The Ohio High School Athletic Association adopted a policy with regard to transgender student athletes. It provides that:
A transgender female (or male-to-female (MTF) transgender student athlete) who is taking medically prescribed hormone treatment related to gender transition may participate on a boy’s team at any time. However, before a transgender female can compete in a girl’s sport or on a girl’s team, the transgender female must either (1) have completed a minimum of one year of hormone treatment related to gender transition or (2) demonstrate to the Commissioner’s Office by way of sound medical evidence that the transgender female student athlete does not possess physical (bone structure, muscle mass, testosterone, hormonal, etc.) or physiological advantages over genetic females of the same age group.