Bill > HB257

This bill modifies Hawaii's birth certificate laws by requiring new birth certificates to include a sex designation based on the person's genitalia, and establishes a process for adults to amend their birth certificate's sex designation. Specifically, individuals who are at least 18 years old can request a new birth certificate with a different sex designation if a licensed physician or physician assistant confirms that the current sex designation does not align with the person's genitalia. When such an amendment is made, the original birth certificate will be unsealed and the new certificate will be marked as amended. The bill removes previous language about gender transition and clinical treatment, focusing instead on the physical characteristic of genitalia as the basis for sex designation. The amendment process requires the birth registrant to be an adult and to provide a medical attestation from a physician or physician assistant who has examined them. The bill ensures that any legal name changes can be reflected simultaneously with the sex designation change, and it stipulates that no additional medical records beyond the physician's attestation will be required for this process.

Health and Social Services

https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=HB&billnumber=257&year=2026