House Bill No. 1934, known as the "Jamie Lea Pearl Act," establishes regulations for medical needs motor carriers in Oklahoma. The bill mandates that these carriers must be formed under 26 U.S.C., Section 501(c)(3) and engage in the transportation of passengers for nonemergency medical needs at little or no cost. It outlines specific requirements, including the use of vehicles with a gross vehicle weight rating of no more than 5,000 pounds, a maximum of five occupants, and a nondiscrimination policy regarding ethnicity, age, sex, or disability. Additionally, the bill sets minimum insurance requirements, mandates quarterly vehicle inspections, limits driver working hours to ten hours per day, and requires drug testing and background checks for drivers.

The bill also amends existing definitions in the Motor Carrier Act of 1995, specifically adding a definition for "medical needs motor carrier of persons or property," which aligns with the new regulations. It includes provisions for the Oklahoma Corporation Commission to promulgate emergency and permanent rules to implement the act. The act is declared an emergency measure, taking effect immediately upon passage and approval, with a full implementation date set for November 1, 2025.