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An Act
ENROLLED SENATE
BILL NO. 904 By: Gollihare, Hall, Green,
Seifried, Thompson, Rosino,
Hamilton, and Bullard of
the Senate
and
Harris, Stinson, and
Maynard of the House
An Act relating to gender transition procedures;
defining terms; prohibiting certain use of public
funds; proscribing certain reimbursement; prohibiting
certain use of state facilities; providing criminal
penalty; providing for codification; and declaring an
emergency.
SUBJECT: Gender transition procedures
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
SECTION 1. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 1-800 of Title 63, unless there
is created a duplication in numbering, reads as follows:
A. As used in this section:
1. a. “Gender transition procedures” means the following
medical or surgical services performed for the purpose
of attempting to affirm an individual’s perception of
his or her gender or biological sex, if that
perception is inconsistent with the individual’s
biological sex:
ENR. S. B. NO. 904 Page 2
(1) surgical procedures that alter or remove physical
or anatomical characteristics or features that
are typical for the individual’s biological sex,
or
(2) puberty-blocking drugs, cross-sex hormones, or
other drugs to suppress or delay normal puberty
or to promote the development of feminizing or
masculinizing features consistent with the
opposite biological sex.
b. Gender transition procedures do not include:
(1) behavioral health care services or mental health
counseling,
(2) medications to treat depression and anxiety,
(3) medications prescribed, dispensed, or
administered specifically for the purpose of
treating precocious puberty or delayed puberty in
that patient,
(4) services provided to individuals born with
ambiguous genitalia, incomplete genitalia, or
both male and female anatomy, or biochemically
verifiable disorder of sex development (DSD),
including but not limited to:
(a) 46,XX DSD,
(b) 46,XY DSD,
(c) sex chromosomes DSDs,
(d) XX or XY sex reversal, and
(e) ovotesticular disorder,
(5) the treatment of any infection, injury, disease,
or disorder that has been caused by or
exacerbated by the performance of gender
ENR. S. B. NO. 904 Page 3
transition procedures, whether or not the gender
transition procedure was performed in accordance
with state and federal law, or
(6) the treatment of any physical injury or illness
that would, as certified by a physician, place
the individual in imminent danger of death or
impairment of a major bodily function unless such
treatment is performed; and
2. “Public funds” means state funds from any source including,
but not limited to, appropriations, apportionments, or revenue
generated by state agencies through fines, fees, or any other means.
B. Public funds shall not be used, granted, paid, or
distributed to any entity, organization, or individual for the
provision or subsidy of any gender transition procedures, regardless
of whether the procedures are provided to a minor or an adult.
C. The state Medicaid program shall not reimburse or provide
coverage for any gender transition procedures, regardless of whether
the procedures are provided to a minor or an adult.
D. No state property, facility, or building may be used to
provide gender transition procedures, regardless of whether the
procedures are provided to a minor or an adult.
E. Any officer or employee of this state who intentionally
violates the provisions of this section shall, upon conviction, be
guilty of a misdemeanor.
SECTION 2. It being immediately necessary for the preservation
of the public peace, health or safety, an emergency is hereby
declared to exist, by reason whereof this act shall take effect and
be in full force from and after its passage and approval.
ENR. S. B. NO. 904 Page 4
Passed the Senate the 25th day of March, 2026.
Presiding Officer of the Senate
Passed the House of Representatives the 6th day of May, 2026.
Presiding Officer of the House
of Representatives
OFFICE OF THE GOVERNOR
Received by the Office of the Governor this ____________________
day of ___________________, 20_______, at _______ o'clock _______ M.
By: _________________________________
Approved by the Governor of the State of Oklahoma this _________
day of ___________________, 20_______, at _______ o'clock _______ M.
_________________________________
Governor of the State of Oklahoma
OFFICE OF THE SECRETARY OF STATE
Received by the Office of the Secretary of State this __________
day of __________________, 20 _______, at _______ o'clock _______ M.
By: _________________________________