HB3431 - 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.

  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.