The Oklahoma Triage, Treat, and Transport to Alternative Destination Act establishes new requirements for health benefit plans regarding ambulance services. Effective January 1, 2026, insurers must provide coverage for services rendered by ambulance providers that include treating enrollees in place, triaging, treating, or transporting them to alternative destinations, as well as encounters that do not result in transport. The act defines key terms such as "alternative destination," which includes facilities like Federally Qualified Health Centers and urgent care centers, while explicitly excluding hospitals and dialysis centers.

Additionally, the act stipulates that coverage is contingent upon the initiation of treatment following a documented 9-1-1 call and is subject to standard health benefit plan deductibles and copayment requirements. It ensures that the reimbursement rate for ambulance services transporting enrollees to alternative destinations will not be less than the minimum allowable rate for advanced life support. The act will apply to all relevant contracts entered into or renewed after the specified date and is set to take effect on November 1, 2025.