The bill amends Section 38 of Title 57 of the Oklahoma Statutes, which pertains to the reimbursement rates for county jails. It increases the reimbursement rate from $27.00 to $32.00 per day for each inmate retained by a county. The bill also updates statutory references and language, and removes an obsolete implementation requirement related to the application of the provisions to fiscal year 2019. Additionally, it clarifies that if a county's actual daily cost exceeds the new reimbursement rate, the county must notify the Department of Corrections, which will then determine the reimbursement rate for the following fiscal year.

Furthermore, the bill stipulates that the Department of Corrections will reimburse counties for emergency medical care related to an inmate's incarceration, but only up to the rates established for Medicaid providers. The state will not be liable for medical charges exceeding these Medicaid rates. The bill also changes the term "Director" to "Department" in the context of accepting inmates requiring extended medical care. The act is set to take effect on November 1, 2025.