Ohio’s House of Representatives Wednesday passed a bill that prohibits transgender girls and women from participating on women’s high school and college athletic teams. The Save Women’s Sports Act, HB 151, passed 56 to 28 with Democrats voting in opposition, wasn’t intended to be scheduled for legislators originally.

The original text was to amend the Ohio Resident Educator Program, assisting new teachers with mentoring and professional development in their early careers. Jena Powell, a Darke County Republican, offered an amendment to the bill based on an earlier piece of legislation she proposed last year, HB 61.

Currently, the Ohio High School Athletic Association (OHSAA), the National Collegiate Athletic Association (NCAA) and the National Junior College Athletic Association (NJCAA) regulate policies for transgender athletes to ensure medical privacy and fairness. OHSAA guidelines stipulate that transgender girls and women must have completed a minimum of 1 year of hormone treatment and/or demonstrate that they don’t possess any physical or physiological advantage over ‘genetic females.’  Equality Ohio said the text displays “a fundamental ignorance about transgender people and their participation in sports” and “attacks the Ohio High School Athletic Association and the NCAA in their ability to make policies that they deem are best for athletes.”

HB 151 would overrule these policies and institute a complete ban on transgender girls and women from playing women’s sports. The bill would require schools, state universities and private colleges to classify separate single-sex teams and sports for each sex. One of the bill most controversial provisions stipulates that a student with a “disputed” sex shall present a signed doctor’s statement clarifying their “internal and external reproductive anatomy,” testerone levels and genetic makeup. Representative Beth Liston criticized the bill and said she “strongly condemn[s] the Ohio Republicans’ policy of mandatory genital inspections for children who want to play sports.”

Powell believes allowing transgender women to play on women’s teams is a violation of Title IX, a regulation established in 1972 to prevent sex discrimination in education. In a West Virginia lawsuit over a similar bill, the US Department of Education and Department of Justice argued that Title IX “prohibit[s] discrimination against students because of their sex, including because a student is transgender.”

The Ohio Senate will consider the bill when it returns from its summer recess.