Oklahoma enacts Out-of-Network Ambulance Service Provider Act for emergency services

Senate Bill 1067, introduced in the Oklahoma State Legislature on March 3, 2025, aims to address the growing concerns surrounding out-of-network ambulance services and their impact on healthcare costs for residents. The bill seeks to establish clearer definitions and regulations for ambulance service providers, particularly focusing on ground transportation services.

The primary purpose of Senate Bill 1067 is to protect enrollees—individuals entitled to receive covered ambulance services—by ensuring that they are not subjected to exorbitant out-of-pocket expenses when utilizing emergency ground ambulance services. The bill defines key terms such as "ambulance service provider," "covered ambulance services," and "health care benefit plan," which are crucial for understanding the scope of the legislation.

Notably, the bill excludes health plans offered by contracted entities that provide coverage to Medicaid members, which has sparked some debate among lawmakers and healthcare advocates. Critics argue that this exclusion could leave vulnerable populations without adequate protections against surprise billing practices often associated with out-of-network ambulance services.

Supporters of the bill emphasize its potential to reduce financial burdens on patients during emergencies, a time when individuals are least able to negotiate costs. They argue that clearer regulations will lead to more transparency in billing practices and ultimately improve access to necessary emergency services.

The economic implications of Senate Bill 1067 could be significant, as it may influence how ambulance services negotiate contracts with health insurers and how costs are passed on to consumers. Experts suggest that if enacted, the bill could lead to a more standardized approach to ambulance billing, potentially lowering costs for both providers and patients in the long run.

As the bill progresses through the legislative process, stakeholders are closely monitoring discussions and potential amendments. The outcome of Senate Bill 1067 could set a precedent for how out-of-network healthcare services are regulated in Oklahoma, making it a critical issue for both lawmakers and constituents alike.