Bill No. 1561 amends Section 1-2509 of the Oklahoma Emergency Response Systems Development Act, updating statutory references and modifying the authority of the State Commissioner of Health regarding disciplinary actions for violations. The bill specifies that no person or entity may operate an ambulance service in Oklahoma without compliance with the Act, and it allows out-of-state ground ambulance services, licensed and in good standing in their home state, to respond to emergencies in Oklahoma under certain conditions. The Commissioner of Health is granted the authority to impose various disciplinary actions, including revocation or suspension of licenses, probation, and administrative fines, based on the severity of the violation.

Additionally, the bill clarifies that violations of the Act can result in civil penalties of up to $100 per violation, with each day of continued violation considered a separate offense. It also establishes that operating an ambulance service in violation of the Act is a public nuisance, allowing the Commissioner, through the Attorney General or local district attorney, to seek injunctions against such operations. The bill is set to take effect on November 1, 2026.