89R1535 EAS-D
 
  By: Tinderholt H.B. No. 3431
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to prohibitions on the provision to certain children of
  gender transitioning or reassignment procedures and treatments and
  gender-affirming therapy and counseling; creating criminal
  offenses.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 161.701, Health and Safety Code, as
  added by Chapter 335 (S.B. 14), Acts of the 88th Legislature,
  Regular Session, 2023, is amended by adding Subdivision (3-a) to
  read as follows:
               (3-a) "Non-physician mental health professional" has
  the meaning assigned by Section 571.003.
         SECTION 2.  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 OF GENDER TRANSITIONING
  OR GENDER REASSIGNMENT PROCEDURES AND TREATMENTS TO CERTAIN
  CHILDREN; CRIMINAL PENALTY.  (a)  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.
         (b)  A person who violates this section commits an offense.
  An offense under this section is a state jail felony.
         SECTION 3.  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 Sections
  161.7035 and 161.7036 to read as follows:
         Sec. 161.7035.  PROHIBITED PROVISION OF GENDER-AFFIRMING
  THERAPY AND COUNSELING; CRIMINAL PENALTY.  (a)  A non-physician
  mental health professional may not provide gender-affirming
  therapy or counseling to a child to treat gender dysphoria if the
  purpose of the therapy or counseling is to affirm a gender
  inconsistent with the child's biological sex, as determined by the
  sex organs, chromosomes, and endogenous profiles of the child.
         (b)  A person who violates this section commits an offense.
  An offense under this section is a state jail felony.
         Sec. 161.7036.  PROHIBITED REFERRAL TO HEALTH CARE
  PRACTITIONER IN ANOTHER STATE; CRIMINAL PENALTY.  (a)  A physician,
  health care provider, or non-physician mental health professional
  may not refer a child to a health care practitioner licensed or
  otherwise authorized to provide health care in another state for
  provision of:
               (1)  a procedure or treatment that violates Section
  161.702 if performed in this state; or
               (2)  therapy or counseling that violates Section
  161.7035 if performed in this state.
         (b)  A person who violates this section commits an offense.
  An offense under this section is a state jail felony.
         SECTION 4.  This Act takes effect September 1, 2025.