Old	New	Differences
1	1
2	2
3	3	Req. No. 5096 Page 1 1
4	4	2
5	5	3
6	6	4
7	7	5
8	8	6
9	9	7
10	10	8
11	11	9
12	12	10
13	13	11
14	14	12
15	15	13
16	16	14
17	17	15
18	18	16
19	19	17
20	20	18
21	21	19
22	22	20
23	23	21
24	24	22
25	25	23
26	26	24
27	27
28	28	STATE OF OKLAHOMA
29	29
30	30	1st Session of the 59th L egislature (2023)
31	31
32	32	HOUSE BILL 1011 By: Olsen
33	33
34	34
35	35
36	36
37	37
38	38	AS INTRODUCED
39	39
40	40	An Act relating to public health and safety ; defining
41	41	terms; prohibiting certain health care professionals
42	42	from performing or attemp ting to perform gender
43	43	transition procedures to certa in individuals;
44	44	prohibiting certain health care professionals from
45	45	making certain referrals; providing exceptions ;
46	46	prohibiting use of public funds for gender transitio n
47	47	procedures; prohibiting gender tra nsition procedures
48	48	under certain circumstances; prohibiting state
49	49	Medicaid program reimbursements ; providing for felony
50	50	penalties; authorizing fine or confinement or both;
51	51	prescribing statute of limitations; defining certain
52	52	conduct as unprofessional ; requiring revocation of
53	53	license or certificate ; prescribing statute of
54	54	limitations for disciplinary proce edings; authorizing
55	55	certain claims or defenses ; prescribing statute of
56	56	limitations; authorizing civil actions by minors;
57	57	authorizing civil actions after ma jority; authorizing
58	58	certain actions without exhaustion of administrative
59	59	remedies; authorizing attorney fees; authorizing
60	60	Attorney General to bring enforcement actions;
61	61	providing for constr uction of act; providing for
62	62	codification; and providing an effecti ve date.
63	63
64	64
65	65
66	66
67	67
68	68	BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
69	69	SECTION 1. NEW LAW A new section of law to be codified
70	70	in the Oklahoma Statutes as Section 2607.1 of Title 63, unless there
71	71	is created a duplication in numbe ring, reads as follows:
72	72
73	73	Req. No. 5096 Page 2 1
74	74	2
75	75	3
76	76	4
77	77	5
78	78	6
79	79	7
80	80	8
81	81	9
82	82	10
83	83	11
84	84	12
85	85	13
86	86	14
87	87	15
88	88	16
89	89	17
90	90	18
91	91	19
92	92	20
93	93	21
94	94	22
95	95	23
96	96	24
97	97
98	98	As used in this act:
99	99	1. "Biological sex" means the biological indication of male and
100	100	female in the context of reproductive potential or capacity, such as
101	101	sex chromosomes, naturally occurring sex hormones, gonads, and
102	102	nonambiguous internal and external genitalia present at birth,
103	103	without regard to an individual 's psychological, chosen, or
104	104	subjective experience of gender;
105	105	2. "Cross-sex hormones" means:
106	106	a. testosterone or other androgens given to biological
107	107	females in amounts that are larger or more potent than
108	108	would normally occur naturally in healthy biological
109	109	sex females, and
110	110	b. estrogen given to biological males in amounts that are
111	111	larger or more potent than would normally occur
112	112	naturally in healthy biological sex males;
113	113	3. "Gender" means the psychological, behavioral, social, and
114	114	cultural aspects of being male or female;
115	115	4. "Gender reassignment surgery " means any medical or surgical
116	116	service that seeks to surgically alter or remove healthy physical or
117	117	anatomical characteristics o r features that are typical for the
118	118	individual's biological sex, in order to instill or create
119	119	physiological or anatomical characteristics that resemble a sex
120	120	different from the individual 's biological sex, including but not
121	121	limited to genital or nongenita l gender reassignment surgery
122	122
123	123	Req. No. 5096 Page 3 1
124	124	2
125	125	3
126	126	4
127	127	5
128	128	6
129	129	7
130	130	8
131	131	9
132	132	10
133	133	11
134	134	12
135	135	13
136	136	14
137	137	15
138	138	16
139	139	17
140	140	18
141	141	19
142	142	20
143	143	21
144	144	22
145	145	23
146	146	24
147	147
148	148	performed for the purpose of assisting an individual with a gender
149	149	transition;
150	150	5. "Gender transition" means the process in which a person goes
151	151	from identifying with and living as a gender that corresponds to his
152	152	or her biological sex to identifying with and living as a gender
153	153	different from his or her biological sex, and may involve social,
154	154	legal, or physical changes;
155	155	6. a. "Gender transition procedures " means any medical or
156	156	surgical service, including but not limited to
157	157	physician's services, inpatient and outpatient
158	158	hospital services, or prescribed drugs related to
159	159	gender transition, that seeks to:
160	160	(1) alter or remove physica l or anatomical
161	161	characteristics or features that are typical for
162	162	the individual's biological sex, or
163	163	(2) instill or create physiological or anatomical
164	164	characteristics that resemble a sex different
165	165	from the individual's biological sex, including
166	166	but not limited to medical services that provide
167	167	puberty-blocking drugs, cross -sex hormones, or
168	168	other mechanisms to promote the development of
169	169	feminizing or masculinizing features in the
170	170	opposite biological sex, or genital or nongenital
171	171	gender reassignment surgery pe rformed for the
172	172
173	173	Req. No. 5096 Page 4 1
174	174	2
175	175	3
176	176	4
177	177	5
178	178	6
179	179	7
180	180	8
181	181	9
182	182	10
183	183	11
184	184	12
185	185	13
186	186	14
187	187	15
188	188	16
189	189	17
190	190	18
191	191	19
192	192	20
193	193	21
194	194	22
195	195	23
196	196	24
197	197
198	198	purpose of assisting an individual with a gender
199	199	transition.
200	200	b. Gender transition proced ures do not include:
201	201	(1) services to persons born with a medically
202	202	verifiable disorder of sex development, including
203	203	a person with external biological s ex
204	204	characteristics that are irresolvably ambiguous,
205	205	such as those born with 46 XX chromosomes with
206	206	virilization, 46 XY chromosomes with
207	207	undervirilization, or having both ovarian and
208	208	testicular tissue,
209	209	(2) services provided when a physician has otherwise
210	210	diagnosed a disorder of sexual development that
211	211	the physician has determined through genetic or
212	212	biochemical testing that the person does not have
213	213	normal sex chromosome structure, sex steroid
214	214	hormone production, or sex steroid hormone
215	215	action,
216	216	(3) the treatment of any infection, injury, disease,
217	217	or disorder that has been caused by or
218	218	exacerbated by the performan ce of gender
219	219	transition procedures, whether or not the gender
220	220	transition procedure was performed in accordance
221	221	with state and federal law, or
222	222
223	223	Req. No. 5096 Page 5 1
224	224	2
225	225	3
226	226	4
227	227	5
228	228	6
229	229	7
230	230	8
231	231	9
232	232	10
233	233	11
234	234	12
235	235	13
236	236	14
237	237	15
238	238	16
239	239	17
240	240	18
241	241	19
242	242	20
243	243	21
244	244	22
245	245	23
246	246	24
247	247
248	248	(4) any procedure undertaken because the individual
249	249	suffers from a physical disorder, physical
250	250	injury, or physical illness that would, as
251	251	certified by a physician, place the individual in
252	252	imminent danger of death or impairment of major
253	253	bodily function unless surgery is performed;
254	254	7. "Genital gender reassignment surgery " means a medical
255	255	procedure performed for the pur pose of assisting an individual with
256	256	a gender transition, including but not limited to:
257	257	a. surgical procedures such as penectomy, orchiectomy,
258	258	vaginoplasty, clitoroplasty, or vulvoplasty for
259	259	biologically male patients or hysterectomy or
260	260	ovariectomy for biologically female patients,
261	261	b. reconstruction of the fixed part of the urethra with
262	262	or without a metoidioplasty, or
263	263	c. phalloplasty, vaginectomy, scroto plasty, or
264	264	implantation of erection or testicular prostheses for
265	265	biologically female patients;
266	266	8. "Health care professional" means a person who is licensed,
267	267	certified, or otherwise authorized by the laws of this state to
268	268	administer health care in the ordin ary course of the practice of his
269	269	or her profession;
270	270
271	271	Req. No. 5096 Page 6 1
272	272	2
273	273	3
274	274	4
275	275	5
276	276	6
277	277	7
278	278	8
279	279	9
280	280	10
281	281	11
282	282	12
283	283	13
284	284	14
285	285	15
286	286	16
287	287	17
288	288	18
289	289	19
290	290	20
291	291	21
292	292	22
293	293	23
294	294	24
295	295
296	296	9. "Nongenital gender reassignment surgery " means medical
297	297	procedures performed for the purpose of assisting an individual with
298	298	a gender transition, including but not limited to:
299	299	a. surgical procedures fo r biologically male patients,
300	300	such as augmentation mammoplasty, facial feminization
301	301	surgery, liposuction , lipofilling, voice surgery,
302	302	thyroid cartilage reduction, gluteal augmentation,
303	303	hair reconstruction, or various aesthetic procedures,
304	304	or
305	305	b. surgical procedures for biologically female patients,
306	306	such as subcutaneous mastectomy, voice surgery,
307	307	liposuction, lipofilling, pectoral implants, or
308	308	various aesthetic procedures;
309	309	10. "Physician" means a person who is licensed to practice
310	310	medicine in this state;
311	311	11. "Puberty-blocking drugs" means gonadotropin-releasing
312	312	hormone analogues or other synthetic drugs used in biological males
313	313	to stop luteinizing hormone secretion and therefore testosterone
314	314	secretion, or synthetic drugs used in biological females which stop
315	315	the production of estrogens and progesterone, when used to delay or
316	316	suppress pubertal development in ch ildren for the purpose of
317	317	assisting an individual with a gender transition; and
318	318	12. "Public funds" means state, county, or local government
319	319	monies, in addition to any department, agency, or instrumentality
320	320
321	321	Req. No. 5096 Page 7 1
322	322	2
323	323	3
324	324	4
325	325	5
326	326	6
327	327	7
328	328	8
329	329	9
330	330	10
331	331	11
332	332	12
333	333	13
334	334	14
335	335	15
336	336	16
337	337	17
338	338	18
339	339	19
340	340	20
341	341	21
342	342	22
343	343	23
344	344	24
345	345
346	346	authorized or appropriated under state law or der ived from any fund
347	347	in which such monies are deposited.
348	348	SECTION 2. NEW LAW A new section of law to be codified
349	349	in the Oklahoma Statutes as Section 2607.2 of Title 63, unless there
350	350	is created a duplication in numbering, reads as follo ws:
351	351	A. A physician or other health care professional shall not
352	352	perform or attempt to perform gender transition procedures to any
353	353	individual under twenty-one (21) years of age.
354	354	B. A physician or other health care professional shall not
355	355	refer any individual under twenty-one (21) years of age to any
356	356	health care professional for gender transition procedures.
357	357	C. A physician or other health care professional is not
358	358	prohibited from providing any of the following procedures which are
359	359	not gender transition proced ures to an individual under twenty-one
360	360	(21) years of age:
361	361	1. Services to persons born with a medically verifiable
362	362	disorder of sex development, including a person with exter nal
363	363	biological sex characteristics that are irresolvably ambiguous, such
364	364	as those born with 46 XX chromosomes with virilization, 46 XY
365	365	chromosomes with undervirilization, or having both ovarian and
366	366	testicular tissue;
367	367	2. Services provided when a physician has otherwise diagnosed a
368	368	disorder of sexual development that the physician has det ermined
369	369	through genetic or biochemical testing that the person does not have
370	370
371	371	Req. No. 5096 Page 8 1
372	372	2
373	373	3
374	374	4
375	375	5
376	376	6
377	377	7
378	378	8
379	379	9
380	380	10
381	381	11
382	382	12
383	383	13
384	384	14
385	385	15
386	386	16
387	387	17
388	388	18
389	389	19
390	390	20
391	391	21
392	392	22
393	393	23
394	394	24
395	395
396	396	normal sex chromosome structure, sex steroid hormone production, or
397	397	sex steroid hormone action;
398	398	3. The treatment of any infection, injury, disease, or disorder
399	399	that has been caused by or exacerbated by the performance of gender
400	400	transition procedures, whether or not the gender transition
401	401	procedure was performed in accordance with state and federal la w or
402	402	whether funding for the gender transition procedure is permissible
403	403	under Section 3 of this act; or
404	404	4. Any procedure undertaken because the individual suffers from
405	405	a physical disorder, physical injury, or physical illness that
406	406	would, as certified by a physician, place the individual in imminent
407	407	danger of death or impairment of m ajor bodily function unless
408	408	surgery is performed.
409	409	SECTION 3. NEW LAW A new section of law to be codified
410	410	in the Oklahoma Statutes as Section 2607.3 of Title 63, unless there
411	411	is created a duplication in numbering, reads as follows:
412	412	A. Public funds shall not be directly or indirectly used,
413	413	granted, paid, or distributed to any entity, organization, or
414	414	individual that provides gender transition pr ocedures to an
415	415	individual under twenty-one (21) years of age. Any violation shall
416	416	result in the loss of such funding.
417	417	B. Health care services furnished in the following situations
418	418	shall not include gender transition procedures to an individual
419	419	under twenty-one (21) years of age:
420	420
421	421	Req. No. 5096 Page 9 1
422	422	2
423	423	3
424	424	4
425	425	5
426	426	6
427	427	7
428	428	8
429	429	9
430	430	10
431	431	11
432	432	12
433	433	13
434	434	14
435	435	15
436	436	16
437	437	17
438	438	18
439	439	19
440	440	20
441	441	21
442	442	22
443	443	23
444	444	24
445	445
446	446	1. By or in a health care facility owned by the state or a
447	447	county or local government; or
448	448	2. By a physician or other hea lth care professional employed by
449	449	the state or a county or local government.
450	450	C. The state Medicaid program shall not reimburse or provide
451	451	coverage for gender transition pr ocedures to an individual under
452	452	twenty-one (21) years of age.
453	453	SECTION 4. NEW LAW A new section of law to be codified
454	454	in the Oklahoma Statutes as Section 2607.4 of Title 63, unless there
455	455	is created a duplication in numbering, reads as follows:
456	456	A. 1. As provided in subsection A of Section 2 of this act, a
457	457	physician or other health care professional performing or attempting
458	458	to perform gender transition proce dures to any individual under
459	459	twenty-one (21) years of age shall, upon conviction, be guilty of a
460	460	felony punishable by fine not to exceed One Hundred Thousand D ollars
461	461	($100,000.00), or by confinement in the custody of the Department of
462	462	Corrections for a term not to exceed ten (10) years, or by both such
463	463	fine and imprisonment .
464	464	2. Prosecution for a criminal violation of this subsection
465	465	shall be commenced not later than the date as of whi ch the
466	466	individual receiving gender transition procedures attains the age of
467	467	forty-five (45) years.
468	468	B. 1. As provided in subsection B of Section 2 of this act, a
469	469	physician or other hea lth care professional found to have knowingly
470	470
471	471	Req. No. 5096 Page 10 1
472	472	2
473	473	3
474	474	4
475	475	5
476	476	6
477	477	7
478	478	8
479	479	9
480	480	10
481	481	11
482	482	12
483	483	13
484	484	14
485	485	15
486	486	16
487	487	17
488	488	18
489	489	19
490	490	20
491	491	21
492	492	22
493	493	23
494	494	24
495	495
496	496	referred any individual under twenty-one (21) years of age to any
497	497	health care professional for gender transition procedures shall,
498	498	upon conviction, be guilty of a felony.
499	499	2. Prosecution for a criminal violation of this subsection
500	500	shall be commenced not later than the date as of w hich the
501	501	individual receiving gender transition procedures attains the age of
502	502	forty-five (45) years.
503	503	C. 1. Any referral for or provision of gender transition
504	504	procedures to an individu al under twenty-one (21) years of age is
505	505	unprofessional conduct and sha ll, upon an adverse ruling by the
506	506	appropriate licensing board, result in immediate revocation of the
507	507	license or certificate of the physician or other health care
508	508	professional.
509	509	2. Disciplinary proceedings against the physician or other
510	510	health care professional must be commenced not later than the date
511	511	as of which the individual receiving gen der transition procedures
512	512	attains the age of forty-five (45) years.
513	513	D. 1. A person may assert a n actual or threatened violation of
514	514	this act as an independent civil act ion or defense in a judicial or
515	515	administrative proceeding and obtain compensatory damages ,
516	516	injunctive relief, declaratory relief, or any other appropriate
517	517	relief.
518	518
519	519	Req. No. 5096 Page 11 1
520	520	2
521	521	3
522	522	4
523	523	5
524	524	6
525	525	7
526	526	8
527	527	9
528	528	10
529	529	11
530	530	12
531	531	13
532	532	14
533	533	15
534	534	16
535	535	17
536	536	18
537	537	19
538	538	20
539	539	21
540	540	22
541	541	23
542	542	24
543	543
544	544	2. A person shall bring a claim for a violation of this act no
545	545	later than the date as of which the individual receiving gen der
546	546	transition procedures attai ns the age of forty-five (45) years.
547	547	3. An individual under eighteen (18) years of age may bring an
548	548	action throughout thei r minority through a parent or next friend,
549	549	and may bring an action in their own name upon reaching majority at
550	550	any time from that point until twenty -seven (27) years after
551	551	reaching the age of majority.
552	552	4. Notwithstanding any other provision of law, an ac tion under
553	553	this subsection may be commenced, and relief may be granted, in a
554	554	judicial proceeding without regard to whether the person commencing
555	555	the action has sought or exhausted available administrative
556	556	remedies.
557	557	5. In any action or proceeding to enforc e a provision of this
558	558	act, a prevailing party who establishes a violati on of this act
559	559	shall recover reasonable attorney fees.
560	560	E. 1. The Attorney General may bring an action to enforce
561	561	compliance with this act.
562	562	2. This act does not deny, impair, or other wise affect any
563	563	right or authority of the Attorney General, the State o f
564	564	Oklahoma, or any agency, officer, or employee of the state,
565	565	acting under any law other than this act, to institute or
566	566	intervene in any proceeding.
567	567
568	568	Req. No. 5096 Page 12 1
569	569	2
570	570	3
571	571	4
572	572	5
573	573	6
574	574	7
575	575	8
576	576	9
577	577	10
578	578	11
579	579	12
580	580	13
581	581	14
582	582	15
583	583	16
584	584	17
585	585	18
586	586	19
587	587	20
588	588	21
589	589	22
590	590	23
591	591	24
592	592
593	593	SECTION 5. This act shall become effective November 1, 2023.
594	594
595	595	59-1-5096 TJ 11/30/22

Oklahoma 2024 Regular Session

Oklahoma House Bill HB1011 Compare Versions