The bill amends Section 19 of Title 76 of the Oklahoma Statutes, which governs access to medical records. It broadens the definition of who can access medical records by replacing "doctor, hospital or other medical institution" with "any health care provider or health care facility." The bill also introduces a new provision that requires a court order or written release from a designated representative for the disclosure of medical records of deceased patients. Additionally, it allows health care providers to impose a reasonable, cost-based fee for copies of medical records, while establishing specific fees for requests made by attorneys or insurance companies.

Furthermore, the bill creates a felony offense for unlawfully transmitting or disclosing a person's health information for purposes other than treatment, payment, or health care operations. Violators may face fines up to $10,000 or imprisonment for up to one year. The bill also provides for administrative and criminal penalties, as well as civil relief for health care providers who believe a violation has occurred. The effective date for this legislation is set for November 1, 2025.