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Bill > SB1036


OK SB1036

Ambulance service; requiring coverage for certain services. Effective date.


summary

Introduced
02/03/2025
In Committee
03/06/2025
Crossed Over
Passed
Dead

Introduced Session

2025 Regular Session

Bill Summary

An Act relating to ambulance service; creating the Oklahoma Triage, Treat, and Transport to Alternative Destination Act; providing short title; defining terms; requiring coverage for certain services; providing certain limitations; providing for noncodification; providing for codification; and providing an effective date.

AI Summary

This bill establishes the Oklahoma Triage, Treat, and Transport to Alternative Destination Act, which requires health insurers to provide coverage for certain ambulance services starting January 1, 2026. The bill defines key terms like "alternative destination" (which includes facilities such as urgent care centers, physician offices, and behavioral health centers, but excludes hospitals and dialysis centers) and "9-1-1 call". Specifically, insurers must cover services where ambulance providers can treat a patient on-site, transport a patient to a lower-acuity facility, or have an encounter that does not result in patient transport. The coverage is subject to existing health plan deductibles and copayments and does not diminish other plan benefits. Importantly, the bill mandates that reimbursement rates for ambulance services transporting patients to alternative destinations must not be less than the minimum rate for advanced life support with mileage to the scene. The legislation aims to provide more flexible emergency medical service options and ensure insurance coverage for these alternative medical interventions, with the act becoming effective on November 1, 2025.

Committee Categories

Business and Industry

Sponsors (2)

Last Action

Placed on General Order (on 03/11/2025)

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