Death certificates; amendment of certificate or record; corrections of a death certificate after one year; emergency.

Updated the document header to indicate this is the 'Floor (House)' version and added the Senate co-author, Jech.

Reformatted page headers and footers to match the standard House Floor version layout, removing committee-specific tracking numbers.

The document title was changed from 'Proposed Policy Committee Substitute' to 'Committee Substitute' to indicate the bill has moved from the policy committee to the House committee stage.

The reference number on the final page was updated from 16178 to 16768, which is an administrative tracking number change.

Minor formatting adjustments were made to line numbers and spacing throughout the text to align with House Committee standards.

The entire text of the bill was replaced with a new version formatted as a 'Proposed Policy Committee Substitute,' which includes committee amendment headers, reading clerk signatures, and revised page numbering, but the actual legislative language and policy provisions are unchanged.

Added a specific requirement that biological sex designations on amended birth certificates must be 'male' or 'female' and cannot include nonbinary designations or the letter 'X', effective April 26, 2022.

Corrected minor formatting errors, such as changing 'Any applicant that' to 'Any applicant who' and updating page headers from 'ENGROSSED' to 'ENROLLED'.

Added a requirement for the Commissioner of Health to promulgate rules and standards for amending vital records and correcting minor errors.

Removed the specific mandate that biological sex designations on amended birth certificates must be either 'male' or 'female'.

Added a new provision explicitly stating that biological sex designations shall not be nonbinary or represented by symbols like 'X'.

Changed the effective date from a fixed date of November 1, 2026, to an immediate effective date upon the bill's passage and approval.

Updated the document header and footer to reflect the bill's status as 'Engrossed' rather than 'As Introduced'.