The bill amends several sections of the Oklahoma Statutes related to the governance of the State Department of Health, specifically Sections 1-103, 1-104, and 1-105. It restores certain powers and duties to the State Board of Health, which had previously been transferred to the State Commissioner of Health. The bill modifies the appointing authority of the State Commissioner of Health, shifting the responsibility from the Governor to the Board. Additionally, it updates the language throughout the sections to reflect these changes, including the Board's authority to appoint the State Commissioner and to establish necessary divisions within the Department.

Key changes include the deletion of language that previously characterized the Board as merely advisory to the Commissioner, thereby granting the Board more substantial governance powers. The bill also specifies that the Board will now have the authority to adopt rules, accept grants, and establish departmental structures, while the Commissioner will serve at the pleasure of the Board. The effective date for these changes is set for November 1, 2026.