Emergency medical services; mandating sole-provider system for ambulance service districts; prohibiting certain operations without certain authorization. Effective date.

SB 892 requires Oklahoma ambulance service districts to operate as sole-provider systems, meaning only one ambulance provider can serve each district after competitive bidding. This mandates that districts select the lowest and best bidder through a public process with at least 60 days' notice before contracts begin. Ambulance providers must obtain prior written authorization from the district to operate within its boundaries, and districts can seek court relief for violations. The law exempts government ambulances, hospital-owned transports for admitted patients, and interstate or routine cross-jurisdictional transports. It takes effect November 1, 2025.