This bill amends Section 1-2509 of the Oklahoma Statutes regarding emergency medical services, specifically focusing on the operation and regulation of ambulance services. It updates statutory references and modifies the authority of the State Commissioner of Health to impose disciplinary actions for violations of the Oklahoma Emergency Response Systems Development Act. The bill specifies that the Commissioner can impose various forms of disciplinary actions, including revocation or suspension of licenses, probation, mandatory public service, completion of educational programs, and administrative fines. Additionally, it clarifies that out-of-state ambulance services may respond to emergencies in Oklahoma under certain conditions and outlines the process for documentation and investigation of such services.

The bill also establishes that violations of the Oklahoma Emergency Response Systems Development Act can result in civil penalties, with each day of violation considered a separate offense. It declares the operation of an ambulance service in violation of the Act as a public nuisance, allowing the Commissioner, Attorney General, or district attorney to seek injunctions against such operations. The effective date for this legislation is set for November 1, 2026.