co-sponsored dozens of bills across five terms. Below are the major pieces of legislation he has led — many now signed into Arkansas law.

HB1427 · Act 124 of 2025

Healthy Moms, Healthy Babies Act

Aaron's signature legislation. Signed into law, this act invests an estimated $45.3 million annually to combat Arkansas's low national rankings in maternal and infant health. It extends postpartum Medicaid coverage from 60 days to one full year, establishes presumptive eligibility for pregnant women, unbundles global maternity payments to increase rural provider participation, and expands reimbursement for remote ultrasounds and fetal nonstress tests.

Signed into Law

HB1046 · Act 16 of 2025

Blue Envelope Program

Establishes Arkansas's Blue Envelope Program, equipping individuals with autism or other communication challenges with a blue envelope containing key personal and medical information to facilitate safe, informed interactions with law enforcement during traffic stops.

Signed into Law

HB1131 · Act 959 of 2025

Advanced Practice Registered Nurses — Delegation Authority

Authorizes Advanced Practice Registered Nurses to delegate certain clinical tasks to medical assistants and other unlicensed staff, expanding the capacity of rural healthcare providers and addressing physician shortages in underserved areas of Arkansas.

Signed into Law

HB1690 · Act 583 of 2025

Nuclear Planning Transfer — Emergency Management

Transfers the Nuclear Planning and Response Program from the Department of Health to the Division of Emergency Management, streamlining emergency response coordination and ensuring clearer lines of authority in the event of a nuclear or radiological incident in Arkansas.

Signed into Law

HB1455 · Act 500 of 2025

Private Clubs & Small Brewery Direct Sales

Authorizes certain private clubs to purchase products directly from small brewery permit holders under exclusive agreements, supporting Arkansas's small business and craft brewing sector.

Signed into Law

HB1443 · 2025 Session

Second Amendment Financial Privacy Act

Sought to bar financial institutions and payment networks from imposing merchant category codes on firearm and ammunition transactions, preventing de facto tracking and discrimination against law-abiding gun purchasers. Backed by the NRA.

Advocacy Continues

HB1784 · Aaron Pilkington Act · 2023

Second Amendment Rights for Medical Marijuana Cardholders

Prohibits state agencies from denying concealed carry permits to medical marijuana cardholders solely based on their status. Signed into law on March 13, 2023, affirming that Arkansas state law protects the Second Amendment rights of law-abiding medical patients.

Signed into Law

Full Record

Bills Signed into Law — 95th General Assembly

The following bills sponsored or co-sponsored by Rep. Pilkington were enacted into Arkansas law during the 2025 legislative session.

Act	Bill	Title	Role
Act 16	HB1046	Blue Envelope Program	Primary Sponsor
Act 124	HB1427	Healthy Moms, Healthy Babies Act	Primary Sponsor
Act 500	HB1455	Private Clubs & Small Brewery Direct Sales	Primary Sponsor
Act 583	HB1690	Nuclear Planning Transfer to Emergency Management	Primary Sponsor
Act 959	HB1131	APRN Delegation to Medical Assistants	Primary Sponsor
Act 123	SB59	Free Student Breakfast Program	Primary Sponsor (Senate)
Act 140	SB213	Healthy Moms, Healthy Babies Act (Senate companion)	Primary Sponsor (Senate)
Act 269	SB119	Interstate Medical Licensure Compact	Primary Sponsor (Senate)
Act 491	SB305	Marijuana Product Testing Requirements	Primary Sponsor (Senate)
Act 567	SB348	Diagnostic Laboratory Services Medicaid Cap	Primary Sponsor (Senate)
Act 591	SB322	Third-Party Plan Reviews & Site Inspections	Primary Sponsor (Senate)
Act 623	SB576	Continuous Glucose Monitor Medicaid Coverage	Primary Sponsor (Senate)
Act 885	SB241	Paid Bereavement Leave for Public Employees	Primary Sponsor (Senate)
Act 28	HB1204	Recovery of Damages for Medical Care	Co-Sponsor
Act 158	HB1437	Sex Offender Restrictions at Water Parks & Playgrounds	Co-Sponsor
Act 302	HB1489	Nitrogen Gas Execution Method	Co-Sponsor
Act 473	HB1561	Research and Education Protection Act of 2025	Co-Sponsor
Act 604	HB1745	Commercial Driver License & English Proficiency Requirements	Co-Sponsor
Act 622	SB9	Make Arkansas Healthy Again Act (food additive prohibitions)	Co-Sponsor (Senate)
Act 701	SB530	Wood Energy Products & Forest Maintenance Tax Credit	Co-Sponsor (Senate)
Act 709	HB1657	Wood Energy Products Tax Credit	Co-Sponsor
Act 774	SB527	Medicaid Provider-Led Organized Care — Medical Loss Ratio	Co-Sponsor (Senate)
Act 806	HB1680	Foreign Party Land Ownership Prohibitions	Co-Sponsor
Act 811	HB1679	Revised Anatomical Gift Act Amendments	Co-Sponsor
Act 827	HB1529	Deepfake Criminal Offense & Civil Cause of Action	Co-Sponsor
Act 833	HB1833	University of Arkansas College of Medicine Admissions	Co-Sponsor
Act 937	HB1352	Actions Related to Certain Foreign Entities	Co-Sponsor
Act 943	HB1604	Prohibition on Chinese-Made Promotional Items with Public Funds	Co-Sponsor
Act 1008	HB1685	Grocery Tax Relief Act — Grocery Sales Tax Exemption	Co-Sponsor

In Office

Committee Service & Leadership

For the 95th General Assembly, Rep. Pilkington holds leadership roles on committees shaping healthcare, state finances, and local governance across Arkansas.

Chair · Leadership

House Human Services Subcommittee
(under Public Health, Welfare & Labor)

Aaron chairs the House Human Services Subcommittee, directing targeted reviews of Arkansas social services and welfare programs. Drawing on his background in healthcare administration, he brings professional expertise to oversight of the programs that serve the state's most vulnerable residents.

Co-Chair · Leadership

Joint Budget Peer Review

As Co-Chair of the Joint Budget Peer Review committee, Aaron oversees scrutiny of Arkansas state agency spending across the approximately $6.49 billion general revenue budget. He focuses on identifying inefficiencies, resisting unfunded mandates, and ensuring every taxpayer dollar is spent with accountability and purpose.

Co-Chair · Bipartisan

Arkansas Future Caucus

Aaron co-chairs the bipartisan Arkansas Future Caucus, a network of young legislators from both parties committed to long-range, innovative solutions to Arkansas's most pressing long-term challenges — from rural healthcare and workforce development to infrastructure and economic growth.

Member

House Public Health, Welfare & Labor Committee

Aaron serves on the full committee, leveraging his Master's in Healthcare Administration from UAMS and his career at ARcare to contribute to deliberations on healthcare delivery, labor regulations, and welfare policy affecting all Arkansans.

Member

House City, County & Local Affairs Committee

Aaron works directly with local government leaders from Johnson and Pope counties, ensuring state policy serves the needs of District 45's cities, towns, and rural communities — on issues from municipal governance to local infrastructure funding.

Contact

Get in Touch

Reach Rep. Pilkington

D

District Office264 Private Road 2611
Knoxville, AR 72845

C

Capitol Office500 Woodlane St., Suite 350
Little Rock, AR 72201

P

District Phone(479) 308-8384

P

Capitol Phone(501) 682-6211

E

Emailaaron.pilkington@arkansashouse.org

AaronPilkington

Meet Aaron Pilkington

Where Aaron Stands

Sanctity of Life

Right to Keep and Bear Arms

Access for Rural Arkansans

Responsible Government Spending

Arkansas Future Caucus

Rural Arkansas & Local Communities

Landmark Legislation

Healthy Moms, Healthy Babies Act

Blue Envelope Program

Advanced Practice Registered Nurses — Delegation Authority

Nuclear Planning Transfer — Emergency Management

Private Clubs & Small Brewery Direct Sales

Second Amendment Financial Privacy Act

Second Amendment Rights for Medical Marijuana Cardholders

Bills Signed into Law — 95th General Assembly

Aaron at the Capitol

Committee Service & Leadership

House Human Services Subcommittee(under Public Health, Welfare & Labor)

Joint Budget Peer Review

Arkansas Future Caucus

House Public Health, Welfare & Labor Committee

House City, County & Local Affairs Committee

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Get in Touch

Reach Rep. Pilkington

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Aaron
Pilkington

House Human Services Subcommittee
(under Public Health, Welfare & Labor)