OK SB1067

Local governmental entities or ambulance service providers may annually submit their approved ambulance service rates to the Oklahoma Insurance Department, which must establish and maintain a public database of all submitted rates by January 1, 2026.

Minimum reimbursement for out-of-network ambulance services from health insurers must match rates set or approved by local governmental entities as of May 1, 2025, for services originating in that jurisdiction.

When no local governmental rates exist, reimbursement defaults to the lesser of 325% of Medicare rates for the same services in the same geographic area, or the provider's billed charges.

Ambulance providers are prohibited from balance billing patients beyond what insurers pay, and patient cost-sharing cannot exceed in-network amounts.

The Insurance Department must submit a report to the Governor and legislative leaders by January 1, 2027, and the reimbursement rates will expire December 31, 2027, unless modified by the Legislature.