OH HB658

Parents, guardians, and custodians retain the fundamental right to withhold consent for gender dysphoria treatment and cannot be penalized through custody determinations, parental rights allocation, or child abuse/neglect findings based on this refusal.

Government agents and entities must provide written notice to parents and guardians if a child exhibits symptoms of gender dysphoria or demonstrates a desire to be treated opposite to biological sex.

Written, informed consent from all parents and guardians is required before government agents or entities can authorize or provide gender dysphoria treatment, including full disclosure of short- and long-term effects, safety and efficacy data, and agency approvals.

A rebuttable presumption of negligence applies when off-label medications are administered to treat gender dysphoria and result in adverse physical or psychological reactions, even with parental consent.

Unauthorized provision of gender dysphoria treatment without parental written consent constitutes a felony of the fourth degree; injured persons may sue for damages and equitable relief.