Modifies provisions relating to amending birth certificates

SB 934 modifies Missouri's process for amending birth certificates. It requires court orders for name changes and limits sex marker changes to cases involving a medically verified condition (excluding hormone therapy alone). The bill mandates that paternity acknowledgments include parental counseling about legal consequences and requires both parents' notarized consent for birth certificate changes. Birth certificates must be marked "Amended" with the reason and date of change, and the state must notify other record keepers of updates.