Bill > SB1067

This bill modifies the Out-of-Network Ambulance Service Provider Act by establishing a new process for ambulance service reimbursement rates. Local governmental entities or ambulance service providers can now annually submit their ambulance service rates to the Oklahoma Insurance Department, which is required to create and maintain a public database of these rates by January 1, 2026. The bill sets new guidelines for minimum reimbursement rates for out-of-network ambulance services, primarily using locally submitted rates or defaulting to the lesser of 325% of Medicare rates or the provider's billed charges. The legislation prohibits ambulance service providers from billing patients beyond the insurer's payment, except for standard copayments and deductibles. Additionally, the Insurance Department must submit a report on the database by January 1, 2027, and the current rate structure will expire unless modified by the Oklahoma Legislature before December 31, 2027. The bill is set to take effect on January 1, 2026, and aims to create more transparency and standardization in ambulance service reimbursement.

Business and Industry, Health and Social Services

http://www.oklegislature.gov/BillInfo.aspx?Bill=sb1067&Session=2600