Shown verbatim: the complete text as captured from the official PDF posted by the Oklahoma Legislature, fetched 2026-07-23. Page and line markers are part of the official record; nothing is edited or removed. The official bill page.
1 STATE OF OKLAHOMA
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2 1st Session of the 60th Legislature (2025)
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3 SENATE BILL 1036 By: Rader
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6 AS INTRODUCED
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7 An Act relating to ambulance service; creating the
7 Oklahoma Triage, Treat, and Transport to Alternative
8 Destination Act; providing short title; defining
8 terms; requiring coverage for certain services;
9 providing certain limitations; providing for
9 noncodification; providing for codification; and
10 providing an effective date.
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13 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
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14 SECTION 1. NEW LAW A new section of law not to be
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15 codified in the Oklahoma Statutes reads as follows:
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16 This act may be known and cited as the "Oklahoma Triage, Treat,
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17 and Transport to Alternative Destination Act".
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18 SECTION 2. NEW LAW A new section of law to be codified
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19 in the Oklahoma Statutes as Section 6060.11c of Title 36, unless
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20 there is created a duplication in numbering, reads as follows:
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21 A. As used in this act:
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22 1. "9-1-1 call" means a communication made on behalf of an
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23 enrollee indicating that the enrollee may need emergency medical
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24 services;
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1 2. a. "Alternative destination" means a lower-acuity
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2 facility that provides medical services, including,
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3 but not limited to:
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4 (1) a Federally Qualified Health Center,
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5 (2) an urgent care center,
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6 (3) a physician's office or medical clinic, or
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7 (4) a behavioral or mental health care facility,
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8 including, but not limited to, a crisis
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9 stabilization unit and a diversion center.
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10 b. Alternative destination does not include:
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11 (1) a dialysis center,
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12 (2) a hospital,
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13 (3) a private residence, or
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14 (4) a skilled nursing facility;
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15 3. "Ambulance service" has the same meaning as provided by
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16 Section 1-2503 of Title 63 of the Oklahoma Statutes;
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17 4. "Enrollee" means an individual who is covered by any health
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18 benefit plan; and
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19 5. "Health benefit plan" means any such policy as provided by
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20 Section 4405.1 of Title 36 of the Oklahoma Statutes.
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21 B. On and after January 1, 2026, any insurer that offers,
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22 issues, or renews a health benefit plan in this state shall provide
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23 coverage for:
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24 1. Services provided by an ambulance service provider to:
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1 a. treat an enrollee in place, or
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2 b. triage, treat, or transport an enrollee to an
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3 alternative destination; and
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4 2. An encounter between an ambulance service and enrollee that
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5 results in no transport of the enrollee.
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6 C. The coverage under this section:
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7 1. Is subject to the initiation of ambulance service treatment
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8 as a result of a 9-1-1 call that is documented in the records of the
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9 ambulance service;
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10 2. Is subject to health benefit plan deductibles or copayment
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11 requirements;
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12 3. Does not diminish or limit benefits otherwise allowable
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13 under a health benefit plan, even if the billing claims for medical
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14 or behavioral health services overlap in time that is billed by the
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15 ambulance service that is also providing care; and
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16 4. Is subject to any health benefit plan provision that applies
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17 to other services covered by the health benefit plan.
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18 D. The reimbursement rate for an ambulance service whose
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19 operators triage, treat, and transport an enrollee to an alternative
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20 destination shall not be less than the minimum allowable
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21 reimbursement rate for advanced life support with mileage to the
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22 scene.
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1 E. This act shall apply to all contracts subject to this
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2 section that are entered into or renewed on or after January 1,
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3 2026.
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4 SECTION 3. This act shall become effective November 1, 2025.
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6 60-1-816 CAD 1/16/2025 2:35:54 PM
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Req. No. 816 Page 4Every fact on this page links to its source, starting with the official bill record.