On March 13, 2026, the Union Government introduced the Transgender Persons (Protection of Rights) Amendment Bill, 2026 in the Lok Sabha, seeking to amend the parent Act of 2019. The bill proposes significant changes to the definition of a 'transgender person', replacing the principle of self-perceived gender identity with a medically certified process.

Key provisions include: (1) Replacing administrative certification with a Medical Board headed by the Chief Medical Officer (CMO), whose recommendation is mandatory before the District Magistrate can issue a Certificate of Identity; (2) Narrowing the definition to primarily recognise socio-cultural identities such as kinnara, hijra, aravani, and jogta, along with a specific medicalised list of congenital biological variations; (3) Enhancing penalties — kidnapping an adult to force transgender identity now carries a minimum of 10 years rigorous imprisonment extendable to life, while the same offence against a child mandates life imprisonment and a minimum fine of ₹5 lakh. Civil society and LGBTQ+ rights organisations have raised concerns that the medical certification requirement reverses the landmark Supreme Court judgment in NALSA v. Union of India (2014), which recognised the right to self-perceived gender identity under Articles 14, 19, and 21 of the Constitution.