The bill amends the Public Health Code by updating sections related to the establishment and management of birth certificates. It allows the state registrar to create a new certificate of birth for individuals born in Michigan under specific circumstances, such as adoption or established parentage. Notably, the bill removes the previous requirement for a request to establish a new certificate to show a sex designation different from that assigned at birth, which included stipulations for documentation. Instead, it introduces a new provision that allows for the establishment of a new certificate based on a judgment or parentage judgment under the assisted reproduction and surrogacy parentage act.

Additionally, the bill modifies the procedures for searching and issuing vital records, including the fees associated with these services. It specifies that the state registrar must conduct searches for vital records upon written request and payment of fees, while also allowing for waivers of fees under certain conditions, such as for homeless individuals. The bill also clarifies the fees for creating new vital records and corrections, ensuring that the costs are reasonable and related to the services provided. Overall, the amendments aim to streamline the process of managing birth certificates and vital records while ensuring accessibility for individuals in various circumstances.