1. 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008 Oregon’s Newest Emerging Registration Issue Jennifer A. Woodward Center for Health Statistics Oregon Department of Human Services

2. 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008 “Did you say a pregnant man?”

3. 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008 Vital Records involvement October 2007 Certification Manager gets anonymous call. State Registrar is informed. Department of Justice is informed Vital Records recommends putting him on the birth certificate as the “mother” per law and providing us a court order.

4. 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008 Vital Records involvement Early-March 2008 State Registrar gets call from adoption lawyer – Court order recommended. March 24, 2008 State Registrar gets call from Birth Clerk from Bend OR – Court order recommended. Department of Justice notified.

5. 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008 March 26, 2008 State Registrar learns about press coverage. March 27, 2008 State Registrar leaves town for a week. Since then… Waiting to see what happens. Vital Records involvement

6. 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008 My sources The Advocate Oregonian Oprah interview on YouTube ABC news article

7. 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008 The facts… Thomas Beatie born Tracy in Hawaii. Began taking hormones in late-20s. Breasts surgically removed. Female reproductive organs NOT removed. Legally became a man in Hawaii.

8. 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008 Hawaii Statute Establishment of new birth certificate.. New birth certificate is established Upon receipt of an affidavit of a physician that the physician has examined the birth registrant and has determined the following: The birth registrant has had a sex change operation and the sex designation on the birth registrant’s birth certificate is no longer correct; provided that the director of health may further investigate and require additional information that the director deems necessary;

9. 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008 Got married in Hawaii. Wife could not have children. Move to Oregon and decided time was right to have kids. Stopped taking testosterone for two years before trying to get pregnant. One failed pregnancy. Artificial insemination at home. Sperm from sperm bank – anonymous donor Baby girl is due July 3, 2008.

10. 2008 NAPHSIS Annual Meeting Celebrating 75 Years of Excellence Orlando, FL June 1 st – 5 th, 2008 Lessons-learned Professional calm communication always works. Keep everyone informed. Remember that your legal counsel is your expensive friend. Be consistent with your message. Working in Oregon Vital Records is never dull.