Okla. Stat. tit. 63, § 63-1-2515: EMS Regions, Ambulance Service districts or

municipalities - Regulation and control of Ambulance Service

transports - Exemptions.

A. Notwithstanding any other provision of this title, Emergency

Medical Services (EMS) Regions, Ambulance Service districts or

municipalities are hereby authorized to regulate and control,

pursuant to duly enacted ordinance or regulation, Ambulance Service

transports originating within the jurisdiction of such EMS Regions,

Ambulance Service districts or municipalities.

B. Any ordinance or regulation adopted pursuant to subsection A

of this section shall meet and may exceed, but shall not be in

contravention of, the standards promulgated by the State Board of

Health for Ambulance Service transports.

C. 1. Any ordinance or regulation adopted by an EMS Region,

Ambulance Service district or a municipality may establish a sole-

provider system for stretcher van and/or Ambulance Service

transports; provided, however, any such designated or contracted

sole-provider which is not an EMS Region, Ambulance Service

district, municipality, or other public entity shall be selected by

competitive bidding.

2. A contract entered into pursuant to such bidding shall be

with the lowest and best bidder and may be for an initial term of

such duration as deemed operationally and fiscally prudent by the

contracting agency. The term of such sole-provider contract shall

be made public at the time bids are solicited, which solicitation

shall be not less than sixty (60) days prior to the contract start

date.

D. Any EMS Region, Ambulance Service district or municipality

may establish a sole-provider system for stretcher van and/or

Ambulance Service transports and may allow additional geographic or

political subdivisions to join such a system at any time. Whenever

such a geographic or political subdivision joins such a sole-

provider system, competitive bidding shall not be required and

provision for servicing the new jurisdiction may be accomplished by

amending the existing sole-provider contract. Furthermore, in the

event the expansion of the service area of the EMS Region, Ambulance

Service district or the municipality is substantial (in the sole

opinion of the governing body of the EMS Region, Ambulance Service

district or municipality), the existing sole-provider contract may

be extended for a period sufficient to allow reasonable opportunity

for recovery of capital costs of expansion, as determined by the

contracting agency.

E. The provisions of this section shall not be construed or

applied to limit the operation of any emergency medical service

district established and operating pursuant to Section 9C of Article

10 of the Oklahoma Constitution; provided, however, that, upon

invitation and approval of a majority of the voters of the district,

any such district is hereby authorized to join by appropriate

agreement any system established by an EMS Region, Ambulance Service

district or a municipality pursuant to the provisions of this

section.

F. The following types of patient transports shall be exempt

from regulation by EMS Regions, Ambulance Service districts or

municipalities:

1. Any ambulance owned or operated by, or under contract to

perform ambulance transport services for, the Federal or State

government, or any agency thereof;

2. Any ambulance owned and operated by a hospital and in use to

transport a patient of the owner-hospital, which patient has been

admitted to and not been discharged from the owner-hospital, to or

from another hospital or medical care facility at which the patient

receives a diagnostic or therapeutic procedure not available at the

owner-hospital;

3. Any ambulance engaged in a routine transport call to

transport a patient from a hospital, nursing home, or dialysis

center located within an EMS Region, Ambulance Service district or

other hospital or medical care facility at which the patient

receives a diagnostic or therapeutic procedure not available at the

owner-hospital;

3. Any ambulance engaged in a routine transport call to

transport a patient from a hospital, nursing home, or dialysis

center located within an EMS Region, Ambulance Service district or

municipality to any location outside the EMS Region, Ambulance

Service district or municipality;

4. Any ambulance engaged in the transport of a patient from a

location outside an EMS Region, Ambulance Service district or

municipality to a location inside an EMS Region, Ambulance Service

district or municipality; or

5. Any ambulance engaged in the interstate transport of a

patient.