Monitoring the Session

HB 2291

Lowe Birth Certificate Bill Bans Reissues, Leaves Amending Certificates Unclear

Died in committee

Verdict: Smells

SmellsInitial review
Rep. David LoweRHouse 91
Why it's charged
The hole

THE TEXT

…“may not issue, and a court may not order the issuance of, a birth certificate that incorporates the completed or corrected biological sex information”…

Bill text, introduced version (I)

The ban covers only a reissued certificate that incorporates the corrected sex. The same section still describes the alternative route of a copy of the original with an amending certificate attached, and the bill does not clearly close that route.

The hole

Initial review · graded Oct 20, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade

Caption

relating to the required inclusion of a person's sex on a birth certificate and prohibited change of sex on the birth certificate of certain persons.

Caption from analyzed text · version I.

Summary

No reissued certificate with a changed sex. The amending certificate route stays in the text.

The bill requires Texas birth certificates to record a child's biological sex as male or female, based on sex organs, chromosomes, or endogenous profile. It touches the people who file birth records, local and state registrars, courts, and anyone seeking to change the sex listed on a birth certificate. Registrars and courts may no longer issue a new birth certificate with a changed sex unless it fixes a clerical error, fills in a missing entry, or reflects a later sex determination for a child born with ambiguous traits.

Labels

Labels: ZOMBIE BILL. Died 2 times: 88R SB 162 by Sen. Perry (Died in committee) and this bill (Died in committee). Checked against 88R only.BACK FROM THE DEAD. Same text as a bill filed before that died: 88R SB 162 by Sen. Perry (Died in committee). Filed in 2 sessions, counting this one. Checked against 88R only.TRY NO. 2. Filed in 2 sessions: 88R and 89R. Checked against 88R only.NEVER GOT A HEARING. Filed Jan 30, 2025 and referred to the House Public Health committee. No public hearing. The bill died.

Receipt

The receipt

89R-HB2291 · 2025-01-30

SOLD BY

ITEM

relating to the required inclusion of a person's sex on a birth certificate and prohibited change of sex on the birth certificate of certain persons.

WHAT IT DOES

No reissued certificate with a changed sex. The amending certificate route stays in the text.

The bill requires Texas birth certificates to record a child's biological sex as male or female, based on sex organs, chromosomes, or endogenous profile. It touches the people who file birth records, local and state registrars, courts, and anyone seeking to change the sex listed on a birth certificate. Registrars and courts may no longer issue a new birth certificate with a changed sex unless it fixes a clerical error, fills in a missing entry, or reflects a later sex determination for a child born with ambiguous traits.

CHARGES

[x] THE HOLEanalysis confidence 40%

THE TEXT

…“may not issue, and a court may not order the issuance of, a birth certificate that incorporates the completed or corrected biological sex information”…

Bill text, introduced version (I)

The ban covers only a reissued certificate that incorporates the corrected sex. The same section still describes the alternative route of a copy of the original with an amending certificate attached, and the bill does not clearly close that route.

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
  2. Read first time
  3. Referred to Public Health
FILED UNDER

No verified beat found.

Smells

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Donors

Not tied to this bill.

Sources

The author's campaign account only. Own money and internal transfers are separate on the member page.

Derived itemized flow · Jul 1, 2024 to Oct 22, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Texans United for a Conservative Majority PAC$120,500.00

Texans United for a Conservative Majority PAC

$120,500.00

Cash
$120,500.00
Paid by others
$0.00
Total
$120,500.00

Also funds 30 other sitting lawmakers.

Derived recipient stock · Sep 3, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Sep 3, 2024 to Aug 26, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100987224, 101007668, 101028850, 101030722, 101040612, 101068843.

Justice for Texas Victims$85,000.00

Justice for Texas Victims

$85,000.00

Cash
$85,000.00
Paid by others
$0.00
Total
$85,000.00

Also funds 12 other sitting lawmakers.

Derived recipient stock · Sep 25, 2025 to Feb 4, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Sep 26, 2025 to Feb 4, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101028850, 101030722, 101040612.

Texas Trial Lawyers Association PAC$30,000.00

Texas Trial Lawyers Association PAC

$30,000.00

Cash
$30,000.00
Paid by others
$0.00
Total
$30,000.00

Also funds 137 other sitting lawmakers.

Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Sep 17, 2024 to Jan 12, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100987224, 101007668, 101030722.

Money

Missing data does not establish zero giving. Display amounts are rounded.

×

Texans United for a Conservative Majority PAC

$120,500.00

Cash
$120,500.00
Paid by others
$0.00
Total
$120,500.00

Also funds 30 other sitting lawmakers.

Derived recipient stock · Sep 3, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Sep 3, 2024 to Aug 26, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100987224, 101007668, 101028850, 101030722, 101040612, 101068843.

×

Justice for Texas Victims

$85,000.00

Cash
$85,000.00
Paid by others
$0.00
Total
$85,000.00

Also funds 12 other sitting lawmakers.

Derived recipient stock · Sep 25, 2025 to Feb 4, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Sep 26, 2025 to Feb 4, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101028850, 101030722, 101040612.

×

Texas Trial Lawyers Association PAC

$30,000.00

Cash
$30,000.00
Paid by others
$0.00
Total
$30,000.00

Also funds 137 other sitting lawmakers.

Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Sep 17, 2024 to Jan 12, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100987224, 101007668, 101030722.

Votes

No floor vote loaded for this bill.

Fiscal

No fiscal note in the loaded record.

How this was graded

Analysis of text version I by claude-opus-5-5, Oct 20, 2026, against the published rubric.

FILED BEFORE

Filed 2 times: 88R and 89R. Checked against 88R only.

88R SB 162

by Sen. Perry, different lead author · Died in committee · same text

Introduced text

Last action, Apr 10, 2023: Referred to Public Health

Relating to the required inclusion of a person's sex on a birth certificate and prohibited change of sex on the birth certificate of certain minors.

Caption, 88R bill history

Sources

Texas House · Filed Jan 30, 2025

03/14/2025 H Referred to Public Health: Mar 14 2025 2:36PM

Texas Legislature Online · Introduced

Data snapshot Oct 26, 2026 at 4:19 AM CDT. Grades, charges, quotes and corrections follow the published record.

House committee · Public Health · Final status: Died in committee

Companion

SB 406 by Middleton (identical)

Subjects

Health--General

BIRTH & DEATH CERTIFICATES

HEALTH & HUMAN SERVICES COMMISSION

Text

The text as introduced · 574 words

89R603 EAS-D

By: Lowe
H.B. No. 2291

A BILL TO BE ENTITLED

AN ACT

relating to the required inclusion of a person's sex on a birth

certificate and prohibited change of sex on the birth certificate

of certain persons.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

SECTION 1. Section 192.002, Health and Safety Code, is

amended by adding Subsection (c-1) to read as follows:

(c-1) The form must include a space for recording the

biological sex of a person as either male or female.

SECTION 2. Section 192.003, Health and Safety Code, is

amended by adding Subsections (f) and (g) to read as follows:

(f) Subject to Subsection (g), a person required to file a

birth certificate under this section shall ensure the biological

sex of a child, as determined by the sex organs, chromosomes, or

endogenous profile of the child, is listed in the appropriate space

on the child's birth certificate. A person required to report a

birth under this section shall report the child's biological sex to

the local registrar, and the local registrar shall list the

biological sex in the appropriate space on the birth certificate.

(g) A person is not required to list on the birth

certificate or report to the local registrar the biological sex of a

child whose biological sex is not determined at birth because the

child, as determined by a physician, has atypical or ambiguous sex

organs, chromosomes, or endogenous profile for either male or

female. The birth certificate may be amended under Section 192.011

at any time after the child's sex is determined to complete the

information on the certificate by including the child's determined

sex.

SECTION 3. Section 192.011, Health and Safety Code, is

amended by amending Subsection (b) and adding Subsection (d) to

read as follows:

(b) Except as provided by Subsection (d), on [ On ] the

request of the person or the person's legal representative, the

state registrar, local registrar, or other person who issues birth

certificates shall issue a birth certificate that incorporates the

completed or corrected information instead of issuing a copy of the

original or supplementary certificate with an amending certificate

attached.

(d) The state registrar, local registrar, or other person

who issues a birth certificate under this section may not issue, and

a court may not order the issuance of, a birth certificate that

incorporates the completed or corrected biological sex information

for a person unless:

(1) the certificate corrects a clerical error on the

original birth certificate;

(2) the original birth certificate does not list the

person's biological sex as required by Section 192.003(f) and the

certificate completes the information by listing the person's

biological sex; or

(3) for a person who at birth had atypical or ambiguous

sex organs, chromosomes, or endogenous profile for either male or

female and whose sex is later determined, the certificate:

(A) corrects the biological sex information

listed as either male or female on an original birth certificate by

listing the person's determined sex as the other biological sex; or

(B) completes the biological sex information not

previously listed on an original birth certificate by listing the

person's determined sex.

SECTION 4. As soon as practicable after the effective date

of this Act, the executive commissioner of the Health and Human

Services Commission shall adopt rules necessary to implement the

changes in law made by this Act.

SECTION 5. This Act takes effect September 1, 2025.