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 restricts the ability to change this information. Specifically, it mandates that birth certificates must include a designated space for recording a child's biological sex as either male or female, based on sex organs, chromosomes, or endogenous profiles. Additionally, it states that if a child's biological sex is not determined at birth due to atypical or ambiguous characteristics, this information does not need to be reported until it is established, at which point the birth certificate can be amended.

Furthermore, the bill stipulates 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 information that was not originally listed. The bill also outlines that the state registrar or local registrar cannot issue a birth certificate reflecting a change in biological sex unless it adheres to these conditions. The executive commissioner of the Health and Human Services Commission is tasked with adopting necessary rules to implement these changes, with the law set to take effect on September 1, 2025.

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)