The existing law states that a person recognized as transgender “shall have a right to self-perceived gender identity.” This amendment discards that, with gender identity being verified by the state.

Recognition requires approval from a medical board and consultation with medical professionals, basically getting rid of self declaration.

And, hospitals must report gender-affirming surgery to authorities (!).

It's an unprovoked regression and will reverse years of positive precedent (Supreme Court NALSA 2014, PRIVACY 2017, SEC 377 2018)