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 effective date for this prohibition is set for April 26, 2022, and the bill also establishes that the biological sex designation on a birth certificate shall not be amended after the initial issuance.

Additionally, the bill outlines the procedures for amending vital records, including the conditions under which a birth certificate can be amended to reflect a name change or paternity acknowledgment. It emphasizes the importance of maintaining the integrity and accuracy of vital statistics records while providing specific guidelines for amendments related to paternity and surname changes for children born out of wedlock. The act is set to become effective on November 1, 2025.