OK HB4260

Firefighters, peace officers, and emergency medical technicians who suffer an acute myocardial infarction (heart attack) or stroke resulting in disability or death receive a rebuttable presumption that the condition is work-related for workers' compensation purposes

The presumption applies when the first responder was engaged in stressful or strenuous physical activity (fire suppression, rescue, hazardous material response, emergency medical services, law enforcement, or training exercises) and the medical event occurred within 8 hours after the end of that shift

Clerical, administrative, and nonmanual activities are excluded from the definition of "stressful or strenuous physical activity"

Coverage is limited to first responders employed by the state, counties, municipalities, or other political subdivisions of Oklahoma

The law includes a sunset provision expiring November 1, 2031, to allow legislative review of fiscal impact, with an effective date of November 1, 2026