Bill > HB2291

This bill modifies Texas birth certificate regulations by requiring that biological sex be recorded on birth certificates based on the child's sex organs, chromosomes, or endogenous profile, specifically listing sex as either male or female. The bill mandates that when filing a birth certificate, the person reporting the birth must list the child's biological sex as determined by physical characteristics. In cases where a child is born with atypical or ambiguous sex characteristics, as determined by a physician, the birth certificate may be left incomplete and later amended when the child's sex can be definitively determined. The bill strictly limits the circumstances under which a birth certificate can be modified, allowing changes only for correcting clerical errors, completing initially missing biological sex information, or updating the sex for individuals with originally ambiguous characteristics. The new regulations aim to ensure that birth certificates reflect a person's biological sex at birth or upon medical determination, and prohibit changes to birth certificate sex designations outside of these specific conditions. The bill is set to take effect on September 1, 2025, with the Texas Health and Human Services Commission responsible for developing implementation rules.

Health and Social Services

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB2291