Req. No. 13 Page 1 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 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 STATE OF OKLAHOMA 1st Session of the 59th Legislature (2023) SENATE BILL 345 By: Hamilton AS INTRODUCED An Act relating to crime and punishment; making certain medical treatment unlawful; defining term; providing for certain penalty ; providing for codification; and declaring an emergency . BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. NEW LAW A new section of law to be codifi ed in the Oklahoma Statutes as Section 761 of Title 21, unless there is created a duplication in numb ering, reads as follows: A. It shall be unlawful for a person under the age of twenty- one (21) years to undergo gender reassignment medical treatment in this state. B. It shall be unlawful for a parent, guardian, or other person in this state having charge, control , or custody of a child under the age of eighteen (18) years to obtain gender reassignment medical treatment for the child. C. It shall be unlawful for a health care professional to intentionally perform gender reassignment medical treatment on a person who is under the age of twen ty-one (21) years. Req. No. 13 Page 2 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 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 D. “Gender reassignment medical treatment” means any health care to facilitate the tra nsitioning of a patient’s assigned gender identity on the patien t’s birth certificate to the gender identity experienced and defined by the patient. The term shall include, but not be limited to: 1. Medical procedures to suppress the development of endogenous secondary sex characteristics; 2. Medical procedures to align the patient’s appearance or physical body with the gender identity experienced and defined by the patient. This does not include clothing, hairs tyles, the use of makeup, or other non-permanent actions of the patient; and 3. Medical procedures to alleviate the symptoms of clinically significant distress res ulting from gender dysphoria, as defined in the Diagnostic and Statistical Manual of Mental Disorders, 5 th Edition. The term does not include behavioral health care services, such as mental health counseling . E. Any person guilty of the provisions of subsection A, B, or C of this section shall be guilty of a felony punishable by imprisonment in the custo dy of the Department of Corrections for a term not less than three (3) years nor more th an life imprisoned and a fine not more than Twenty Thousand Dollars ($20,000.00). SECTION 2. It being immediately necessary for the pr eservation of the public peace, health or safety, an emergency is hereby Req. No. 13 Page 3 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 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 declared to exist, by reason whereof this act shal l take effect and be in full force from and after its passage and approval. 59-1-13 JES 1/13/2023 3:34:06 PM