Bill No. 904 aims to regulate gender transition procedures in Oklahoma by defining specific terms and prohibiting the use of public funds for such procedures. The bill defines "gender transition procedures" to include surgical alterations and the administration of puberty-blocking drugs or cross-sex hormones, while explicitly excluding certain medical services such as mental health counseling and treatments for specific medical conditions. It establishes that public funds, including those from the state Medicaid program, cannot be used to subsidize or reimburse any gender transition procedures for both minors and adults.

Additionally, the bill prohibits the use of state facilities for providing gender transition procedures and imposes criminal penalties for state employees who intentionally violate these provisions. The legislation is framed as an emergency measure, allowing it to take effect immediately upon passage and approval.