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HB2222 • 2026

birth certificates; sex designation change

HB2222 - birth certificates; sex designation change

Healthcare
Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Brian Garcia, Mariana Sandoval, Stephanie Simacek
Last action
2026-01-20
Official status
House second read
Effective date
Not listed

Plain English Breakdown

The official summary does not provide specific details about enforcement or lack thereof, leaving some uncertainty.

Changing Sex Designation on Birth Certificates

This bill allows people to change their sex designation on their birth certificates in Arizona if they have had a sex change operation or have different chromosomes than what is listed.

What This Bill Does

  • Allows a person to change the sex designation on their birth certificate if they have undergone a sex change operation or have a chromosomal count that establishes a different sex than what is listed on their birth certificate.
  • Requires a written request from the person and a statement by a physician confirming either the sex change operation or the chromosomal count for changing the sex designation.
  • Adds an option to choose 'undesignated' or another sex designation besides male or female when updating a birth certificate.

Who It Names or Affects

  • People who want to update their sex designation on their birth certificates in Arizona.

Terms To Know

sex change operation
A medical procedure that changes the physical appearance of a person's body from one gender to another.
chromosomal count
The number and type of chromosomes in a person’s cells, which can determine their biological sex.

Limits and Unknowns

  • Does not specify what happens if someone wants to change their birth certificate but does not have medical documentation.
  • It is unclear how this bill will be enforced or monitored by the state registrar.

Bill History

  1. 2026-01-20 House

    House second read

  2. 2026-01-15 House

    House Rules: None

  3. 2026-01-15 House

    House Government: None

  4. 2026-01-15 House

    House first read

Official Summary Text

HB2222 - birth certificates; sex designation change

Current Bill Text

Read the full stored bill text
HB2222 - 572R - I Ver

PREFILED��� JAN 12 2026

REFERENCE TITLE:
birth certificates; sex designation change

State of Arizona

House of Representatives

Fifty-seventh Legislature

Second Regular Session

2026

HB 2222

Introduced by

Representatives
Garcia: Sandoval, Simacek

AN
ACT

Amending section 36-337, Arizona
Revised Statutes; relating to vital records.

(TEXT OF BILL BEGINS ON NEXT PAGE)

Be it enacted by the Legislature of the State of Arizona:

Section 1. Section 36-337, Arizona Revised
Statutes, is amended to read:

START_STATUTE
36-337.

Birth certificates; amendment; required documentation;
evidentiary documents; sealing

A. The state registrar shall amend the birth
certificate for a person born in this state when the state registrar receives
any of the following:

1. Except as provided in subsection D of this
section, an adoption certificate or a court order for adoption required
pursuant to section 36-336.

2. A voluntary acknowledgment of paternity pursuant
to section 25-812.

3. For a person who has undergone a
sex change operation or has a chromosomal count that establishes the sex of the
person as different than in the registered birth certificate, both of the
following:

(a) A written request for an amended
birth certificate from the person or, if the person is a child, from the
child's parent or legal guardian.

(b) A written statement by a physician
that verifies the sex change operation or chromosomal count.

3. A sex designation change form as
prescribed by the state registrar that certifies an updated sex designation of
male, female, undesignated or other and any other identifying information as
requested by the state registrar. The form must be notarized and
signed by the individual submitting the form. The state registrar
may not require surgical or medical documentation in association with this
form.

4. A court order ordering an amendment to
a

the
birth certificate.

B. The state registrar shall change the name of the
father on a registered birth certificate if:

1. The state registrar receives an administrative
order or a court order ordering the state registrar to change the father's name
on the registered birth certificate.

2. Paternity is established through a voluntary
acknowledgement of paternity pursuant to section 25-812.

C. If a registered birth certificate does not exist
for a person born in this state who is requesting to amend a birth certificate,
the person making that request shall comply with the requirements established
by rule.

D. The state registrar shall retain the information
on a person's registered birth certificate after the person's adoption if all
of the following documents are submitted to the state registrar:

1. A written request to retain the information
signed by the adoptive parent or a court order containing a request to retain
the information on the registered birth certificate.

2. A written statement agreeing to retain the
mother's name on the person's registered birth certificate, signed by the
mother, or if the mother is deceased, a certified copy of a registered death
certificate for the mother.

3. If there is a father's name stated on the
registered birth certificate, a written statement agreeing to retain the
father's name on the person's registered birth certificate, signed by the
father, or if the father is deceased, a certified copy of a registered death
certificate for the father.�

E. If the state registrar amends a registered birth
certificate following adoption, the birth certificate shall state the city or
county of birth stated on the existing registered birth certificate and the
date of birth stated on the existing registered birth certificate.� The state
registrar may omit the exact location of birth on the registered birth
certificate.

F. If a local registrar or deputy local registrar
amends a registered birth certificate, the local registrar or deputy local
registrar shall forward all evidentiary documents provided to create the new
birth certificate to the state registrar.

G. If the state registrar amends a registered birth
certificate, the state registrar shall seal the previously registered birth
certificate and the evidentiary documents provided to amend the registered
birth certificate. The state registrar shall provide access to a
sealed certificate or evidentiary documents only pursuant to section 36-322
or 36-340 or a court order issued in this state or as prescribed by rule.

H. If the state registrar receives a court order
annulling an adoption, the state registrar shall unseal the sealed registered
birth certificate and shall seal the new birth certificate and evidentiary
documents.
END_STATUTE