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.