# Title 12.1 — Criminal Code

## Chapter 12.1-36.1 — Minor Sex Change Treatment

### § 12.1-36.1-01. Definitions.

As used in this chapter:
1. "Health care provider" means a licensed physician, physician assistant, nurse, or a
certified medical assistant.
2. "Minor" means an individual under the age of eighteen. The term includes an
emancipated individual.
3. "Sex" means the biological state of being female or male, based on the individual's
nonambiguous sex organs, chromosomes, or endogenous hormone profiles at birth.
### § 12.1-36.1-02. Perception of a minor's sex - Prohibited practices - Penalty.

1. Except as provided under section 12.1-36.1-03, if a minor's perception of the minor's
sex is inconsistent with the minor's sex, a health care provider may not engage in any
of the following practices for the purpose of changing or affirming the minor's
perception of the minor's sex:
a. Perform castration, vasectomy, hysterectomy, oophorectomy, metoidioplasty,
orchiectomy, penectomy, phalloplasty, or vaginoplasty;
b. Perform a mastectomy;
c. Prescribe, dispense, administer, or otherwise supply any drug that has the
purpose of aligning the minor's sex with the minor's perception of the minor's sex
when the perception is inconsistent with the minor's sex, including:
(1) Puberty-blocking medication to stop normal puberty;
(2) Supraphysiologic doses of testosterone to females; or
(3) Supraphysiologic doses of estrogen to males; or
d. Remove any otherwise healthy or nondiseased body part or tissue, except for a
male circumcision.
2. A health care provider who willfully violates:
a. Subdivision a, b, or d of subsection 1 is guilty of a class B felony.
b. Subdivision c of subsection 1 is guilty of a class A misdemeanor.
### § 12.1-36.1-03. Exceptions.

Section 12.1-36.1-02 does not apply:
1. To the good-faith medical decision of a parent or guardian of a minor born with a
medically verifiable genetic disorder of sex development, including:
a. A minor with external biological sex characteristics that are irresolvably
ambiguous, including having forty-six, XX chromosomes with virilization, forty-six,
XY chromosomes with undervirilization, or having both ovarian and testicular
tissue; or
b. When a physician otherwise has diagnosed a disorder of sexual development in
which the physician, through genetic testing, has determined the minor does not
have the normal sex chromosome structure for a male or female; or
2. If performance or administration of the medical procedure on the minor began before
April 21, 2023.
### § 12.1-36.1-04. Statutory limitation.

Notwithstanding the limitations of section 29-04-02, prosecution for a violation of section
years after the offense is reported to law enforcement, whichever is later.
