SenateAn EngrossedAct publicENROLLED monies;SENATE BILL NO.

gender904 transition;By:

prohibitionGollihare, StateHall, ofGreen, ArizonaSeifried, SenateThompson, Fifty-seventhRosino, LegislatureHamilton, Secondand RegularBullard Sessionof SENATEthe BILLSenate 1177and ANHarris, ACTStinson, AMENDINGand TITLEMaynard 35,of CHAPTERthe 1,House ARTICLEAn 5,Act ARIZONArelating REVISEDto STATUTES,gender BYtransition ADDINGprocedures; SECTION 35-196.06;

RELATINGdefining TOterms; PUBLIC MONIES.

(TEXTprohibiting OFcertain BILLuse BEGINSof ONpublic NEXTfunds; PAGE) - i - S.B.

1177proscribing Becertain itreimbursement; enacted by the Legislature of the State of Arizona:

Sectionprohibiting 1.certain use of state facilities;

Titleproviding 35,criminal chapterpenalty; 1, article 5, Arizona Revised Statutes, is amended by adding section 35-196.06, to read:

35-196.06.providing for codification;

Publicand monies;declaring an emergency.

genderSUBJECT: transition;

prohibition;Gender transition procedures BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:

violation;SECTION 1.

misuseNEW LAW A new section of publiclaw monies;to be codified in the Oklahoma Statutes as Section 1-800 of Title 63, unless there is created a duplication in numbering, reads as follows:

definitions A.

NOTWITHSTANDINGAs ANYused OTHERin LAW,this PUBLICsection: MONIES MAY NOT BE USED TO FUND ANY MEDICAL PROCEDURE FOR THE PURPOSE OF GENDER TRANSITION.

1.

a.

“Gender transition procedures” means the following medical or surgical services performed for the purpose of attempting to affirm an individual’s perception of his or her gender or biological sex, if that perception is inconsistent with the individual’s biological sex:

(1) surgical procedures that alter or remove physical or anatomical characteristics or features that are typical for the individual’s biological sex, or (2) puberty-blocking drugs, cross-sex hormones, or other drugs to suppress or delay normal puberty or to promote the development of feminizing or masculinizing features consistent with the opposite biological sex.

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, or administered specifically for the purpose of treating precocious puberty or delayed puberty in that patient, (4) services provided to individuals 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, (c) sex chromosomes DSDs, (d) XX or XY sex reversal, and (e) ovotesticular disorder, (5) the treatment of any infection, injury, disease, or disorder that has been caused by or exacerbated by the performance of gender ENR.

S.

ANYNO. INTENTIONAL VIOLATION OF THIS SECTION BY A PUBLIC OFFICER OR PUBLIC EMPLOYEE IS CONSIDERED A MISUSE OF PUBLIC MONIES AND A VIOLATION OF SECTION 35-301.

904 Page 2 transition procedures, whether or not the gender transition procedure was performed in accordance with state and federal law, or (6) the treatment of any physical injury or illness that would, as certified by a physician, place the individual in imminent danger of death or impairment of a major bodily function unless such treatment is performed;

and 2.

“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 used, granted, paid, or distributed to any entity, organization, or individual for the provision or subsidy of any gender transition procedures, regardless of whether the procedures are provided to a minor or an adult.

FORThe THEstate PURPOSESMedicaid OFprogram THISshall SECTION:not reimburse or provide coverage for any gender transition procedures, regardless of whether the procedures are provided to a minor or an adult.

1.D.

"FUND"No MEANSstate TOproperty, SUBSIDIZE,facility, REIMBURSE,or EXPEND,building ALLOCATE,may GRANT,be PAYused ORto DISTRIBUTEprovide PUBLICgender MONIEStransition DIRECTLYprocedures, ORregardless INDIRECTLYof TOwhether ANYthe PERSONprocedures ORare ENTITY,provided INCLUDINGto FORa REIMBURSEMENTSminor ANDor COVERAGEan FORadult. COSTS, PREMIUMS OR CHARGES ASSOCIATED WITH A HEALTH INSURANCE POLICY, CONTRACT OR PLAN PROVIDED BY THE ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM.

2.E.

"GENDERAny TRANSITION"officer HASor THEemployee SAMEof MEANINGthis PRESCRIBEDstate INwho SECTIONintentionally 32-3230.violates the provisions of this section shall, upon conviction, be guilty of a misdemeanor.

3.SECTION 2.

"MEDICALIt PROCEDURE"being MEANS:immediately necessary for the preservation 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.

(a)ENR. SURGICALLY REMOVING, MODIFYING, ALTERING OR ENTERING INTO TISSUES, CAVITIES OR ORGANS OF A PERSON.

(b)S. PRESCRIBING, ADMINISTERING OR DISPENSING ANY PUBERTY BLOCKER, HORMONE OR PHARMACEUTICAL OR PRESCRIPTION DRUG TO A PERSON.