Language in the initiative claims that kids are already required to undergo verification of their “biological sex” before they can play sports. But KUOW spoke with medical professionals and a school sports official who said otherwise. Paperwork used by medical professionals in sports physicals also shows that the initiative would be a departure from current state requirements for athletic participation.

According to the initiative, students would have several options to confirm their sex: a visual genital exam, a lab test to determine their genetic makeup, or an analysis of testosterone levels in the blood. The genital exam, which a medical professional can conduct without touching the child, would likely be the most accessible option for most kids.