The bill amends various sections of the Oklahoma Statutes concerning vital records, particularly focusing on definitions, filing procedures, and the correction of birth and death certificates. A significant addition is the definition of "minor correction," which includes the rectification of scrivener's errors, transposition of letters, and omissions of biological information. The bill clarifies the responsibilities of the State Department of Health in registering vital statistics and mandates that birth certificates must designate biological sex as either male or female, explicitly excluding nonbinary options. It also modifies the filing process for birth and death certificates, placing oversight under the Commissioner of Health and establishing a three-day deadline for filing death certificates.

Additionally, the bill updates the training requirements for funeral directors and physicians regarding the electronic filing of death certificates, with the Department of Health providing training at no cost. It replaces references to the "State Registrar of Vital Statistics" with the "Department of Health" and the "Commissioner of Health," reflecting a shift in administrative duties. The bill also introduces a new process for amending vital records, outlines conditions for the disclosure of vital statistics records, and mandates the Department of Labor to compile statistics on fatal occupational injuries. The act is set to take effect on November 1, 2025.