Hospitals and Related Institutions; hormone therapies and puberty-blocking medications for certain purposes to minors; prohibit prescribing or administering

Added specific conditions under which puberty-blocking medications may be prescribed, including requiring diagnosis by two independent behavioral health professionals, board-certified pediatric endocrinology or adolescent medicine physician, and written informed consent from all parents or guardians.

Changed language from 'or affirm' to 'and affirm' in definitions of hormone therapy and puberty-blocking medications, affecting how these treatments are legally characterized.

Revised language regarding civil and criminal remedies for parents or guardians, changing 'civil or criminal' to 'civil' only in one instance and adjusting related enforcement provisions.

Added new subsection requiring comprehensive medical and mental health assessments before prescribing puberty-blocking medications, including evaluation for underlying conditions like autism spectrum disorder.

Changed section numbering and formatting throughout the document, including updating bill identifier from 'As Passed Senate' to 'Substitute' version.