Senate Bill No. 1036, titled the Oklahoma Triage, Treat, and Transport to Alternative Destination Act, establishes new requirements for health benefit plans in Oklahoma regarding ambulance services. The bill mandates that, starting January 1, 2026, insurers must provide coverage for services rendered by ambulance service providers that include treating enrollees in place, triaging, treating, or transporting them to designated alternative destinations such as urgent care centers or behavioral health facilities. Additionally, it covers encounters where no transport occurs, provided these services are initiated through a documented 9-1-1 call.

The bill outlines specific definitions for terms such as "alternative destination" and "enrollee," and it stipulates that coverage is subject to existing health benefit plan deductibles and copayment requirements. It also 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 is set to take effect on November 1, 2025, and applies to all relevant contracts entered into or renewed after January 1, 2026.