The bill amends Section 332.18 of Title 57 of the Oklahoma Statutes, which pertains to the process for placing inmates on the Pardon and Parole Board docket for medical reasons. It specifies that the medical director of the Department of Corrections is responsible for making requests to the Executive Director of the Pardon and Parole Board for such placements. The bill also updates statutory language, including the definitions of "medically frail" and "medically vulnerable," and clarifies that inmates who meet certain medical criteria are not subject to the standard two-stage hearing process for parole consideration.

Additionally, the bill outlines the conditions under which inmates may be considered for medical parole, including those who are dying, near death, or medically frail. It requires the concurrence of at least three members of the Pardon and Parole Board for consideration and establishes that if a medical parole poses an increased risk to public safety, the parole may be revoked. The provisions of this section do not apply to inmates serving life sentences without the possibility of parole. The act is set to take effect on November 1, 2026.