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Texas · 89th Legislature Regular Session

SB1393 Relating to electronic health record requirements, including the recording of an individual's biological sex.

Direction

Transgender id documentsAI label

Restricts transgender recognition & access model confidence 80%

Requires electronic health records to record biological sex at birth (with narrow exceptions only for disorders of sexual development) and base medical algorithms on it, while allowing but not requiring separate gender identity fields, so less legal recognition of gender identity distinct from birth

each electronic health record prepared or maintained by a health care provider in this state includes a separate space for the health care provider to record: (A) an individual's biological sex as either male or female based on the individual's observed biological sex recorded by a health care provider at birth;

✓ Quote verified word for word in the bill text

Transgender healthcareAI label

Restricts transgender recognition & access model confidence 80%

Mandates that any algorithm or decision tree in electronic health records for medical treatment decisions must be based on biological sex at birth (with narrow amendment exceptions only for disorders of sexual development), so less access to care based on gender identity.

any algorithm or decision tree included in an electronic health record for assisting a health care provider in making medical treatment decisions is based on an individual's biological sex as recorded in the space described by Subdivision (1)(A).

✓ Quote verified word for word in the bill text

  1. Filed (completed)
  2. Committee
  3. Passed one chamber
  4. Passed both
  5. Governor
  6. Law

Status: Died (session ended)

Last action
2025-03-06: Referred to Health & Human Services
Filed
2025-02-19
Committee
Health & Human Services
Sponsor
Bob Hall R

Why the model tagged it this way: The bill defines biological sex strictly by gamete production and birth observation, requires EHRs to prioritize and largely lock in that field (amendable only for clerical error or DSD diagnosis), and mandates sex-based algorithms, directly affecting recognition of transgender identity in medical records and treatment decisions. It explicitly permits but does not require additional gender identity fields.

Related bills

Sponsors

Text versions

History (4 actions)
DateChamberAction
2025-03-06SReferred to Health & Human Services
2025-03-06SRead first time
2025-02-19SFiled
2025-02-19SReceived by the Secretary of the Senate