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            |  | A BILL TO BE ENTITLED | 
         
            |  | AN ACT | 
         
            |  | relating to the required inclusion of a person's sex on a birth | 
         
            |  | certificate. | 
         
            |  | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
         
            |  | SECTION 1.  Section 192.002, Health and Safety Code, is | 
         
            |  | amended by adding Subsection (c-1) to read as follows: | 
         
            |  | (c-1)  The form must include a space for recording the | 
         
            |  | biological sex of a child as either male or female.  A child born | 
         
            |  | with a Y chromosome must be classified as male and a child born | 
         
            |  | without a Y chromosome must be classified as female.  The method of | 
         
            |  | classifying a child's biological sex used under this section | 
         
            |  | applies to other laws of this state with respect to the | 
         
            |  | determination of a person's sex or gender. | 
         
            |  | SECTION 2.  As soon as practicable after the effective date | 
         
            |  | of this Act, the executive commissioner of the Health and Human | 
         
            |  | Services Commission shall adopt rules necessary to implement the | 
         
            |  | changes in law made by this Act. | 
         
            |  | SECTION 3.  This Act takes effect September 1, 2023. |