State Department of Health; creating the Oklahoma Rural Health Transformation Program; creating revolving fund; emergency.

Added two new sponsors to the bill: Hall and Haste of the Senate.

Changed the bill title from 'Proposed Committee Substitute' to 'Committee Substitute' and updated the associated header text.

Updated the internal reference numbers (Req. No.) from 17291 to 17401 and the tracking code from MKS to JM.

Removed the original enrolled bill text, including the final signatures and dates from the House and Senate.

Added a header indicating this is a 'Proposed Committee Substitute' with amendment details.

Replaced the entire body of the bill with a new draft that contains identical policy content but different formatting and line numbering.

Added official certification blocks for the House and Senate Presiding Officers, the Governor's approval signature, and the Secretary of State's receipt details, which are required for a bill to become law.

Inserted specific passage dates (April 14 and April 16, 2026) for the House and Senate, respectively, and left blank fields for the Governor's signature date.

Removed draft page headers and footers (e.g., 'ENGROSSED HOUSE', 'Page 1') and replaced them with the final 'ENROLLED HOUSE' title and signature pages.

Created a new 'Oklahoma Rural Health Transformation Revolving Fund' to manage federal grant money and ensure cash flow for approved projects.

Required the State Department of Health to submit an annual report to the Governor, legislature, and budget chairs detailing program progress and outcomes.

Mandated quarterly public updates on the department's website showing project expenditures for each completed quarter.

Established a requirement that a specific minimum balance must remain in the revolving fund at the end of the program.

Removed the original effective date of November 1, 2026, replacing it with a standard emergency clause that makes the law effective immediately upon approval.