89R4875 AJZ-D
By: Middleton S.B. No. 753
A BILL TO BE ENTITLED
AN ACT
relating to prohibiting certain conduct by physicians and health
care providers involving gender transitioning and gender
reassignment procedures and treatments for children; creating a
criminal offense.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 161.702, Health and Safety Code, as
added by Chapter 335 (S.B. 14), Acts of the 88th Legislature,
Regular Session, 2023, is amended to read as follows:
Sec. 161.702. PROHIBITED PROVISION OR FACILITATION OF
GENDER TRANSITIONING OR GENDER REASSIGNMENT PROCEDURES AND
TREATMENTS TO CERTAIN CHILDREN. For the purpose of transitioning a
child's biological sex as determined by the sex organs,
chromosomes, and endogenous profiles of the child or affirming the
child's perception of the child's sex if that perception is
inconsistent with the child's biological sex, a physician or health
care provider may not knowingly:
(1) perform a surgery that sterilizes the child,
including:
(A) castration;
(B) vasectomy;
(C) hysterectomy;
(D) oophorectomy;
(E) metoidioplasty;
(F) orchiectomy;
(G) penectomy;
(H) phalloplasty; and
(I) vaginoplasty;
(2) perform a mastectomy;
(3) provide, prescribe, administer, or dispense any of
the following prescription drugs that induce transient or permanent
infertility:
(A) puberty suppression or blocking prescription
drugs to stop or delay normal puberty;
(B) supraphysiologic doses of testosterone to
females; or
(C) supraphysiologic doses of estrogen to males;
[or]
(4) remove any otherwise healthy or non-diseased body
part or tissue; or
(5) refer a child to a health care practitioner who is
licensed or otherwise authorized to provide health care in another
state, to facilitate the child's ability to receive in the other
state a procedure or treatment that would otherwise be prohibited
by this section if the procedure or treatment occurred in this
state.
SECTION 2. Subchapter X, Chapter 161, Health and Safety
Code, as added by Chapter 335 (S.B. 14), Acts of the 88th
Legislature, Regular Session, 2023, is amended by adding Section
161.707 to read as follows:
Sec. 161.707. CRIMINAL OFFENSE. (a) A person who is a
physician or health care provider commits an offense if the person
knowingly violates Section 161.702.
(b) It is an exception to the application of this section
that the actor engaged in conduct authorized under Section 161.703.
(c) An offense under this section is a felony of the third
degree.
SECTION 3. This Act takes effect September 1, 2025.