Oklahoma Lawmakers Consider Ambulance Reimbursement Rate Cuts

Oklahoma lawmakers are considering Senate Bill 1067, which would reduce the minimum reimbursement rates for out-of-network ambulance services and shift control from local governments to the state, prompting strong opposition from EMS officials. Emergency service leaders warn that the measure could force rural providers to cut services or close, as the decreased funding might eliminate the ability to hire additional paramedics despite rising call volumes and operating costs. Proponents, including the bill's sponsor, argue that lowering reimbursement rates will help curb rising health insurance premiums for Oklahoma families, estimating potential annual savings of up to $60 per person. Critics counter that the bill undermines local control and imposes a statewide cap, making it harder for agencies to meet community needs. The legislation follows a recent law that allowed ambulance providers to raise rates, but EMS officials say the proposed cuts would reverse those gains and disproportionately harm rural areas. The bill has already passed the Senate and is under consideration in the House.