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.