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Back to SB 1561
Oklahoma Legislature· SB 1561Approved by Governor 05/07/2026

An act relating to emergency medical services, the official text

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                  2nd Session of the 60th Legislature (2026)

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3 SENATE BILL 1561               By: Howard
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6                               AS INTRODUCED

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7   An Act relating to emergency medical services;

7   amending 63 O.S. 2021, Section 1-2509, which relates

8   to violations; updating statutory references;

8   modifying authority of the State Commissioner of

9   Health to impose disciplinary action; specifying

9   additional forms of disciplinary action; updating

10  statutory language; and 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.       AMENDATORY  63 O.S. 2021, Section 1-2509, is

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15 amended to read as follows:
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16  Section 1-2509. A. 1. No person, company, governmental

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17 entity, or trust authority may operate an ambulance service within
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18 this state except as provided in this section. The State
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19 Commissioner of Health, the district attorney of the county wherein
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20 the ambulance service operates or may be found, or the Attorney
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21 General of this state shall have the authority to bring an action to
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22 enjoin the operation of any ambulance service not in compliance with
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23 the provisions of this act the Oklahoma Emergency Response Systems
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24 Development Act.
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    Req. No. 3434                                              Page 1
1   2. A ground ambulance service based outside of this state that

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2 is licensed and in good standing in its home state may respond to an
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3 emergency request for care and transport of a patient within this
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4 state provided no local licensed ambulance service is readily
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5 available, and may be exempt from the licensing requirements of this
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6 state pursuant to rules promulgated by the State Board Commissioner
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7 of Health.
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8   3. Requests for service must be referred by an Oklahoma

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9 emergency dispatch center. The Board Commissioner may require such
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10 exempt ambulance service to subsequently provide documentation of
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11 emergency response activities performed within this state.
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12  4. The State Department of Health shall have the authority to

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13 investigate any complaint associated with an emergency response by
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14 an out-of-state ambulance service in the same manner as ambulance
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15 services licensed by the Department within this state.
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16  B. The Commissioner shall have the authority to revoke or

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17 suspend any license, to issue probationary licenses, or to levy such
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18 administrative fines and penalties as may be deemed necessary,
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19 impose disciplinary actions for violations of the provisions of this
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20 act, the Oklahoma Emergency Response Systems Development Act in
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21 accordance with the severity of the violation and subject to the
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22 provisions of the Administrative Procedures Act. Disciplinary
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23 actions may include, but are not limited to, the following:
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24  1. Revocation or suspension of any license;

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    Req. No. 3434                                               Page 2
1   2. Probation;

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2   3. A period of free public or charity service;

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3   4. Satisfactory completion of an educational, training, or

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4 treatment program or programs; and
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5   5. Administrative fines and penalties.

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6   C. The powers afforded the Commissioner within the general

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7 enforcement provisions of the Oklahoma Public Health Code are
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8 additionally incorporated herein.
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9   C. D. In addition to any other penalties, any person, company,

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10 governmental entity, or trust authority who violates any of the
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11 provisions of this act the Oklahoma Emergency Response Systems
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12 Development Act relating to compliance with the provisions of this
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13 act the Oklahoma Emergency Response Systems Development Act or of
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14 standards, specifications, procedures, and rules adopted by the
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15 Board Commissioner may be punished by the assessment of a civil
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16 penalty of not more than One Hundred Dollars ($100.00) for each
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17 violation. Each day a violation continues shall be considered a
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18 separate offense.
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19  D. E. The operation or maintenance of an ambulance service in

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20 violation of this act the Oklahoma Emergency Response Systems
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21 Development Act, or the rules promulgated by the Board Commissioner,
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22 is declared a public nuisance inimical to the public welfare. The
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23 Commissioner in the name of the people of the state, through the
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24 Attorney General, or the district attorney of the county in which
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    Req. No. 3434                                   Page 3
1 the ambulance service is located, may, in addition to other remedies
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2 herein provided, bring action for an injunction to restrain such
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3 violation or to enjoin the future operation or maintenance of any
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4 such ambulance service.
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5   SECTION 2. This act shall become effective November 1, 2026.

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7   60-2-3434      DC      1/12/2026 7:02:41 PM

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    Req. No. 3434                                Page 4
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