Senate Bill No. 1036 establishes the Oklahoma Triage, Treat, and Transport to Alternative Destination Act, which mandates that health insurers in Oklahoma provide coverage for specific ambulance services starting January 1, 2026. The bill defines key terms such as "9-1-1 call," "alternative destination," and "enrollee," and outlines the types of facilities that qualify as alternative destinations, which include urgent care centers and behavioral health facilities, while explicitly excluding dialysis centers, hospitals, private residences, and skilled nursing facilities.

The legislation requires insurers to cover services provided by ambulance service providers that either treat an enrollee on-site or transport them to an alternative destination, as well as encounters that do not result in transport. Coverage is subject to existing health benefit plan deductibles and copayment requirements, and it ensures that benefits are not diminished by overlapping billing claims. Additionally, the reimbursement rate for ambulance services transporting enrollees to alternative destinations must meet a minimum standard for advanced life support. The act is set to take effect on November 1, 2025.