OK HB1630

Creates a new licensing framework for "short-term emergency and nonemergency hybrid medical facilities" - dual-sided facilities separate from hospitals that operate 24/7, with one side providing emergency care and the other providing nonemergency services like diagnostic testing, lab work, imaging, and primary care

Emergency patients cannot be held longer than 24 hours; facilities must be staffed by board-certified emergency room physicians, maintain referral agreements with licensed Oklahoma hospitals, and provide medical screening regardless of ability to pay in compliance with federal EMTALA requirements

Prohibits licensing facilities in cities with populations under 30,000 that are within 20 miles or 20 minutes of a rural hospital unless written permission is obtained from that hospital

Authorizes the State Department of Health to inspect facilities, deny/suspend/revoke licenses, impose administrative penalties up to $1,000 per violation (maximum $5,000 for continuing violations), and issue emergency suspension orders for immediate public health threats

Creates the Short-term Emergency and Nonemergency Hybrid Medical Facility Licensing Fund as a revolving fund for administration and enforcement; effective date November 1, 2025