The bill, H.B. No. 2291, amends the Health and Safety Code to require the inclusion of a person's biological sex on birth certificates and prohibits the alteration of this information for certain individuals. Specifically, it adds a new subsection to Section 192.002, mandating that birth certificate forms include a space for recording biological sex as either male or female. Additionally, it introduces new subsections to Section 192.003, which stipulate that the biological sex of a child must be reported based on their sex organs, chromosomes, or endogenous profile, with exceptions for children whose biological sex is not determinable at birth due to atypical or ambiguous characteristics.

Furthermore, the bill modifies Section 192.011 to clarify that birth certificates cannot be amended to change a person's biological sex 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 for individuals with atypical or ambiguous sex characteristics once their sex is determined. The changes are set to take effect on September 1, 2025, and the executive commissioner of the Health and Human Services Commission is tasked with adopting necessary rules for implementation.

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)