This bill addresses fentanyl overdose and reporting requirements for first responders in Oklahoma. It mandates that first responders who suspect a drug overdose must contact local law enforcement after providing necessary medical care, ensuring that this obligation does not delay emergency assistance. Additionally, first responders acting in good faith while reporting are granted immunity from civil or criminal liability. The bill also introduces new legal language that establishes rebuttable prima facie evidence that the presence of fentanyl in a decedent's blood or tissue constitutes evidence that fentanyl was the proximate cause of death.

Furthermore, the bill amends existing laws related to controlled dangerous substances, including provisions for penalties associated with violations. It includes a special assessment trauma-care fee for those convicted of drug offenses and clarifies definitions related to public housing projects. The act is set to take effect on November 1, 2026.