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. It introduces new provisions that require individuals filing a birth certificate to ensure that the biological sex, determined by sex organs or chromosomes, is accurately listed. Additionally, it states that if a child's biological sex is not determined at birth due to atypical or ambiguous sex characteristics, the birth certificate can be amended later once the sex is determined.

Furthermore, the bill restricts the issuance of 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 that the executive commissioner of the Health and Human Services Commission must adopt necessary rules to implement these changes. The act is set to take effect immediately upon receiving a two-thirds vote from both houses or on September 1, 2025, if that vote is not achieved.

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)