The bill amends the Health and Safety Code to require the inclusion of a child's biological sex on their birth certificate, specifying that it must be recorded as either male or female. It introduces new provisions that mandate individuals responsible for filing birth certificates to ensure that the biological sex, determined by sex organs or chromosomes, is accurately listed. Additionally, it allows for exceptions in cases where a child's biological sex is not determinable at birth due to atypical or ambiguous sex characteristics, in which case the birth certificate can be amended once the child's sex is determined.

Furthermore, the bill restricts the issuance of amended birth certificates for minors regarding biological sex changes. It states that a birth certificate incorporating corrected biological sex information cannot be issued unless it corrects a clerical error, completes previously unlisted biological sex information, or reflects a determination of sex for minors with atypical or ambiguous sex characteristics. The bill also outlines the process for implementing these changes, requiring the executive commissioner of the Health and Human Services Commission to adopt necessary rules.

Statutes affected:
Introduced: Health and Safety Code 192.002, Health and Safety Code 192.003, Health and Safety Code 192.011 (Health and Safety Code 192)