Health care; creating the Wrongful Life Act; prohibiting certain services on a minor; authorizing certain civil actions and damages. Effective date.

SB 1049 prohibits physicians and health care professionals in Oklahoma from providing gender-affirming medical treatments - such as hormone therapy, puberty blockers, or gender transition surgery - to individuals under 18, except when medically necessary (defined as excluding gender transition itself). It also bans parents or guardians from consenting to these treatments for minors. The bill creates civil lawsuits for individuals who received such treatments as minors and claim they lost natural reproductive capacity, allowing lawsuits with no statute of limitations and a rebuttable presumption about fertility. Plaintiffs may seek compensatory damages, punitive damages, and attorney fees, while parents/guardians who consented could face child abuse charges under certain circumstances. The law directly affects minors, health care providers, and parents/guardians in Oklahoma.