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STATE OF OKLAHOMA
1st Session of the 59th Legislature (2023)
SENATE BILL 778 By: Murdock
AS INTRODUCED
An Act relating to emergency medical service s;
amending 63 O.S. 2021, Section 1 -2515, which relates
to regulation and control of ambulance service
transports; mandating sole-provider system for
ambulance service districts; updating statutory
language; and providing an effective date .
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
SECTION 1. AMENDATORY 63 O.S. 2021, Section 1 -2515, is
amended to read as follows:
Section 1-2515. A. Notwithstanding any other provision of this
title, Emergency Medical Services (EMS) Regions emergency medical
service (EMS) regions, Ambulance Service ambulance service districts
or municipalities are hereby authorized to regulate and control,
pursuant to duly enacted ordinance or regulation, Ambulance Service
ambulance service transports originating within the jurisdic tion of
such EMS Regions regions, Ambulance Service ambulance service
districts or municipalities.
B. Any ordinance or regulation adopted pursuant to subsection A
of this section shall meet and may exceed, but shall not be in
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contravention of, the standar ds promulgated by the State Board
Commissioner of Health for Ambulance Service ambulance service
transports.
C. 1. Any ordinance or regulation adopted by an EMS Region
region, Ambulance Service ambulance service district or a
municipality may establish a sole-provider system for stretcher van
and/or Ambulance Service ambulance service transports; provided,
however, any such designated or contracted sole -provider which is
not an EMS Region region, Ambulance Service ambulance service
district, municipality, or other public entity shall be selected by
competitive bidding.
2. A contract entered into pursuant to such bidding shall be
with the lowest and best bidder and may be for an initial term of
such duration as deemed operationally and fiscally prudent by the
contracting agency. The term of such sole -provider contract shall
be made public at the time bids are solicited, which solicitation
shall be not less than sixty (60) days prior to the cont ract start
date.
D. Any EMS Region, Ambulance Service district region or
municipality may establish a sole -provider system for stretcher v an
and/or Ambulance Service or ambulance service transports or both,
and may allow additional geographic or political subdivisions to
join such a system a t any time. All ambulance service districts
shall be sole-provider systems for stretcher van and a mbulance
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service transports within their geographic al boundaries. Whenever
such a geographic or political subdivision joins such a sole -
provider system, competitive bidding shall not be required and
provision for servicing the new ju risdiction may be accompl ished by
amending the existing sole -provider contract. Furthermore, in the
event the expansion of the service area of the EMS Region region,
Ambulance Service ambulance service district or the municipality is
substantial (in the s ole opinion of the govern ing body of the EMS
Region region, Ambulance Service ambulance service district or
municipality), the existing sole-provider contract may be extended
for a period sufficient to all ow reasonable opportunity for recovery
of capital costs of expansion, as det ermined by the contracting
agency.
E. The provisions of this section shall not be construed or
applied to limit the operation of any emergency medical service
district established and operating pursuant to Section 9C of Article
10 of the Oklahoma Constitu tion; provided, however, that, upon
invitation and approval of a majority of the voters of the distri ct,
any such district is hereby authorized to join by appropriate
agreement any system established by an EMS Region region, Ambulance
Service ambulance service district or a municipality pursuant to the
provisions of this section.
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F. The following types of patient transports shal l be exempt
from regulation by EMS Regions regions, Ambulance Service ambulance
service districts or municipalities:
1. Any ambulance owned or operated by, or under contract to
perform ambulance transport services for, the Federal or State
government, or any agency thereof;
2. Any ambulance owned and operat ed by a hospital and in use to
transport a patient of the owner-hospital, which patient has been
admitted to and not been discharged from the owner -hospital, to or
from another hospital or medical care facility at which the pati ent
receives a diagnostic or therapeutic procedure not available at the
owner-hospital;
3. Any ambulance engaged in a routine transport call to
transport a patient from a hospital, nursing home, or dialysis
center located within an EMS Region region, Ambulance Service
ambulance service district or municipality to any location outsid e
the EMS Region region, Ambulance Service ambulance service district
or municipality;
4. Any ambulance engaged in the transport of a patient from a
location outside an EMS Region region, Ambulance Service ambulance
service district or municipality to a location inside an EMS Region
region, Ambulance Service ambulance service district or
municipality; or
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5. Any ambulance engaged in the interstate transport of a
patient.
SECTION 2. This act shall become effective November 1, 2023 .
59-1-1196 DC 1/18/2023 7:03:36 PM