This bill amends Section 1-321 of Title 63 of the Oklahoma Statutes, which governs the amendment of vital records, specifically birth certificates. The key change prohibits any amendments to the biological sex designation on a birth certificate, stating that it must be either male or female and cannot include nonbinary or any other symbols representing a nonbinary designation. The bill also specifies that this prohibition on amending biological sex will take effect on April 26, 2022, and establishes that the act will become effective on November 1, 2025.

In addition to the prohibition on amending biological sex, the bill retains existing provisions regarding the amendment of birth certificates for name changes and paternity acknowledgments. It outlines the procedures for making corrections to vital records, including the responsibilities of the State Commissioner of Health and the conditions under which amendments can be made. Overall, the bill aims to maintain the integrity and accuracy of vital statistics records while imposing restrictions on how biological sex is recorded and amended.