Oktibbeha County; authorize the establishment of the Oktibbeha County Reserve and Trust Fund for deposit of net proceeds from sale of certain medical center.

Added a strict rule that earnings distributions are prohibited until the inflation-adjusted value of the fund's principal equals or exceeds the initial deposit amount.

Established a complex approval process for withdrawing from the principal, requiring a four-fifths supermajority vote, a public hearing, written findings of no alternative funding, and certification from the investment manager.

Required the investment manager to prepare an Investment Policy Statement (IPS) and certify in writing that any adopted modifications will preserve the fund's purchasing power in perpetuity.

Granted the Mississippi Attorney General standing to enforce the act and mandated an automatic investigation if the fund balance ever reaches zero.

Added a specific effective date clause stating the act takes effect immediately upon passage, replacing the previous session header.