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Only reason I could see this being logical in the first place is if being a biological male/female would impact the medical treatment of anything in a major capacity. Otherwise, fuck this law, it’s stupid.
Just to clarify birth certificates are never used for medical treatment. If this information is needed the kind approach would be to add a new field to record gender assigned at birth.
https://www.usbirthcertificates.com/articles/what-do-i-need-a-birth-certificate-for
Sure, but when is the last time your birth certificate mattered in a medical setting? Nobody asks for that to give care. And it makes no difference to care anyway, the patient will just give their medical history to their doctor.
That I could see, though the hormones (or other meds) that they would take and report should highlight the transition. Though cmiiw, I think the only real difference, aside from anatomical, will be metabolic which the referenced hormones would alter, making the case unique in and of itself. (eg. A F>M taking testosterone would have a metabolism that is a closer approximation to male than female and vice versa)