OK HB2149

Establishes a 20-year statute of limitations for lawsuits against health care providers and hospitals for injuries or deaths arising from "body dysmorphia affirmation procedures," running from when the plaintiff knew or should have known of the injury or condition through reasonable diligence.

Defines "body dysmorphia affirmation procedures" as an umbrella term encompassing three categories: gender transition procedures, anorexia affirmation procedures, and Body Integrity Identity Disorder (BIID) affirmation procedures.

Gender transition procedures include surgeries altering sex characteristics and puberty-blocking drugs, cross-sex hormones, or drugs promoting feminizing or masculinizing features, with explicit exclusions for mental health care, depression/anxiety medications, precocious or delayed puberty treatments, and disorders of sex development (DSD).

Anorexia affirmation procedures include bariatric surgeries and weight-loss drugs prescribed to affirm a person's perception of body weight inconsistent with their actual weight; BIID procedures include surgical amputation or removal of healthy body parts without clear medical necessity.

The statute of limitations period extends for minors or incompetent persons when the cause of action arises, and the law becomes effective November 1, 2025.