Ohio § 3129.01

§ 3129.01.

As used in this chapter: (A) “ Biological sex ,” “ birth sex ,” and “ sex ” mean the biological indication of male and female, including sex chromosomes, naturally

occurring sex hormones, gonads, and nonambiguous internal and external genitalia present

at birth, without regard to an individual's psychological, chosen, or subjective experience

of gender. (B) “ Cross-sex hormone ” means testosterone, estrogen, or progesterone given to a minor individual in an

amount greater than would normally be produced endogenously in a healthy individual

of the minor individual's age and sex. (C) “ Gender reassignment surgery ” means any surgery performed for the purpose of assisting an individual with gender

transition that seeks to surgically alter or remove healthy physical or anatomical

characteristics or features that are typical for the individual's biological sex,

in order to instill or create physiological or anatomical characteristics that resemble

a sex different from the individual's birth sex, including genital or non-genital

gender reassignment surgery. (D) “ Gender-related condition ” means any condition where an individual feels an incongruence between the individual's

gender identity and biological sex.  “ Gender-related condition ” includes gender dysphoria. (E) “ Gender transition ” means the process in which an individual goes from identifying with and living as

a gender that corresponds to his or her biological sex to identifying with and living

as a gender different from his or her biological sex, including social, legal, or

physical changes. (F) “ Gender transition services ” means any medical or surgical service (including physician services, inpatient and

outpatient hospital services, or prescription drugs or hormones) provided for the

purpose of assisting an individual with gender transition that seeks to alter or remove

physical or anatomical characteristics or features that are typical for the individual's

biological sex, or to instill or create physiological or anatomical characteristics

that resemble a sex different from the individual's birth sex, including medical services

that provide puberty blocking drugs, cross-sex hormones, or other mechanisms to promote

the development of feminizing or masculinizing features in the opposite sex, or genital

or non-genital gender reassignment surgery. (G) “ Genital gender reassignment surgery ” means surgery performed for the purpose of assisting an individual with gender transition

and includes both of the following: (1) Surgeries that sterilize, such as castration, vasectomy, hysterectomy, oophorectomy,

orchiectomy, and penectomy; (2) Surgeries that artificially construct tissue with the appearance of genitalia that

differs from the individual's biological sex, such as metoidiplasty, phalloplasty,

and vaginoplasty. (H) “ Mental health professional ” means all of the following: (1) Either of the following advanced practice registered nurses who holds a current,

valid license issued under Chapter 4723. of the Revised Code that authorizes the practice

of nursing as an advanced practice registered nurse: (a) A clinical nurse specialist who is certified as a psychiatric-mental health CNS by

the American nurses credentialing center; (b) A certified nurse practitioner who is certified as a psychiatric-mental health NP

by the American nurses credentialing center. (2) A physician specializing in psychiatry; (3) A psychologist, school psychologist, or independent school psychologist licensed

under Chapter 4732. of the Revised Code or under rules adopted in accordance with sections 3301.07 and 3319.22 of the Revised Code ; (4) An independent social worker, social worker, licensed professional clinical counselor,

licensed professional counselor, independent marriage and family therapist, or marriage

and family therapist licensed under Chapter 4757. of the Revised Code. (I) “ Minor individual ” means an individual under eighteen years of age. (J) “ Non-genital gender reassignment surgery ” means surgery performed for the purpose of assisting an individual with gender transition

such as augmentation mammoplasty, facial feminization surgery, liposuction, lipofilling,

voice surgery, thyroid cartilage reduction, gluteal augmentation, pectoral implants,

or other aesthetic procedures. (K) “ Physician ” means an individual authorized under Chapter 4731. of the Revised Code to practice

medicine and surgery or osteopathic medicine and surgery. (L) “ Puberty-blocking drugs ” means Gonadotropin-releasing hormone analogs or other synthetic drugs used to stop

luteinizing hormone and follicle stimulating hormone secretion, synthetic antiandrogen

drugs used to block the androgen receptor, or any drug to delay or suppress normal

puberty.