Old	New	Differences
1	1
2	2
3	3	Req. No. 10516 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 60th Legislature (2025)
31	31
32	32	HOUSE BILL 2149 By: Hall
33	33
34	34
35	35
36	36
37	37
38	38	AS INTRODUCED
39	39
40	40	An Act relating to torts; defining term; creating
41	41	limitation of action for body dysmorphia affirmation
42	42	procedures; providing for codificati on; and providing
43	43	an effective date.
44	44
45	45
46	46
47	47
48	48	BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
49	49	SECTION 1. NEW LAW A new section of law to be codified
50	50	in the Oklahoma Statutes as Section 18A of Title 76, unless there is
51	51	created a duplication in numbering, reads as follows:
52	52	A. As used in this section:
53	53	1. "Anorexia affirmation procedures" means the following
54	54	medical or surgical services performed for the purpose of attempting
55	55	to affirm the perception of a person diagnosed with anorexia nervosa
56	56	about his or her body weight, if that perception is inconsistent
57	57	with the actual, current body weight of the person:
58	58	a. surgical procedures intended to result in weight loss,
59	59	also known as bariatric surgeries, or
60	60	b. weight-loss drugs, or other drugs to suppress hunger
61	61	or appetite;
62	62
63	63	Req. No. 10516 Page 2 1
64	64	2
65	65	3
66	66	4
67	67	5
68	68	6
69	69	7
70	70	8
71	71	9
72	72	10
73	73	11
74	74	12
75	75	13
76	76	14
77	77	15
78	78	16
79	79	17
80	80	18
81	81	19
82	82	20
83	83	21
84	84	22
85	85	23
86	86	24
87	87
88	88	2. a. "BIID affirmation procedures " means medical or
89	89	surgical services performed for the purpose of
90	90	attempting to affirm the perception of a person
91	91	diagnosed with Body Integrity Identity Disorder about
92	92	his or her body, if that perception is inconsistent
93	93	with the actual, current physique of the person .
94	94	b. BIID affirmation procedures include surgical
95	95	procedures that amputate or remove healthy body parts
96	96	without a clear physical and medical need including,
97	97	but not limited to, leg, arm, finger, toe, eye, ear,
98	98	tongue, lip, or nose;
99	99	3. a. "Gender transition procedures " means the following
100	100	medical or surgical services performed for the purpose
101	101	of attempting to affirm the person's perception of his
102	102	or her gender or biolo gical sex, if that perception is
103	103	inconsistent with the person's biological sex:
104	104	(1) surgical procedures that alter or remove physical
105	105	or anatomical characteristics or features that
106	106	are typical for the individual’s biological sex,
107	107	or
108	108	(2) puberty-blocking drugs, cross-sex hormones, or
109	109	other drugs to suppress or delay normal puberty
110	110	or to promote the development of feminizing or
111	111
112	112	Req. No. 10516 Page 3 1
113	113	2
114	114	3
115	115	4
116	116	5
117	117	6
118	118	7
119	119	8
120	120	9
121	121	10
122	122	11
123	123	12
124	124	13
125	125	14
126	126	15
127	127	16
128	128	17
129	129	18
130	130	19
131	131	20
132	132	21
133	133	22
134	134	23
135	135	24
136	136
137	137	masculinizing features consistent with the
138	138	opposite biological sex.
139	139	b. Gender transition procedures do not include:
140	140	(1) behavioral health care services or mental health
141	141	counseling,
142	142	(2) medications to treat depression and anxiety,
143	143	(3) medications prescribed, dispensed, or
144	144	administered specifically for the purpose of
145	145	treating precocious puberty or delayed puberty in
146	146	that patient,
147	147	(4) services provided to individuals born with
148	148	ambiguous genitalia, incomplete genital ia, or
149	149	both male and female anatomy, or biochemically
150	150	verifiable disorder of sex development (DSD),
151	151	including but not limited to:
152	152	(a) 46,XX DSD,
153	153	(b) 46,XY DSD,
154	154	(c) sex chromosomes DSDs,
155	155	(d) XX or XY sex reversal, and
156	156	(e) ovotesticular disorder,
157	157	(5) the treatment of any infection, injury, disease,
158	158	or disorder that has been caused by or
159	159	exacerbated by the performance of gender
160	160	transition procedures, whether or not the gender
161	161
162	162	Req. No. 10516 Page 4 1
163	163	2
164	164	3
165	165	4
166	166	5
167	167	6
168	168	7
169	169	8
170	170	9
171	171	10
172	172	11
173	173	12
174	174	13
175	175	14
176	176	15
177	177	16
178	178	17
179	179	18
180	180	19
181	181	20
182	182	21
183	183	22
184	184	23
185	185	24
186	186
187	187	transition procedure was performed in accordance
188	188	with state and federal law ,
189	189	(6) the treatment of any physical injury or illness
190	190	that would, as certified by a physician, place
191	191	the individual in imminent danger of death or
192	192	impairment of a major bodily function unl ess such
193	193	treatment is performed, or
194	194	(7) the provision of puberty -blocking drugs or cross -
195	195	sex hormones to a person currently receiving such
196	196	drugs or hormones as of the effective date of
197	197	this act for a period of not more than six (6)
198	198	months solely for the pu rpose of assisting the
199	199	person with gradually decreasing and
200	200	discontinuing use of the drugs or hormones.
201	201	4. "Body dysmorphia affirmation procedures" means a general
202	202	term encompassing gender transition procedures, anorexia affirmation
203	203	procedures, and BIID a ffirmation procedures ;
204	204	5. “Health care provider” means a physician, physician
205	205	assistant, Advanced Practice Registered Nurse, or any other person
206	206	who is licensed, certified, or otherwise authorized by the laws of
207	207	this state to administer health care in the ordinary course of the
208	208	practice of his or her profession.
209	209	B. An action for damages for injury or death against any health
210	210	care provider or hospital licensed under the laws of this state,
211	211
212	212	Req. No. 10516 Page 5 1
213	213	2
214	214	3
215	215	4
216	216	5
217	217	6
218	218	7
219	219	8
220	220	9
221	221	10
222	222	11
223	223	12
224	224	13
225	225	14
226	226	15
227	227	16
228	228	17
229	229	18
230	230	19
231	231	20
232	232	21
233	233	22
234	234	23
235	235	24
236	236
237	237	whether based in tort, breach of contract or otherwise, arising out
238	238	of body dysmorphia affirmation procedures, shall be brought within
239	239	twenty (20) years of the date the plaintiff knew or should have
240	240	known, through the exercise of reasonable diligence, of the
241	241	existence of the death, injury , or condition complained of;
242	242	provided, however, the minority or incompetency when the cause of
243	243	action arises shall extend said period of limitation.
244	244	SECTION 2. This act shall become effective November 1, 2025.
245	245
246	246	60-1-10516 AQH 01/15/25

Oklahoma 2025 Regular Session

Oklahoma House Bill HB2149 Compare Versions