OklahomaSB 1067Oklahoma 2026 Regular SessionSenateWALLET

Health insurance; ambulance service provider; providing for establishment of certain database; modifying reimbursement rates and criteria for certain ambulance services. Effective date.

Sponsored By: Paul Rosino (Republican)

Became Law

Senate Committee

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Limits on Oklahoma patients’ ambulance bills

Beginning January 1, 2026, Oklahoma sets minimum insurer payments for covered out-of-network ambulance services. Insurers must use the local government’s set or approved rate where the service starts, submitted by May 1, 2025. Without a qualifying local rate, the minimum is the lower of 325% of the current federal Centers for Medicare & Medicaid Services rate for that service and area or the provider’s bill. Providers must accept payment under these rules as payment in full and cannot bill patients beyond the insurer’s payment. Patient copays, coinsurance, deductibles, and other cost-sharing cannot exceed in-network amounts for the covered service. By January 1, 2026, the Oklahoma Insurance Department must maintain a public online rate database; local governments or providers acting for them can submit rates annually in the Insurance Commissioner’s required format. Insurers must follow posted rates and Oklahoma’s claim-payment rules. The Department must review the data and report to the Governor and legislative leaders by January 1, 2027. These payment rates expire unless Oklahoma lawmakers modify them before December 31, 2027.

Sponsors & Cosponsors

Sponsor

  • Paul Rosino

    Republican • Senate

Cosponsors

  • Preston Stinson

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 178 • No: 30

Senate vote • 5/21/2025

FOURTH READING

Yes: 32 • No: 13

House vote • 5/8/2025

THIRD READING

Yes: 87 • No: 6

House vote • 4/15/2025

DO PASS

Yes: 11 • No: 0

Senate vote • 3/26/2025

THIRD READING

Yes: 38 • No: 9

Senate vote • 3/3/2025

Committee vote: Health & Human Services

Yes: 10 • No: 2

Actions Timeline

  1. Becomes law without Governor's signature 05/28/2025

    5/28/2025Senate
  2. Sent to Governor

    5/21/2025Senate
  3. Signed, returned to Senate

    5/21/2025House
  4. Enrolled, to House

    5/21/2025Senate
  5. Referred for enrollment

    5/21/2025Senate
  6. Measure passed: Ayes: 32 Nays: 13

    5/21/2025Senate
  7. HAs adopted

    5/21/2025Senate
  8. HAs read

    5/12/2025Senate
  9. Engrossed, signed, to Senate

    5/12/2025House
  10. Referred for engrossment

    5/8/2025House
  11. Third Reading, Measure passed: Ayes: 87 Nays: 6

    5/8/2025House
  12. Title restored

    5/8/2025House
  13. Amended by floor substitute

    5/8/2025House
  14. General Order

    5/8/2025House
  15. Title stricken

    4/15/2025House
  16. CR; Do Pass, as amended, Rules Committee

    4/15/2025House
  17. Referred to Rules

    4/9/2025House
  18. Withdrawn from Commerce and Economic Development Oversight Committee

    4/9/2025House
  19. Withdrawn from Business Committee

    4/9/2025House
  20. Referred to Business

    4/1/2025House
  21. Second Reading referred to Commerce and Economic Development Oversight

    4/1/2025House
  22. First Reading

    3/27/2025House
  23. Engrossed to House

    3/27/2025Senate
  24. Referred for engrossment

    3/26/2025Senate
  25. Measure passed: Ayes: 38 Nays: 9

    3/26/2025Senate

Bill Text

  • Enrolled (final version)

    5/21/2025

  • Amended And Engrossed

    5/12/2025

  • Floor (House)

    4/17/2025

  • House Committee Report

    4/15/2025

  • Engrossed

    3/27/2025

  • Floor (Senate)

    3/4/2025

  • Committee Substitute

    3/3/2025

  • Senate Committee Report

    3/3/2025

  • Introduced

    1/16/2025

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