The bill amends Oklahoma's public health and safety laws regarding harm-reduction services by extending the authorization period for these services from July 1, 2026, to July 1, 2027. It allows various entities, including government agencies, religious institutions, nonprofit organizations, for-profit companies, and tribal governments, to engage in harm-reduction activities aimed at reducing drug use and preventing infectious disease outbreaks. The bill also specifies that no state funds can be used to purchase hypodermic needles.

Additionally, the bill introduces new reporting requirements for registered providers of harm-reduction services, mandating them to report quarterly to the State Department of Health and annually to key state officials, including the Governor and legislative leaders. The report must include data on the number of clients served, referrals made, syringes and test kits distributed, and tests performed. The bill is set to take effect on November 1, 2025.