Okla. Stat. tit. 57, § 57-4.1

A. In addition to other medical and health care services

required by a jail facility as may be provided by rule by the State

Department of Health, the person responsible for administration for

a jail shall administer medications according to the following:

1. Prescription medications shall be provided to the prisoner

as directed by a physician or designated medical authority. The

prisoner shall be observed to ensure the prisoner takes the

medication. The physician or designated medical authority shall be

particularly aware through his or her training of the impact of

opiate or methadone withdrawal symptoms that may occur in regard to

the mental and physical health of the prisoner. The physician or

medical authority shall prescribe and administer appropriate

medications to the prisoner pursuant to Section 5-204 of Title 43A

of the Oklahoma Statutes as the medical authority deems appropriate

to address those symptoms. Neither prescription nor over-the-

counter medications shall be kept by a prisoner in a cell with the

exception of prescribed nitroglycerin tablets and prescription

inhalers. Over-the-counter medications shall not be administered

without a physician’s approval unless using prepackaged medications;

2. Medical reception information shall be recorded on a printed

screening form approved by the physician or designated medical

authority which shall include inquiry into:

a. current illnesses and health problems including

medications taken and any special health requirements,

b. behavioral observation, including state of

consciousness and mental status,

c. body deformities and trauma markings such as bruises,

lesions, jaundice, and ease of body movement,

d. condition of skin and visible body orifices, including

infestations, and

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e. disposition or referral of prisoners to qualified

medical personnel on an emergency basis; and

3. For purposes of this section, “physician or other licensed

medical personnel” means a psychiatrist, medical doctor, osteopathic

physician, physician’s assistant, registered nurse, licensed

practical nurse, emergency medical technician at the paramedical

level or clinical nurse specialist.

B. 1. Subject to the provision of emergency opioid antagonists

by the Department of Mental Health and Substance Abuse Services

under Section 1 of this act:

a. the Department of Corrections, upon the discharge of

an inmate from an institution within the Department

who has been diagnosed with an opioid use disorder,

regardless of whether that inmate has received

treatment for the disorder, shall provide the inmate,

as the inmate leaves the institution, with two doses

of an emergency opioid antagonist, and

b. a county jail:

(1) upon the discharge of any person who is confined

in the jail pursuant to a sentence who has been

diagnosed with an opioid use disorder, regardless

of whether that person has received treatment for

the disorder, or

(2) upon the discharge of any person who is confined

in the jail for an offense related to possession

of an opioid drug other than:

(a) a person who is confined in the jail

pursuant to a sentence, or
any person who is confined

in the jail pursuant to a sentence who has been

diagnosed with an opioid use disorder, regardless

of whether that person has received treatment for

the disorder, or

(2) upon the discharge of any person who is confined

in the jail for an offense related to possession

of an opioid drug other than:

(a) a person who is confined in the jail

pursuant to a sentence, or

(b) a person who is being transferred to the

custody of the Department of Corrections,

shall provide the person, as the person leaves the

jail, with two doses of an emergency opioid

antagonist.

2. Notwithstanding the provision of emergency opioid

antagonists by the Department of Mental Health and Substance Abuse

Services as provided by Section 1 of this act, the Department of

Corrections and county jails may stock and provide emergency opioid

antagonists to inmates or persons upon discharge from the

institution or jail as described in paragraph 1 of this subsection.

3. Before the Department of Corrections or a county jail

provides an emergency opioid antagonist to an inmate or person as

described in paragraph 1 or 2 of this subsection, the Department of

Corrections or the jail shall ensure that the inmate or person is

provided with the opioid overdose education program provided by the

Department of Mental Health and Substance Abuse Services under

Section 1 of this act.

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4. Nothing in this subsection is intended to abrogate or

supersede any existing authority of the Department of Corrections or

a county jail to administer an emergency opioid antagonist to a

person experiencing an opioid overdose.