relative to a parent's ability to raise their child in a manner consistent with the child's biological sex and relative to breast surgeries for minors.

Summary point III was removed, which had stated the bill permits a physician to perform breast surgery on a minor in certain instances if the procedure is at the election of the minor in consultation with her primary care physician. This indicates that provision was eliminated or altered during the conference committee process.

The version designation changed from 'As Amended by the Senate' to 'Version Adopted by Both Bodies,' and two new dates were added (4Jun2026 for Committee of Conference and 4Jun2026 for Engrossment/Both Bodies), reflecting the final legislative steps.

A new provision was added permitting a physician to perform breast surgery on a minor if the procedure is at the election of the minor in consultation with her primary care physician. This is an entirely new subject matter not present in the House version.

The Senate restructured how the 'abused child' definition in RSA 169-C:3 is amended. Instead of simply inserting a new paragraph, the Senate rewrote the entire definition into two subparagraphs: (a) listing the existing abuse categories and (b) containing the biological-sex parenting exclusion. This makes the exclusion more clearly integrated into the statutory structure.

In the adoption provisions (RSA 170-B:18), the Senate changed 'a particular adoptive child' to 'a particular child' in the best-interests-of-the-child language, slightly broadening the reference.

The Senate added a new paragraph to section 169-C:6-c stating that nothing in the section precludes consideration of other acts or omissions that meet the definition of abuse or neglect or are contrary to the child's welfare. This is a savings clause ensuring the protections don't override other abuse/neglect findings.

The Senate changed the cross-reference from RSA 169-C:12 to the more specific RSA 169-C:12-f, and restructured the list format in section 169-C:6-c from Roman numerals (I-V) to a paragraph-and-letter structure (I with subparts a-e, plus a new paragraph II).

Expanded protection to cover 'prospective adoptive parents' and 'prospective licensees,' not just current ones, broadening who is shielded from being penalized for opposing gender transition or raising a child consistent with biological sex.

Combined two separate paragraphs (I-a and I-b) in RSA 170-B:18 into a single paragraph covering both refusal to support transition and intent to raise consistent with biological sex, and changed the standard from 'unsuitable home' to 'disqualified from consideration as an adoptive parent or that the home is unsuitable for adoption.'

The amendment to RSA 461-A:6 (which would have prohibited courts from considering a parent's raising of a child consistent with biological sex as an adverse factor in parental rights/responsibility determinations) appears to have been removed from the bill.

Added savings clauses stating that the protections do not relieve the department of its duty to make placements in the best interests of the child, and do not prevent the department from considering the religious or moral beliefs of a particular child when matching with prospective parents.

Added explicit language in RSA 170-E:27 stating that protected beliefs shall not be the basis for the department to deny any license, renewal, or other authorization required to serve as a foster parent.