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<section article="ghg" article_name="Health - General" number="4-211" title_number="4" title_name="Statistics and Records" subtitle_number="2" subtitle_name="Vital Statistics and Records">
  <level label="a">
    <text>Except as provided in subsection (d) of this section, the Secretary shall make a new certificate of birth for an individual if the Department receives satisfactory proof that:</text>
    <level label="1">
      <text>The individual was born in this State; and</text>
    </level>
    <level label="2">
      <text>Regardless of the location, one of the following has occurred:</text>
      <level label="i">
        <text>The previously unwed parents of the individual have married each other after the birth of the individual;</text>
      </level>
      <level label="ii">
        <text>A court of competent jurisdiction has entered an order as to the parentage, legitimation, or adoption of the individual; or</text>
      </level>
      <level label="iii">
        <text>If a parent who did not give birth to the individual is not named on an earlier certificate of birth:</text>
        <level label="1">
          <text>The parent who did not give birth to the individual has acknowledged himself or herself by affidavit to be a parent of the individual; and</text>
        </level>
        <level label="2">
          <text>The mother of the individual has consented by affidavit to the acknowledgment.</text>
        </level>
      </level>
    </level>
  </level>
  <level label="b">
    <text>Except as provided in subsection (d) of this section, the Secretary shall make a new certificate of birth for an individual if the Department receives satisfactory proof that:</text>
    <level label="1">
      <text>The individual was born in this State; and</text>
    </level>
    <level label="2">
      <text>Regardless of the location, one of the following has occurred:</text>
      <level label="i">
        <level label="1">
          <text>A licensed health care practitioner who has treated or evaluated the individual has determined that the individual’s sex designation should be changed because the individual has undergone treatment appropriate for the purpose of sex transition or has been diagnosed with an intersex condition;</text>
        </level>
        <level label="2">
          <text>The individual, or if the individual is a minor or disabled person under guardianship, the individual’s parent, guardian, or legal representative, has made a written request for a new certificate of birth with a sex designation that differs from the sex designated on the original certificate of birth; and</text>
        </level>
        <level label="3">
          <text>The licensed health care practitioner has signed a statement, under penalty of perjury, that:</text>
        </level>
        <level label="A">
          <text>The individual has undergone surgical, hormonal, or other treatment appropriate for the individual, based on generally accepted medical standards; or</text>
        </level>
        <level label="B">
          <text>The individual has an intersex condition and, in the professional opinion of the licensed health care practitioner, based on generally accepted medical standards, the individual’s sex designation should be changed accordingly;</text>
        </level>
      </level>
      <level label="ii">
        <text>A court of competent jurisdiction has issued an order indicating that the sex of an individual born in this State has been changed; or</text>
      </level>
      <level label="iii">
        <text>Before October 1, 2015, the Secretary, as provided under regulations adopted by the Department, amended an original certificate of birth on receipt of a certified copy of an order of a court of competent jurisdiction indicating the sex of the individual had been changed.</text>
      </level>
    </level>
  </level>
  <level label="c">
    <text>Except as provided in subsection (d) of this section, the Secretary may make a new certificate of birth for an individual who was born outside the United States if one of the following occurred in this State:</text>
    <level label="1">
      <text>The previously unwed parents of the individual have married each other after the birth of the individual;</text>
    </level>
    <level label="2">
      <text>A court of competent jurisdiction in this State has entered an order as to parentage or legitimation; or</text>
    </level>
    <level label="3">
      <text>The parent who did not give birth to the individual acknowledged himself or herself by affidavit to be a parent of the individual and the mother of the individual has consented by affidavit to the acknowledgment.</text>
    </level>
  </level>
  <level label="d">
    <text>The Secretary may not make a new certificate of birth in connection with an order of a court of competent jurisdiction relating to the adoption of an individual, if one of the following so directs the Secretary:</text>
    <level label="1">
      <text>The court that decrees the adoption;</text>
    </level>
    <level label="2">
      <text>The adoptive parents; or</text>
    </level>
    <level label="3">
      <text>The adopted individual, if an adult.</text>
    </level>
  </level>
  <level label="e">
    <text>A new certificate of birth shall be prepared on the following basis:</text>
    <level label="1">
      <text>The individual shall be treated as having at birth the status that later is acquired or established and of which proof is submitted.</text>
    </level>
    <level label="2">
      <level label="i">
        <text>If the parents of the individual were not married and parentage is established by legal proceedings, the name of the parent who did not give birth to the individual shall be inserted.</text>
      </level>
      <level label="ii">
        <text>The legal proceeding should request and report to the Secretary that the surname of the subject of the record be changed from that shown on the original certificate, if a change is desired.</text>
      </level>
    </level>
    <level label="3">
      <text>If the individual is adopted, the name of the individual shall be that set by the decree of adoption, and the adoptive parents shall be recorded as the parents of the individual.</text>
    </level>
    <level label="4">
      <text>The new certificate of birth shall contain wording that requires each parent shown on the new certificate to indicate his or her own Social Security number.</text>
    </level>
  </level>
  <level label="f">
    <level label="1">
      <text>When a new certificate of birth is made under subsection (b) of this section:</text>
      <level label="i">
        <text>The sex designation of the individual on the new certificate of birth shall be the sex designation for which satisfactory proof has been submitted in accordance with subsection (b) of this section; and</text>
      </level>
      <level label="ii">
        <text>If the name of the individual has been changed at any time, the name of the individual on the new certificate of birth shall be the name that was last established and for which appropriate documentation has been submitted to the Department.</text>
      </level>
    </level>
    <level label="2">
      <text>A new certificate of birth made under subsection (b) of this section may not:</text>
      <level label="i">
        <text>Be marked “amended”; or</text>
      </level>
      <level label="ii">
        <text>Show on its face that a change has been made to:</text>
        <level label="1">
          <text>A sex designation; or</text>
        </level>
        <level label="2">
          <text>If applicable, a change of name.</text>
        </level>
      </level>
    </level>
  </level>
  <level label="g">
    <level label="1">
      <text>If a new certificate of birth is made, the Secretary shall:</text>
      <level label="i">
        <text>Substitute the new certificate of birth for any certificate then on file; and</text>
      </level>
      <level label="ii">
        <text>Place the original certificate of birth and all records that relate to the new certificate of birth under seal.</text>
      </level>
    </level>
    <level label="2">
      <text>The seal may be broken only:</text>
      <level label="i">
        <text>On order of a court of competent jurisdiction;</text>
      </level>
      <level label="ii">
        <text>If it does not violate the confidentiality of the record, on written order of a designee of the Secretary; or</text>
      </level>
      <level label="iii">
        <text>In accordance with Title 5, Subtitle 3A or Subtitle 4B of the Family Law Article.</text>
      </level>
    </level>
    <level label="3">
      <text>A certified copy of the certificate of birth that later is issued shall be a copy of the new certificate of birth, unless:</text>
      <level label="i">
        <text>A court of competent jurisdiction orders the issuance of a copy of the original certificate of birth; or</text>
      </level>
      <level label="ii">
        <text>Title 5, Subtitle 3A or Subtitle 4B of the Family Law Article provides for the issuance of a copy of the original certificate of birth.</text>
      </level>
    </level>
  </level>
  <level label="h">
    <text>Each clerk of court shall send to the Secretary, on the form that the Secretary provides, a report of:</text>
    <level label="1">
      <text>Each decree of adoption;</text>
    </level>
    <level label="2">
      <text>Each adjudication of parentage, including the parent’s Social Security number; and</text>
    </level>
    <level label="3">
      <text>Each revocation or amendment of any decree of adoption or adjudication of paternity that the court enters.</text>
    </level>
  </level>
  <level label="i">
    <text>Upon receipt of a report or decree of annulment of adoption, the original certificate of birth shall be restored to its place in the files, and the adoption certificate and any accompanying documents are not subject to inspection except upon order of a court of competent jurisdiction or as provided by regulation.</text>
  </level>
  <level label="j">
    <text>If no certificate of birth is on file for the person for whom a new birth certificate is to be established under this section, and the date and place of birth have not been determined in the adoption or paternity proceedings:</text>
    <level label="1">
      <text>A delayed certificate of birth shall be filed with the Secretary as provided in § 4–210 of this subtitle before a new certificate of birth is established; and</text>
    </level>
    <level label="2">
      <text>The new birth certificate shall be prepared on the delayed birth certificate form.</text>
    </level>
  </level>
  <level label="k">
    <level label="1">
      <text>The Secretary shall, on request, prepare and register a certificate in this State for an individual born in a foreign country and who was adopted:</text>
      <level label="i">
        <text>Through a court of competent jurisdiction in this State; or</text>
      </level>
      <level label="ii">
        <level label="1">
          <text>Under the laws of a jurisdiction or country other than the United States and has been granted an IR–3 or IH–3 visa by the U.S. Citizenship and Immigration Services under the Immigration and Nationality Act; and</text>
        </level>
        <level label="2">
          <text>By an adopting parent who is a resident of this State.</text>
        </level>
      </level>
    </level>
    <level label="2">
      <text>Except as provided in paragraph (3) of this subsection, the certificate shall be established on receipt of:</text>
      <level label="i">
        <text>A certificate of adoption from the court decreeing the adoption;</text>
      </level>
      <level label="ii">
        <text>Proof of the date and place of the child’s birth; and</text>
      </level>
      <level label="iii">
        <text>A request from the court, the adopting parents, or the adopted person if 18 years of age or over that the certificate be prepared.</text>
      </level>
    </level>
    <level label="3">
      <text>If the child was adopted under the laws of a jurisdiction or country other than the United States and has been granted an IR–3 or IH–3 visa by the U.S. Citizenship and Immigration Services under the Immigration and Nationality Act, the certificate shall be established on receipt of:</text>
      <level label="i">
        <text>An official copy of the decree from the jurisdiction or country in which the child was adopted;</text>
      </level>
      <level label="ii">
        <text>A certified translation of the foreign adoption decree;</text>
      </level>
      <level label="iii">
        <text>Proof of the date and place of the child’s birth;</text>
      </level>
      <level label="iv">
        <text>Proof of IR–3 or IH–3 visa status;</text>
      </level>
      <level label="v">
        <text>A request from the court, the adopting parents, or the adopted person if 18 years of age or over that the certificate be prepared; and</text>
      </level>
      <level label="vi">
        <text>Proof that the adopting parent is a resident of this State.</text>
      </level>
    </level>
    <level label="4">
      <text>The certificate shall be labeled “Certificate of Foreign Birth” and shall show the actual country of birth.</text>
    </level>
    <level label="5">
      <text>A statement shall also be included on the certificate indicating that it is not evidence of United States citizenship for the child for whom it is issued.</text>
    </level>
  </level>
</section>
