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.

↓Restricts transgender recognition & access model confidence 95%

Bans physicians and providers from performing gender-transition surgeries, mastectomies, puberty blockers, cross-sex hormones or tissue removal on children, and bans non-physician mental health professionals from providing gender-affirming therapy or counseling to affirm a child's perceived gender,

a physician or health care provider may not knowingly: (1) perform a surgery that sterilizes the child, including: (A) castration; ... (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;

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↓Restricts transgender recognition & access model confidence 85%

Amends the existing statute (added by S.B. 14) that already bans gender-transition procedures on minors by adding a definition of "non-physician mental health professional" and extending prohibitions to gender-affirming therapy/counseling and out-of-state referrals, all with state-jail-felony penal

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.

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