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53	53	STATE OF OKLAHOMA
54	54
55	55	1st Session of the 59th Legislature (2023)
56	56
57	57	SENATE BILL 250 By: Dahm
58	58
59	59
60	60
61	61
62	62
63	63	AS INTRODUCED
64	64
65	65	An Act relating to public programs; defining terms;
66	66	prohibiting public funding for provi der of gender
67	67	transition procedures; allowing ineligible provider
68	68	to reapply for funding under certain conditions;
69	69	requiring Oklahoma Health Care Authority to publish
70	70	certain findings; providing certain construction;
71	71	providing for codification; and declaring an
72	72	emergency.
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77	77	BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
78	78	SECTION 1. NEW LAW A new section of law to be codified
79	79	in the Oklahoma Statutes as Section 1005.11 of Title 56, unless
80	80	there is created a duplication in numbering, reads as follows:
81	81	A. For purposes of this section:
82	82	1. “Provider” means a provider of services for compensation;
83	83	2. “Affiliate” means an entity which licenses the use of a
84	84	trademark or other recognized n ame to the provider, and which
85	85	exercises control over the use of part or all of the pro vider’s
86	86	name, or any entity so licensed or controlled; and
87	87	3. a. “Gender transition procedures ” means any medical or
88	88	surgical service, including but not limited to
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140	140	physician’s services, inpatient and out patient
141	141	hospital services, or pr escribed drugs related to
142	142	gender transition that seeks to:
143	143	(1) alter or remove physica l or anatomical
144	144	characteristics or features that are typical for
145	145	the individual’s biological sex, or
146	146	(2) instill or create physiological o r anatomical
147	147	characteristics that resemble a sex different
148	148	from the individual’s biological sex, including
149	149	but not limited to medical services that provide
150	150	puberty-blocking drugs, cross -sex hormones, or
151	151	other mechanisms to promote the development of
152	152	feminizing or masculinizing features i n the
153	153	opposite biological sex, or genital or nongenital
154	154	gender reassignment surgery pe rformed for the
155	155	purpose of assisting an individual with a gender
156	156	transition.
157	157	b. Gender transition proc edures do not include:
158	158	(1) services to persons born with a medically
159	159	verifiable disorder of sex development, including
160	160	a person with external biological s ex
161	161	characteristics that are irresolvably ambiguous,
162	162	such as those born with 46 XX chromosomes with
163	163	virilization, 46 XY chromosomes with
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215	215	undervirilization, or having both ovarian and
216	216	testicular tissue,
217	217	(2) services provided when a physician has otherwise
218	218	diagnosed a disorder of sexual development that
219	219	the physician has determined through genetic or
220	220	biochemical testing that the person does not have
221	221	normal sex chromosome stru cture, sex steroid
222	222	hormone production, or sex steroid hormone
223	223	action,
224	224	(3) the treatment of any infection, injury, disease,
225	225	or disorder that has been caused by or
226	226	exacerbated by the perform ance of gender
227	227	transition procedures , whether or not the gender
228	228	transition procedure was performed in accordance
229	229	with state and federal law, or
230	230	(4) any procedure undertaken because the individual
231	231	suffers from a physical disorder, physical
232	232	injury, or physical illness that would, as
233	233	certified by a physician, place the indivi dual in
234	234	imminent danger of death or impairment of major
235	235	bodily function unless surgery is performed.
236	236	B. No provider shall be eligible for reimbursement through
237	237	Medicaid or any other feder al or state program or any other fun ding
238	238	from any political subdivision of this state i ncluding but not
239	239
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290	290	limited to cities, towns, municipalities , or counties, directly or
291	291	by subcontract with any other party, if that provider, or any
292	292	affiliate of that provid er, performs gender transition proc edures.
293	293	C. Any providers found to be ineligible fo r reimbursement or
294	294	other funding pursuant to this section shall be able to reapply
295	295	after a period of five (5) years and a showing that they and their
296	296	affiliates no longer participate in gender transition procedures.
297	297	D. Within sixty (60) calendar days of r eceipt of a complaint of
298	298	a violation under this section, the Oklahoma Health Care Authority
299	299	shall publish the findings of its investigation of the complaint and
300	300	issue a determination of whether a provider has committed a
301	301	violation of the provisions of this section. Nothing in this
302	302	section shall preclude other law enforcement entities or a party in
303	303	qui tam litigation from initiat ing action regarding this section.
304	304	SECTION 2. It being immediately necessary for the pr eservation
305	305	of the public peace, health or safety, an emergency is hereby
306	306	declared to exist, by reason whereof this act shall take effect and
307	307	be in full force from and after its passage and approval .
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309	309	59-1-410 DC 1/10/2023 12:49:01 PM

Oklahoma 2024 Regular Session

Oklahoma Senate Bill SB250 Compare Versions