SENATE FLOOR VERSION - SB129 SFLR Page 1 (Bold face denotes Committee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 SENATE FLOOR VERSION March 1, 2023 COMMITTEE SUBSTITUTE FOR SENATE BILL NO. 129 By: Bullard, Hamilton, Woods, Burns, Jett, and Stephens [ health care - public funds, public facilities, and public employees - codification - effective date - emergency ] BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. NEW LAW A n ew section of law to be codified in the Oklahoma Statutes as Section 2607. 2 of Title 63, unless there is created a duplication in numbering, reads as follows: A. As used in this section: 1. a. “Gender transition procedure s” means any medical or surgical treatment including but not limited to physician’s services, inpatient and outpatient hospital services, or pr escribed drugs related to gender transition that seeks to: (1) alter or remove physical or anatomical characteristics or features that are typical for the individual’s biological sex, or (2) instill or create physiological or anatomical characteristics that resemble a sex different SENATE FLOOR VERSION - SB129 SFLR Page 2 (Bold face denotes Committee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 from the individual’s biological sex, including but not limited to medical services th at provide puberty-blocking drugs, cross-sex hormones, or other mechanisms to promote the development of feminizing or masculinizing features i n the opposite biological sex, or genital or nongenital gender reassignment surg ery performed for the purpose of assisting an individual with a gender transition. b. Gender transition procedures do not include : (1) behavioral health care services or mental health counseling, (2) medications to treat depression and anxiety, (3) medications prescribed, dispensed, o r administered specifically for the purpose of treating precocious puberty or delayed puberty in that patient, (4) services provided to individua ls born with ambiguous genitalia, incomplete genitalia, or both male and female anatomy, or biochemically verifiable disorder of sex development (DSD), including but not limited to: (a) 46,XX DSD, (b) 46,XY DSD, SENATE FLOOR VERSION - SB129 SFLR Page 3 (Bold face denotes Committee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 (c) sex chromosomes DSDs, (d) XX or XY sex reversal, and (e) ovotesticular disorder, or (5) the treatment of any infection, in jury, disease, or disorder that has been caused by or exacerbated by the performance of gender transition procedures, whether or not the gender transition procedure was performed in acc ordance with state and federal law; 2. “Health care provider” means a physician, physician assistant, Advanced Practice Registered Nurse, or any other person who is licensed, certified, or otherwise authorized by the laws of this state to administer health care in the ordinary course of the practice of his or her profession; and 3. “Public funds” means state funds from any source including but not limited to appropriations, apportionments, or revenue generated by state agencies through fines , fees, or any other means. B. Public funds shall not be directly or indirectly used, granted, paid, or distributed to any entity, organization, health care provider, or individual that prov ides or refers for gender transition procedures. C. Gender transition procedure s shall not be provided or referred for in the following situations : SENATE FLOOR VERSION - SB129 SFLR Page 4 (Bold face denotes Committee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1. By or in a health care facility owned b y the state or a county or local government; or 2. By a health care provider employed by the state or a county or local government. SECTION 2. This act shall become effective July 1, 2023. SECTION 3. It being immediately necessary for the preserv ation of the public peace, health or safety, an emergency is hereby declared to exist, by reason whereof this act shall take effect and be in full force from and after its passage and approval. COMMITTEE REPORT BY: COMMITTEE ON APPROPRIATIONS March 1, 2023 - DO PASS AS AMENDED BY CS