The Joint Standing Committee on Education and Cultural Affairs shall report out, to the House, a bill that prohibits an educational institution in this State that receives state funds from being a member of or paying dues or fees to an organization that does not prohibit biological males from participating on teams in sports designated for "girls" or "females."

Personnel of a public school and public charter school [...] shall refer to a minor student by the name and gender listed on the student's official record of birth submitted to the school at the time of enrollment [...] unless the minor student's parent provides written permission stating otherwise or documentation of a legal change of name or gender is provided to the school.

A school administrative unit or an elementary school, secondary school or postsecondary educational institution in the State that receives any state funding may not allow a person whose biological sex assigned at birth is male to participate in an athletic program or activity that is designated for females.

Sec. 32. 24-A MRSA §4303, sub-§3, as amended by PL 2023, c. 648, Pt. E, §9, is further amended to read: A. For the purposes of this section, "to advocate for medically appropriate health care" means to discuss or recommend a course of treatment, including gender-affirming health care services and reproductive health care services, to an enrollee; to appeal a managed care plan's decision to deny payment for a service, including gender-affirming health care services and reproductive health care services, pursuant to an established grievance or appeal procedure; or to protest a decision, policy or practice that the provider, consistent with the degree of learning and skill ordinarily possessed by reputable providers, reasonably believes impairs the provider's ability to provide medically appropriate health care, including gender-affirming health care services and reproductive health care services, to the provider's patients.

Athletic teams or sports designated as "females," "women" or "girls" may not allow participation by students who are males.