Birth certificate; sex designated on must be the sex assigned at birth, and cannot be changed unless it is verified as clearly an error.

HB 1154 requires that the sex designated on a birth certificate must reflect the sex assigned at birth and can only be changed if a verified error is proven through medical records from birth or a statement from the delivering physician. It also mandates that the sex on a driver's license must match the sex shown on the birth certificate, preventing separate updates to the license. This bill directly affects individuals seeking to update their sex marker on official documents by restricting changes to birth certificates and driver's licenses. The law would have required strict verification of a birth error for any sex marker change, making the process more restrictive.