The Act says that health care workers may not alter a minor's sex or refer the minor to another health care worker to alter the minor's sex. The Act says that public funds may not be used to alter a minor's sex. The Act says that health insurance policies may not pay to alter a minor's sex. The Act allows a health care worker licensing board to punish a health care worker who alters a minor's sex. The Act allows a person whose sex was altered when the person was a minor to sue the health care worker who altered the minor's sex or who referred the minor to the health care worker who altered the minor's sex. The Act goes into effect when the Governor signs it. (Flesch Readability Score: 71.5). Prohibits a medical health care professional from referring a minor for, or performing on a minor, a sex alteration procedure. Defines the term "sex alteration procedure." Provides that the performance of a sex alteration procedure on a minor is unprofessional conduct subject to discipline by the appropriate health professional licensing board. Allows an individual to bring a claim for a violation and to recover specified damages. Declares an emergency, effective on passage.

The Act tells certain entities to designate sports by gender. The Act forbids males from playing in female sports. (Flesch Readability Score: 72.35). Requires each athletic association, conference or organization with authority over intercollegiate sports, post-secondary institution of education and school district to designate athletic competitions and extracurricular sports according to biological sex. Prohibits biological males from participating in athletic competitions or extracurricular sports designated for biological females. Provides causes of action for students, post-secondary institutions of education and school districts.

The Act tells some entities to keep males and females apart for purposes of playing sports, spending time in prison or jail and using some bathrooms. (Flesch Readability Score: 60.0). Requires athletic organizations, institutions of higher education and school districts to designate athletic competitions according to biological sex. Subject to a limited exception for individuals whose biological sex is female, prohibits individuals of one biological sex from competing in athletic competitions designated for the opposite biological sex. Provides that each Department of Corrections institution and local correctional facility, or area within an institution or facility, must be designated for incarcerating adults in custody of the same biological sex. Prohibits incarcerating adults in custody in an institution, facility or area that is designated for incarcerating adults in custody of the opposite sex. Directs each public body to designate the biological sex of individuals who may use a multiple occupancy restroom under the custody or control of the public body. Prohibits individuals of one biological sex from using a multiple occupancy restroom that is designated for the opposite biological sex.