CNN: "​It's not possible to know a person's gender identity at birth"

Though the two executive orders signed by Noem do not explicitly mention transgender athletes, they ​reference the supposed harms of the participation of “males” in women’s athletics — an echo of the transphobic claim, cited in other similar legislative initiatives, that transgender women are not women. The orders also reference “biological sex,” a disputed term that refers to the sex as listed on students’ original birth certificates.

​It’s not possible to know a person’s gender identity at birth, and there is no consensus criteria for assigning sex at birth.