South Carolina H 5207: Birth Certificates

Bill Text

2025-2026 Bill 5207 Text of Previous Version (Feb. 18, 2026) - South Carolina Legislature Online 

South Carolina General Assembly
126th Session, 2025-2026

Bill 5207

Indicates Matter Stricken
Indicates New Matter

(Text matches printed bills. Document has been reformatted to meet World Wide Web specifications.)

A bill

TO AMEND THE SOUTH 
CAROLINA CODE OF LAWS BY AMENDING SECTION 44-63-100, RELATING TO COURT ORDERED 
CHANGES TO BIRTH CERTIFICATES, SO AS TO CHANGE THE TERM "GENDER" TO "SEX"; BY 
ADDING SECTION 44-63-95 SO AS TO PROHIBIT THE DEPARTMENT OF PUBLIC HEALTH FROM 
CHANGING AN INDIVIDUAL'S SEX IN THE SEX FIELD OF THE BIRTH CERTIFICATE, WITH 
EXCEPTIONS; AND BY AMENDING SECTION 59-1-500, RELATING TO BIRTH CERTIFICATES OF 
STUDENTS ON SCHOOL SPORTS TEAMS, SO AS TO MAKE CONFORMING CHANGES.

Be it enacted by the 
General Assembly of the State of South Carolina:

SECTION 1. Section 44-63-100 (A) and (D) of the S.C. Code is 
amended to read:

 (A) A petition may be filed in the 
South Carolina family court of petitioner's residence, or if petitioner no 
longer resides in South Carolina, in a court of competent jurisdiction in the 
state of petitioner's residence, for an order establishing a record of the name 
at birth, subsequent name changes, gendersex at birth, gendersex changes, date of birth, county of birth, and the full 
name of the mother prior to any marriages, and the full name of the biological 
father of the person whose birth is sought to be registered by way of a Delayed 
Certificate of Birth Established by Court Order.

 (D) 
The court shall determine, and the order must include, the registrant's name at 
birth, subsequent name changes, gendersex at birth, gendersex changes, the date of birth, the county of birth, the 
full name of the mother prior to any marriages, the full name of the biological 
father, and additional findings as the court considers necessary. The order 
also must include a description of the evidence presented to the court. The 
order must be forwarded by the clerk of court to the State Registrar no later 
than thirty days following the month in which the order was entered by the 
court.

SECTION 2. Chapter 63, Title 44 of the S.C. Code is amended by 
adding:

 Section 
44-63-95. (A) For the purposes of 
this section:

 (1) 
"Disorder of sexual development" means a congenital condition involving 
atypical development of sex chromosomes, gonads, internal genital ducts, or 
external genitalia, including disorders of sex hormone synthesis or action. The 
term "disorder of sex development" does not include psychological or behavioral 
conditions, nor typical male or female sex development with distress regarding 
sexed anatomy.

 (2) 
"Female" means an individual who has, had, will have, or would have, but for a 
developmental or genetic anomaly or historical accident the reproductive system 
that at some point produces, transports, and utilizes eggs for fertilization.

 (3) 
"Male" means an individual who has, had, will have, or would have, but for a 
developmental or genetic anomaly or historical accident the reproductive system 
that at some point produces, transports, and utilizes sperm for fertilization.

 (4) 
"Sex" means an individual's biological sex, either male or female.

(B)(1) The Department of Public Health may 
not change an individual's sex in the sex field on the individual's birth 
certificate unless the individual petitions the department to make a change to 
correct a clerical error in recording the individual's sex on the individual's 
birth certificate or to correct a misclassification of an infant's sex at birth 
due to a medically verified disorder of sex development.

 (2) 
A petition to change an individual's sex on the individual's birth certificate 
due to a misclassification of an infant's sex at birth due to a medically 
verified disorder of sex development must be accompanied by:

 (a) 
a sworn affidavit from the petitioner's physician attesting to the objective 
medical evidence establishing the petitioner's medically verified disorder of 
sexual development; and

 (b) 
all medical evidence relied upon by the physician to support the diagnosis of a 
medically verified disorder of sexual development.

SECTION 3. Section 59-1-500(A) of the S.C. Code is amended to 
read:

 (A) For purposes of this section, a 
statement of a student's biological sex on the student's official birth 
certificate is considered to have correctly stated the student's biological sex 
at birth if the statement was filed at or near the time of the student's birth. However, if a student changes the sex on the student's birth 
certificate pursuant to Section 44-63-95 because of a clerical error in 
recording the student's sex on the student's birth certificate or to correct a 
misclassification of an infant's sex at birth due to a medically verified 
disorder of sex development, then the sex on the student's birth certificate 
reflecting the change is considered to have