TX SB1696

Requires birth certificates to record biological sex as either male or female, determined by sex organs, chromosomes, or endogenous profile at birth

Prohibits state registrars and courts from issuing amended birth certificates that change biological sex information, except to correct clerical errors or for individuals with medically documented atypical/ambiguous sex characteristics at birth

Mandates death certificates include the decedent's biological sex as determined at birth, recorded as either male or female

Requires driver's licenses, personal identification certificates, and commercial driver's licenses to display the holder's biological sex as male or female as determined at birth

Provides an exception allowing birth certificates to omit sex designation when a physician determines a child has atypical or ambiguous sex organs, chromosomes, or endogenous profile, with the option to amend later once sex is determined