Bill No. 423 amends Section 19 of Title 76 of the Oklahoma Statutes, focusing on access to medical records. The bill modifies the language to replace "doctor, hospital or other medical institution" with "health care provider or health care facility," and it clarifies the process for disclosing medical records of deceased patients, requiring a court order or written release from a personal representative or responsible family member. Additionally, the bill allows health care providers to impose reasonable, cost-based fees for copies of medical records, with specific fee structures for requests from attorneys and insurance companies. It also updates the definitions of terms related to health information and establishes penalties for unlawful use or disclosure of protected health information.

Furthermore, the bill introduces new provisions that classify intentional violations of health information disclosure as unprofessional conduct, subject to mandatory license revocation, and establishes misdemeanor penalties for covered entities found guilty of such violations. The effective date for this act is set for November 1, 2025. Overall, the bill aims to streamline access to medical records while ensuring the protection of patient information and establishing clear penalties for violations.