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.