The Act tells certain entities to designate sports by sex. The Act forbids males from playing in female sports. (Flesch Readability Score: 72.35). Requires each athletic association, conference or organization with authority over intercollegiate sports, post-secondary institution of education and school district to designate athletic competitions and extracurricular sports according to biological sex. Prohibits biological males from participating in athletic competitions or extracurricular sports designated for biological females. Requires academic entities to designate bathrooms and locker rooms for exclusive use by either persons of the male biological sex or persons of the female biological sex. Except as provided under written policies for coaches, trainers and other authorized persons, prohibits persons of the male biological sex from entering or using bathrooms or locker rooms designated for use by, or in use by, persons of the female biological sex and prohibits persons of the female biological sex from entering or using bathrooms or locker rooms designated for use by, or in use by, persons of the male biological sex. Provides causes of action for students, post-secondary institutions of education and school districts.

The Act makes a person who wants to change their name and who has done some crimes prove the need to change the name. The Act gets rid of laws letting a person change the name on a birth certificate for affirming gender identity without going to court. (Flesch Readability Score: 74.9). Requires an applicant for change of name who has been convicted of some crimes to prove necessity of name change by clear and convincing evidence. Removes provisions allowing a person to request an amendment of a record of live birth to change a name for the purpose of affirming gender identity without court approval.

The Act removes the term "gender identity" from certain laws. (Flesch Readability Score: 61.3). Removes "gender identity" from certain statutes.

The Act expands laws that protect a health care worker's right to object to taking part in certain health care treatments. (Flesch Readability Score: 72.7). Provides protections for a person who refuses to participate in a procedure related to abortion, physician-assisted suicide or gender-affirming treatment if the refusal is based on a person's ethical, moral or religious convictions. Allows a health care facility to refuse to perform a procedure related to abortion, physician-assisted suicide or gender-affirming treatment. Allows a person to bring an action for damages and equitable relief against a health care facility, health professional regulatory agency, employer or school for a violation. Directs a court to award attorney fees to a prevailing plaintiff.

The Act prohibits DOC, OYA or OHA from paying for certain health care for people in custody. (Flesch Readability Score: 60.1). Prohibits the Department of Corrections, Oregon Youth Authority or Oregon Health Authority from paying for or providing, directly or indirectly, gender-affirming care to individuals in the custody of a correctional facility in this state.

The Act tells school districts to designate sports by gender. The Act forbids males from playing in female sports. (Flesch Readability Score: 78.2). Requires school districts to designate athletic competitions and extracurricular sports according to biological sex. Prohibits biological males from participating in athletic competitions or extracurricular sports designated for biological females. Provides causes of action for students and school districts. Declares an emergency, effective on passage.

The Act prohibits DOC, OYA or OHA from paying for certain health care for people in custody. (Flesch Readability Score: 60.1). Prohibits the Department of Corrections, Oregon Youth Authority or Oregon Health Authority from paying for or providing, directly or indirectly, gender-affirming care to individuals in the custody of a correctional facility in this state.

Removes male bathrooms and public charter school bathrooms from the list of places where menstrual products must be provided. (Flesch Readability Score: 62.8). Removes the requirement that menstrual products be provided in public charter schools and in bathrooms designated for males. Declares an emergency, effective on passage.

The Act tells school districts to designate sports by gender. The Act forbids males from playing in female sports. (Flesch Readability Score: 78.2). Requires school districts to designate athletic competitions and extracurricular sports according to biological sex. Prohibits biological males from participating in athletic competitions or extracurricular sports designated for biological females. Provides causes of action for students and school districts.

The Act raises the age when a person may receive some gender-affirming treatments to 18 years of age. (Flesch Readability Score: 61.6). Prohibits physicians from performing irreversible gender reassignment surgery on a minor. Creates exceptions.