89R20567 AMF-F
 
  By: Shaheen, Wharton, Barry, Capriglione, H.B. No. 1106
      Luther, et al.
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the definitions of child abuse and neglect.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 261.001, Family Code, is amended by
  adding Subdivision (1-a) and amending Subdivision (4) to read as
  follows:
               (1-a)  "Abuse" does not include the refusal by a person
  responsible for a child's care, custody, or welfare to affirm:
                     (A)  a child's perception of the child's gender,
  including a refusal to use a child's preferred name or pronouns,
  regardless of whether the child's name has been legally changed; or
                     (B)  a child's expressed sexual orientation.
               (4)  "Neglect" means an act or failure to act by a
  person responsible for a child's care, custody, or welfare
  evidencing the person's blatant disregard for the consequences of
  the act or failure to act that results in harm to the child or that
  creates an immediate danger to the child's physical health or
  safety and:
                     (A)  includes:
                           (i)  the leaving of a child in a situation
  where the child would be exposed to an immediate danger of physical
  or mental harm, without arranging for necessary care for the child,
  and the demonstration of an intent not to return by a parent,
  guardian, or managing or possessory conservator of the child;
                           (ii)  the following acts or omissions by a
  person:
                                 (a)  placing a child in or failing to
  remove a child from a situation that a reasonable person would
  realize requires judgment or actions beyond the child's level of
  maturity, physical condition, or mental abilities and that results
  in bodily injury or an immediate danger of harm to the child;
                                 (b)  failing to seek, obtain, or follow
  through with medical care for a child, with the failure resulting in
  or presenting an immediate danger of death, disfigurement, or
  bodily injury or with the failure resulting in an observable and
  material impairment to the growth, development, or functioning of
  the child;
                                 (c)  the failure to provide a child
  with food, clothing, or shelter necessary to sustain the life or
  health of the child, excluding failure caused primarily by
  financial inability unless relief services had been offered and
  refused;
                                 (d)  placing a child in or failing to
  remove the child from a situation in which the child would be
  exposed to an immediate danger of sexual conduct harmful to the
  child; or
                                 (e)  placing a child in or failing to
  remove the child from a situation in which the child would be
  exposed to acts or omissions that constitute abuse under
  Subdivision (1)(E), (F), (G), (H), or (K) committed against another
  child;
                           (iii)  the failure by the person responsible
  for a child's care, custody, or welfare to permit the child to
  return to the child's home without arranging for the necessary care
  for the child after the child has been absent from the home for any
  reason, including having been in residential placement or having
  run away; or
                           (iv)  a negligent act or omission by an
  employee, volunteer, or other individual working under the auspices
  of a facility or program, including failure to comply with an
  individual treatment plan, plan of care, or individualized service
  plan, that causes or may cause substantial emotional harm or
  physical injury to, or the death of, a child served by the facility
  or program as further described by rule or policy; and
                     (B)  does not include:
                           (i)  the refusal by a person responsible for
  a child's care, custody, or welfare to permit the child to remain in
  or return to the child's home resulting in the placement of the
  child in the conservatorship of the department if:
                                 (a)  the child has a severe emotional
  disturbance;
                                 (b)  the person's refusal is based
  solely on the person's inability to obtain mental health services
  necessary to protect the safety and well-being of the child; and
                                 (c)  the person has exhausted all
  reasonable means available to the person to obtain the mental
  health services described by Sub-subparagraph (b);
                           (ii)  allowing the child to engage in
  independent activities that are appropriate and typical for the
  child's level of maturity, physical condition, developmental
  abilities, or culture; [or]
                           (iii)  a decision by a person responsible
  for a child's care, custody, or welfare to:
                                 (a)  obtain an opinion from more than
  one medical provider relating to the child's medical care;
                                 (b)  transfer the child's medical care
  to a new medical provider; or
                                 (c)  transfer the child to another
  health care facility; or
                           (iv)  the refusal by a person responsible
  for a child's care, custody, or welfare to affirm:
                                 (a)  a child's perception of the
  child's gender, including a refusal to use a child's preferred name
  or pronouns, regardless of whether the child's name has been
  legally changed; or
                                 (b)  a child's expressed sexual
  orientation.
         SECTION 2.  This Act takes effect September 1, 2025.