The bill, H.B. No. 477, amends the Health and Safety Code to mandate the inclusion of a child's biological sex on their birth certificate, specifying that it must be recorded as either male or female. New provisions require that individuals responsible for filing birth certificates ensure that the biological sex, determined by sex organs or chromosomes, is accurately reported to the local registrar. Additionally, it allows for exceptions in cases where a child's biological sex is not determinable at birth due to atypical or ambiguous characteristics, permitting amendments to the birth certificate once the child's sex is determined.

Furthermore, the bill introduces restrictions on issuing amended birth certificates for minors regarding biological sex changes. It prohibits the issuance of a birth certificate that incorporates corrected biological sex information unless specific conditions are met, such as correcting clerical errors or completing previously unlisted biological sex information. The bill also outlines the process for amending birth certificates in cases where a minor's sex is later determined. The executive commissioner of the Health and Human Services Commission is tasked with adopting necessary rules to implement these changes. The act is set to take effect immediately upon receiving a two-thirds vote or on September 1, 2025, if not.

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)