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Oklahoma Legislature· SB 391Becomes law without Governor's signature 05/14/2025

An act relating to public health and safety, the official text

Shown verbatim: the complete text as captured from the official PDF posted by the Oklahoma Legislature, fetched 2026-07-23. Page and line markers are part of the official record; nothing is edited or removed. The official bill page.
1                        STATE OF OKLAHOMA

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2                  1st Session of the 60th Legislature (2025)

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3 SENATE BILL 391                    By: Bergstrom

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6                        AS INTRODUCED

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7            An Act relating to public health and safety; amending

7            63 O.S. 2021, Section 2-1001, as amended by Section

8            1, Chapter 91, O.S.L. 2023 (63 O.S. Supp. 2024,

8            Section 2-1001), which relates to the Opioid Overdose

9            Fatality Review Board; extending sunset date;

9            providing an effective date; and declaring an

10           emergency.

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1 3 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:

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14  SECTION 1.           AMENDATORY  63 O.S. 2021, Section 2-1001, as

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1 5 amended by Section 1, Chapter 91, O.S.L. 2023 (63 O.S. Supp. 2024,

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1 6 Section 2-1001), is amended to read as follows:

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17  Section 2-1001. A. There is hereby created until July 1, 2025

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1 8 July 1, 2026, in accordance with the Oklahoma Sunset Law, the Opioid

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1 9 Overdose Fatality Review Board within the Department of Mental

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2 0 Health and Substance Abuse Services. The Board shall have the power

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2 1 and duty to:

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22  1. Coordinate and integrate state and local efforts to address

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2 3 overdose deaths and create a body of information to prevent overdose

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2 4 deaths;

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    Req. No. 1052                                                 Page 1
1   2. Conduct case reviews of deaths of persons eighteen (18)

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2 years of age or older due to licit or illicit opioid use in this

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3 state;

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4   3. Collect, analyze and interpret state and local data on

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5 opioid overdose deaths;

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6   4. Develop a state and local database on opioid overdose

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7 deaths;

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8   5. Improve policies, procedures and practices within the

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9 agencies in order to prevent fatal opioid overdoses and to serve

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1 0 victims of unintentional overdose; and

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11  6. Enter into agreements with other state, local or private

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1 2 entities as necessary to carry out the duties of the Opioid Overdose

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1 3 Fatality Review Board, including, but not limited to, conducting

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1 4 joint reviews with the Child Death Review Board on unintentional

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1 5 overdose cases involving child death and child near-death incidents.

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16  B. In carrying out its duties and responsibilities, the Board

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1 7 shall:

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18  1. Promulgate rules establishing criteria for identifying cases

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1 9 involving an opioid overdose death subject to specific, in-depth

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2 0 review by the Board;

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21  2. Conduct a specific case review of those cases where the

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2 2 cause of death is or may be related to overdose of opioid drugs;

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    Req. No. 1052                           Page 2
1   3. Establish and maintain statistical information related to

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2 opioid overdose deaths including, but not limited to, demographic

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3 and medical diagnostic information;

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4   4. Establish procedures for obtaining initial information

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5 regarding opioid overdose deaths from law enforcement agencies;

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6   5. Review the policies, practices and procedures of medical

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7 systems and law enforcement systems and other overdose protection

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8 and prevention systems, and make specific recommendations to those

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9 entities for actions necessary for the improvement of the system;

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10  6. Request and obtain a copy of all records and reports

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1 1 pertaining to an adult whose case is under review including, but not

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1 2 limited to:

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13  a. the report of the medical examiner,

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14  b. hospital records,

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15  c. school records,

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16  d. court records,

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17  e. prosecutorial records,

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18  f. local, state and federal law enforcement records

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19                 including, but not limited to, the Oklahoma State

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20                 Bureau of Investigation (OSBI) and Oklahoma State

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21                 Bureau of Narcotics and Dangerous Drugs Control (OBN),

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22  g. fire department records,

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23  h. State Department of Health records, including birth

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24                 certificate records,

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    Req. No. 1052                           Page 3
1   i. medical and dental records,

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2   j. Department of Mental Health and Substance Abuse

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3                  Services and other mental health records,

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4   k. emergency medical service records,

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5   l. files of the Department of Human Services, and

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6   m. records in the possession of the Child Death Review

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7                  Board when conducting a joint review in accordance

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8                  with paragraph 6 of subsection A of this section.

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9 Confidential information provided to the Board shall be maintained

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1 0 by the Board in a confidential manner as otherwise required by state

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1 1 and federal law. Any person damaged by disclosure of such

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1 2 confidential information by the Board or its members which is not

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1 3 authorized by law may maintain an action for damages, costs and

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1 4 attorney fees pursuant to The Governmental Tort Claims Act;

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15  7. Maintain all confidential information, documents and records

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1 6 in possession of the Board as confidential and not subject to

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1 7 subpoena or discovery in any civil or criminal proceedings; provided

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1 8 however, information, documents and records otherwise available from

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1 9 other sources shall not be exempt from subpoena or discovery through

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2 0 those sources solely because such information, documents and records

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2 1 were presented to or reviewed by the Board;

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22  8. Conduct reviews of specific cases of opioid overdose deaths

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2 3 and request the preparation of additional information and reports as

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2 4 determined to be necessary by the Board including, but not limited

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    Req. No. 1052                                              Page 4
1 to, clinical summaries from treating physicians, chronologies of

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2 contact and second-opinion autopsies;

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3   9. Report, if recommended by a majority vote of the Board, to

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4 the Governor, the President Pro Tempore of the Senate and the

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5 Speaker of the House of Representatives any information and guidance

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6 regarding the prevention and protection system to advise on changing

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7 trends in overdose rates, substances, methods or any other factor

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8 impacting overdose deaths, including any systemic issue within the

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9 medical, law enforcement or other relevant systems discovered by the

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1 0 Board while performing its duties; and

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11  10. Exercise all incidental powers necessary and proper for the

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1 2 implementation and administration of the Opioid Overdose Fatality

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1 3 Review Board.

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14  C. The review and discussion of individual cases of an opioid

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1 5 overdose death shall be conducted in executive session. All other

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1 6 business shall be conducted in accordance with the provisions of the

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1 7 Oklahoma Open Meeting Act. All discussions of individual cases and

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1 8 any writings produced by or created for the Board in the course of

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1 9 determining a remedial measure to be recommended by the Board, as

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2 0 the result of a review of an individual case of an opioid overdose

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2 1 death, shall be privileged and shall not be admissible in evidence

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2 2 in any proceeding. The Board shall periodically conduct meetings to

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2 3 discuss organization and business matters and any actions or

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2 4 recommendations aimed at improvement of the medical system or law

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    Req. No. 1052                           Page 5
1 enforcement system which shall be subject to the Oklahoma Open

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2 Meeting Act. Part of any meeting of the Board may be specifically

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3 designated as a business meeting of the Board subject to the

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4 Oklahoma Open Meeting Act.

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5   D. The Board shall submit an annual statistical report on the

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6 incidence and causes of opioid overdose deaths in this state for

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7 which the Board has completed its review during the past calendar

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8 year including its recommendations, if any, to the medical and law

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9 enforcement system. The Board shall also prepare and make available

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1 0 to the public, on an annual basis, a report containing a summary of

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1 1 the activities of the Board relating to the review of opioid

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1 2 overdose deaths, the extent to which the state medical and law

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1 3 enforcement system is coordinated and an evaluation of whether the

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1 4 state is efficiently discharging its responsibilities to prevent

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1 5 opioid overdose deaths. The report shall be completed no later than

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1 6 February 1 of the subsequent year.

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17  SECTION 2. This act shall become effective July 1, 2025.

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18  SECTION 3. It being immediately necessary for the preservation

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1 9 of the public peace, health or safety, an emergency is hereby

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2 0 declared to exist, by reason whereof this act shall take effect and

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2 1 be in full force from and after its passage and approval.

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23  60-1-1052      RD         1/14/2025 3:50:53 PM

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    Req. No. 1052                                              Page 6
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