Sexual education shall not include any instruction or provision of materials via computer, books, e-books, book apps, magazines, performances, role-playing, and any other materials used in providing instruction in the classrooms or on display on any school properties in the K-12 school environment, on the topic of gender identity, gender expression, sexual orientation and identity, or any other life-style. Any infraction of this section shall incur disciplinary action from the state licensing board for a first offense, termination of employment in the school system for a second offense.

“Female” means an individual whose biological sex determined at birth is female. As used in this section, “women” or “girls” refers to biological females. (e) “Male” means an individual whose biological sex determined at birth is male. As used in this section, “men” or “boys” refers to biological males.

Require school districts to adopt a policy [...] to require the school district or classroom teacher to provide parents and legal guardians not less than 2 weeks advance notice of any curriculum course material used for instruction or program of human sexuality, human sexual education, sexual orientation, gender, gender identity, or gender expression.

An employee or contractor shall not: (a) Use a name to address or refer to a student that does not match the name listed on the student's birth certificate, or derivatives thereof, without written permission from the student's parent or legal guardian; (b) Use a pronoun to address or refer to a student, unless that pronoun corresponds to the gender listed on the student's birth certificate, without written permission from the student's parent or legal guardian

A person is guilty of a class A felony if: (a) The person physically or chemically mutilates or alters the sexual or reproductive system of a minor, in a manner that permanently nullifies or restricts the systems natural sexual or reproductive functionality. (b) The person knowingly promotes or permits the treatment of a minor with chemicals or hormones to boost or reduce the minors hormone levels outside the normal range for their age and biological birth-gender leading to permanent physical changes that nullify or restrict their natural sexual or reproductive system functionality. (c) The person knowingly removes or causes or permits the removal of a minor from this state for the purpose of allowing the physical or chemical mutilation or alteration of the reproductive system of the minor, or the treatment of the minor with chemicals or hormones to boost or reduce the minor's hormone levels outside the normal range for their age and biological birth-gender, that permanently nullify the individual's natural sexual or reproductive system functionality.

Medical assistance provided under the state Medicaid plan shall not include any form of gender reassignment surgery for a person under 18 years of age.

A physician or other health care professional shall not provide gender transition procedures to any individual under 18 years of age. II. A physician or other health care professional shall not refer any individual under 18 years of age to any health care professional for gender transition procedures.

Written requests by parents regarding information relating to their child submitted to any employee of the school district in which the child is enrolled shall be answered completely and honestly to the extent permitted by law. Such response to written requests shall be submitted within 10 days of the employee's receipt of the request.

An interscholastic or intramural athletic team or sport sponsored by a school must be expressly designated as one of the following based on the sex of the intended participants: (a) "Males", "men", or "boys"; (b) "Females", "women", or "girls"; or (c) "Coed" or "mixed". [...] An athletic team or sport designated for "females", "women", or "girls" may not be open to students of the male sex.

"Sex" means the biological state of being female or male, based on an individual's nonambiguous sex organs, chromosomes, and endogenous hormone profile at birth. [...] An interscholastic or intramural athletic team or sport sponsored by a school must be expressly designated as one of the following based on the sex of the intended participants: (a) "Males", "men", or "boys"; (b) "Females", "women", or "girls"; or (c) "Coed" or "mixed". III. An athletic team or sport designated for "females", "women", or "girls" may not be open to students of the male sex. IV. A locker room or restroom that is designated for "females", "women", or "girls" may not be open to students of the male sex.

Nothing in RSA 5-C:87, RSA 260-263, RSA 354-A, or any other law or regulation shall mean that it is unlawful discrimination based on sex or gender identity for any person or organization, public or private, to classify based on biological sex with respect to the following matters: (a) In the construction, maintenance, operation, and use of lavatory facilities or locker rooms designed for usage by multiple persons at the same time, even if such facilities have individual urinals, stalls, or similar apparatus. (b) In athletic or sporting events or competitions in a sport or similar activity in which physical strength, speed, or endurance is generally recognized to give an advantage to biological males. (c) In the operation, maintenance, and use of facilities designed for usage as prisons, houses of correction, juvenile detention or commitment centers, mental health hospitals or treatment centers and like facilities to which persons may be committed involuntarily.