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STATE OF OKLAHOMA
1st Session of the 60th Legislature (2025)
SENATE BILL 892 By: Murdock
AS INTRODUCED
An Act relating to emergency medical services;
amending 63 O.S. 2021, Section 1 -2515, which relates
to regulation and control of ambul ance service
transports; broadening certain provisions to cover
wheelchair transports; mandating sole -provider system
for ambulance service districts; prohibiting certain
operations without certain authorization; providing
for civil relief; providing certa in construction;
adding condition to certain exception; updating
statutory language; updating statutory reference; 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, and municipalities are hereby authorized to regulate and
control, pursuant to duly enacted ordinance or regulation, Ambulance
Service ambulance service transports originating within the
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jurisdiction 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
contravention of, the standards 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,
Ambulance Service district region or a municipality may establish a
sole-provider system for wheelchair, stretcher van and/or Ambulance
Service, or ambulance service transports, or a combination thereof;
provided, however, any such designated or contracted sole -provider
which is not an EMS Region, Ambulance Service district region,
municipality, or other public entity shall be select ed by
competitive bidding.
2. A contract entered into pursuant to such biddin g 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 su ch 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 contract start
date.
D. Any EMS Region, Ambulance Service district region or
municipality may establish a sole-provider system for wheelchair,
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stretcher van and/or Ambulance Service , or ambulance service
transports, or a combination thereof , and may allow additional
geographic or political subdivisions to join such a system at any
time. Whenever such a geogr aphic or political subdivision joins
such a sole-provider system, competitive bidding shall not be
required and provision for servicing the new jurisdiction may be
accomplished by amending the existing sole -provider contract.
Furthermore, in the event the expansion of the service area of the
EMS Region, Ambulance Service district region or the municipality is
substantial (in the sole opinion of the governing body of the EMS
Region region, Ambulance Service ambulance service district or
municipality), the e xisting sole-provider contract may be extended
for a period sufficient to allow reasonable opportunity for recovery
of capital costs of expansion, as determined by the contracting
agency.
E. 1. All ambulance service districts shall be sole -provider
systems for all emergency and nonemergency wheelchair, stretcher
van, and ambulance service transports within their geographical
boundaries. No ambulance service provider or other provider of such
transports shall operate within the ambulance service district
without the prior written authorization of the ambulance service
district, and licensure of the provider by the State Department of
Health to provide such transports within the ambulance service
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district shall be contingent upon obtainment of such prior wr itten
authorization.
2. An ambulance service district may petition the distri ct
court for relief when a provider violates the provision s of
paragraph 1 of this subsection and the court shall award any
appropriate relief including, but not limited to, inju nctive relief,
compensatory damages, punitive damages, and reasonable attorney
fees.
F. The provisions of this section shall not be construed or
applied to limit:
1. Limit the operation of any emergency medical service
district established and operating pursuant to Section 9C of Article
10 X of the Oklahoma Constitution; provided, however, that, upon
invitation and approval of a majority of the voters of the district,
any such district is hereby authorized to join by appropriate
agreement any system estab lished by an EMS Region region, Ambulance
Service ambulance service district, or a municipality pursuant to
the provisions of this section ; or
2. Prohibit a hospital, medical facility, or long-term care
facility from entering into a contract with an ambul ance service
district to provide transports within the ambulance service distr ict
as stipulated in the contract and subject to the prior written
authorization required by subsection E of this section .
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F. G. The following types of patient transports shall 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 federal or
State state government, or any agency thereof;
2. Any ambulance owned and operated by a hos pital 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 patient
receives a diagnostic or therapeutic procedure not available at the
owner-hospital, provided that the patient is not discharged from the
care of the owner-hospital at any point during transport or while
the patient is at the other hospital or medical facility ;
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, Ambulance Service district or
municipality to any l ocation outside the EMS Region, 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 in side an EMS Region
region, Ambulance Service ambulance service district, or
municipality; or
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5. 4. Any ambulance engaged in the interstate transport of a
patient.
SECTION 2. This act shall become effective November 1, 202 5.
60-1-1199 DC 1/16/2025 10:39:14 AM