| 1 | 1 | | 89R4875 AJZ-D |
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| 2 | 2 | | By: Middleton S.B. No. 753 |
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| 3 | 3 | | |
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| 4 | 4 | | |
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| 5 | 5 | | |
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| 6 | 6 | | |
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| 7 | 7 | | A BILL TO BE ENTITLED |
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| 8 | 8 | | AN ACT |
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| 9 | 9 | | relating to prohibiting certain conduct by physicians and health |
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| 10 | 10 | | care providers involving gender transitioning and gender |
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| 11 | 11 | | reassignment procedures and treatments for children; creating a |
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| 12 | 12 | | criminal offense. |
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| 13 | 13 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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| 14 | 14 | | SECTION 1. Section 161.702, Health and Safety Code, as |
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| 15 | 15 | | added by Chapter 335 (S.B. 14), Acts of the 88th Legislature, |
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| 16 | 16 | | Regular Session, 2023, is amended to read as follows: |
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| 17 | 17 | | Sec. 161.702. PROHIBITED PROVISION OR FACILITATION OF |
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| 18 | 18 | | GENDER TRANSITIONING OR GENDER REASSIGNMENT PROCEDURES AND |
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| 19 | 19 | | TREATMENTS TO CERTAIN CHILDREN. For the purpose of transitioning a |
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| 20 | 20 | | child's biological sex as determined by the sex organs, |
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| 21 | 21 | | chromosomes, and endogenous profiles of the child or affirming the |
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| 22 | 22 | | child's perception of the child's sex if that perception is |
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| 23 | 23 | | inconsistent with the child's biological sex, a physician or health |
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| 24 | 24 | | care provider may not knowingly: |
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| 25 | 25 | | (1) perform a surgery that sterilizes the child, |
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| 26 | 26 | | including: |
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| 27 | 27 | | (A) castration; |
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| 28 | 28 | | (B) vasectomy; |
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| 29 | 29 | | (C) hysterectomy; |
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| 30 | 30 | | (D) oophorectomy; |
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| 31 | 31 | | (E) metoidioplasty; |
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| 32 | 32 | | (F) orchiectomy; |
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| 33 | 33 | | (G) penectomy; |
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| 34 | 34 | | (H) phalloplasty; and |
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| 35 | 35 | | (I) vaginoplasty; |
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| 36 | 36 | | (2) perform a mastectomy; |
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| 37 | 37 | | (3) provide, prescribe, administer, or dispense any of |
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| 38 | 38 | | the following prescription drugs that induce transient or permanent |
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| 39 | 39 | | infertility: |
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| 40 | 40 | | (A) puberty suppression or blocking prescription |
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| 41 | 41 | | drugs to stop or delay normal puberty; |
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| 42 | 42 | | (B) supraphysiologic doses of testosterone to |
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| 43 | 43 | | females; or |
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| 44 | 44 | | (C) supraphysiologic doses of estrogen to males; |
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| 45 | 45 | | [or] |
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| 46 | 46 | | (4) remove any otherwise healthy or non-diseased body |
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| 47 | 47 | | part or tissue; or |
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| 48 | 48 | | (5) refer a child to a health care practitioner who is |
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| 49 | 49 | | licensed or otherwise authorized to provide health care in another |
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| 50 | 50 | | state, to facilitate the child's ability to receive in the other |
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| 51 | 51 | | state a procedure or treatment that would otherwise be prohibited |
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| 52 | 52 | | by this section if the procedure or treatment occurred in this |
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| 53 | 53 | | state. |
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| 54 | 54 | | SECTION 2. Subchapter X, Chapter 161, Health and Safety |
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| 55 | 55 | | Code, as added by Chapter 335 (S.B. 14), Acts of the 88th |
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| 56 | 56 | | Legislature, Regular Session, 2023, is amended by adding Section |
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| 57 | 57 | | 161.707 to read as follows: |
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| 58 | 58 | | Sec. 161.707. CRIMINAL OFFENSE. (a) A person who is a |
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| 59 | 59 | | physician or health care provider commits an offense if the person |
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| 60 | 60 | | knowingly violates Section 161.702. |
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| 61 | 61 | | (b) It is an exception to the application of this section |
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| 62 | 62 | | that the actor engaged in conduct authorized under Section 161.703. |
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| 63 | 63 | | (c) An offense under this section is a felony of the third |
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| 64 | 64 | | degree. |
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| 65 | 65 | | SECTION 3. This Act takes effect September 1, 2025. |
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