This bill establishes a regulatory framework for short-term emergency and nonemergency hybrid medical facilities in Oklahoma, requiring them to obtain a separate license to operate. It defines key terms such as "emergency care," "nonemergency care," and "facility," and prohibits the transfer or assignment of licenses. The bill outlines penalties for noncompliance, including misdemeanor charges, and mandates that the Oklahoma Commissioner of Health adopt rules for licensing, inspections, and facility classifications. Facilities are required to provide emergency medical screenings and stabilization regardless of a patient's ability to pay, and certain reimbursement practices by insurers are prohibited. The State Department of Health is granted authority to deny, suspend, or revoke licenses for violations, and the bill includes provisions for emergency orders of license suspension and administrative penalties.

Furthermore, the bill introduces new procedures for the Oklahoma Department of Health regarding the notification and enforcement of administrative penalties for violations. It establishes a process for written notice to individuals involved in violations, detailing the alleged violation and recommended penalty, with a twenty-day period for individuals to accept or contest the penalty. A new revolving fund is created within the State Treasury for the administration and enforcement of licensing provisions, consisting of all monies received from these facilities and allowing for continuous budgeting. The bill is set to take effect on November 1, 2025.