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 statutes to include definitions relevant to medical needs motor carriers and modifies the operation of vehicles not owned by a motor carrier. It introduces a new definition for "medical needs motor carrier of persons or property," which specifies the criteria for such carriers. The Oklahoma Corporation Commission is tasked with promulgating emergency and permanent rules to implement the provisions of the act. An emergency clause is included, allowing the act to take effect immediately upon passage and approval, with a full implementation date set for November 1, 2025.