A bill for an act relating to sex and gender, including those and related terms for purposes of statutory construction, indications of a person’s sex on certain vital records, gender identity under the Iowa civil rights Act, and school curricula related to gender theory.

HSB 242 defines "sex" biologically as male or female at birth for legal purposes, requiring vital records like birth certificates to reflect this designation. It clarifies that "gender" alone means biological sex in statutes (not gender identity) and updates anti-discrimination laws to specify "sex" refers to biological sex. The bill changes birth certificate procedures to mandate showing a person's sex at birth, with limited exceptions for medical conditions. This affects Iowans obtaining birth certificates and shapes how Iowa state laws interpret sex and gender in public policy.