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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 and prohibited change of sex on the birth certificate | 
         
            |  | of certain persons. | 
         
            |  | 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 person as either male or female. | 
         
            |  | SECTION 2.  Section 192.003, Health and Safety Code, is | 
         
            |  | amended by adding Subsections (f) and (g) to read as follows: | 
         
            |  | (f)  Subject to Subsection (g), a person required to file a | 
         
            |  | birth certificate under this section shall ensure the biological | 
         
            |  | sex of a child, as determined by the sex organs, chromosomes, or | 
         
            |  | endogenous profile of the child, is listed in the appropriate space | 
         
            |  | on the child's birth certificate.  A person required to report a | 
         
            |  | birth under this section shall report the child's biological sex to | 
         
            |  | the local registrar, and the local registrar shall list the | 
         
            |  | biological sex in the appropriate space on the birth certificate. | 
         
            |  | (g)  A person is not required to list on the birth | 
         
            |  | certificate or report to the local registrar the biological sex of a | 
         
            |  | child whose biological sex is not determined at birth because the | 
         
            |  | child, as determined by a physician, has atypical or ambiguous sex | 
         
            |  | organs, chromosomes, or endogenous profile for either male or | 
         
            |  | female.  The birth certificate may be amended under Section 192.011 | 
         
            |  | at any time after the child's sex is determined to complete the | 
         
            |  | information on the certificate by including the child's determined | 
         
            |  | sex. | 
         
            |  | SECTION 3.  Section 192.011, Health and Safety Code, is | 
         
            |  | amended by amending Subsection (b) and adding Subsection (d) to | 
         
            |  | read as follows: | 
         
            |  | (b)  Except as provided by Subsection (d), on [ On] the | 
         
            |  | request of the person or the person's legal representative, the | 
         
            |  | state registrar, local registrar, or other person who issues birth | 
         
            |  | certificates shall issue a birth certificate that incorporates the | 
         
            |  | completed or corrected information instead of issuing a copy of the | 
         
            |  | original or supplementary certificate with an amending certificate | 
         
            |  | attached. | 
         
            |  | (d)  The state registrar, local registrar, or other person | 
         
            |  | who issues a birth certificate under this section may not issue, and | 
         
            |  | a court may not order the issuance of, a birth certificate that | 
         
            |  | incorporates the completed or corrected biological sex information | 
         
            |  | for a person unless: | 
         
            |  | (1)  the certificate corrects a clerical error on the | 
         
            |  | original birth certificate; | 
         
            |  | (2)  the original birth certificate does not list the | 
         
            |  | person's biological sex as required by Section 192.003(f) and the | 
         
            |  | certificate completes the information by listing the person's | 
         
            |  | biological sex; or | 
         
            |  | (3)  for a person who at birth had atypical or ambiguous | 
         
            |  | sex organs, chromosomes, or endogenous profile for either male or | 
         
            |  | female and whose sex is later determined, the certificate: | 
         
            |  | (A)  corrects the biological sex information | 
         
            |  | listed as either male or female on an original birth certificate by | 
         
            |  | listing the person's determined sex as the other biological sex; or | 
         
            |  | (B)  completes the biological sex information not | 
         
            |  | previously listed on an original birth certificate by listing the | 
         
            |  | person's determined sex. | 
         
            |  | SECTION 4.  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 5.  This Act takes effect September 1, 2025. |