The bill amends existing Oklahoma law regarding abortion, specifically Section 1-731.4 of Title 63. It modifies definitions related to abortion and establishes a new standard that prioritizes the preservation of the life of a pregnant woman. The bill stipulates that a person may not perform or attempt to perform an abortion unless it is necessary to preserve the life of the pregnant woman. Additionally, it emphasizes that the person performing the abortion must prioritize both the life of the pregnant woman and the unborn child, but allows for an abortion if the birth poses a threat to the woman's life.

Furthermore, the bill introduces penalties for those convicted of performing or attempting to perform an abortion, classifying it as a felony punishable by a fine of up to $100,000 or imprisonment for up to ten years, or both. It also clarifies that women cannot be charged with any criminal offense related to the death of their unborn child and does not restrict access to contraceptive measures. An affirmative defense is provided for licensed physicians who unintentionally cause injury or death to an unborn child while treating a pregnant woman. The bill declares an emergency, allowing it to take effect immediately upon passage and approval.