HB 3431
Tinderholt Bill Makes The Existing Ban A State Jail Felony
Died in committee
Verdict: No flags
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 prohibitions on the provision to certain children of gender transitioning or reassignment procedures and treatments and gender-affirming therapy and counseling; creating criminal offenses.
Caption from analyzed text · version I.
Summary
Counselors can’t give affirming therapy to a child. Out-of-state referrals are barred too.
The bill makes it a state jail felony for a doctor or health care provider to perform gender transition surgeries or give puberty blockers or cross-sex hormones to a child, which current law already bans. It also bars non-physician mental health professionals, such as counselors, from giving a child therapy that affirms a gender that does not match the child's biological sex, and it bars doctors, providers and counselors from referring a child to an out-of-state practitioner for care that would be banned in Texas. Starting September 1, 2025, breaking any of these rules becomes a state jail felony offense instead of only a licensing or civil matter.
Labels
Labels: CREATES AN OFFENSE. The caption of the graded version (introduced) reads: “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.”NEVER GOT A HEARING. Filed Feb 26, 2025 and referred to the House Public Health committee. No public hearing. The bill died.
Receipt
The receipt
89R-HB3431 · 2025-02-26
SOLD BY
ITEM
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.
WHAT IT DOES
Counselors can’t give affirming therapy to a child. Out-of-state referrals are barred too.
The bill makes it a state jail felony for a doctor or health care provider to perform gender transition surgeries or give puberty blockers or cross-sex hormones to a child, which current law already bans. It also bars non-physician mental health professionals, such as counselors, from giving a child therapy that affirms a gender that does not match the child's biological sex, and it bars doctors, providers and counselors from referring a child to an out-of-state practitioner for care that would be banned in Texas. Starting September 1, 2025, breaking any of these rules becomes a state jail felony offense instead of only a licensing or civil matter.
CHARGES
[ ] NONE FOUND
TOTAL
No fiscal note in the loaded record.
HISTORY
- Filed
- Read first time
- Referred to Public Health
FILED UNDER
THE TEXT
“A non-physician mental health professional may not provide gender-affirming therapy or counseling to a child to treat gender dysphoria”…
Bill text, introduced version (I)
The bill makes certain counseling conversations with a child, and referrals to out-of-state practitioners, a state jail felony offense for the professional.
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 · Oct 28, 2024 to Jan 12, 2025. 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 for Lawsuit Reform PAC$50,000.00
Texans for Lawsuit Reform PAC
$50,000.00
- Cash
- $50,000.00
- Paid by others
- $0.00
- Total
- $50,000.00
Also funds 124 other sitting lawmakers.
Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamSources
Derived itemized flow · on Oct 29, 2024. 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: 100985343.
Texans For Conservative Leadership$35,000.00
Texans For Conservative Leadership
$35,000.00
- Cash
- $35,000.00
- Paid by others
- $0.00
- Total
- $35,000.00
Also funds 5 other sitting lawmakers.
Derived recipient stock · Aug 27, 2024 to Mar 31, 2026. State data as of Nov 4, 2026.
TEC account match.
Sources
Derived itemized flow · Oct 28, 2024 to Oct 31, 2024. 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: 100985343.
Texans United for Conservative Majority PAC$13,812.00
Texans United for Conservative Majority PAC
$13,812.00
- Cash
- $0.00
- Paid by others
- $13,812.00
- Total
- $13,812.00
Also funds 0 other sitting lawmakers.
Derived recipient stock · on Oct 28, 2024. State data as of Nov 4, 2026.
Name match, not a verified identity: normalized filed name and state.
Sources
Derived itemized flow · on Oct 28, 2024. 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: 100985343.
Missing data does not establish zero giving. Display amounts are rounded.
Texans for Lawsuit Reform PAC
$50,000.00
- Cash
- $50,000.00
- Paid by others
- $0.00
- Total
- $50,000.00
Also funds 124 other sitting lawmakers.
Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamSources
Derived itemized flow · on Oct 29, 2024. 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: 100985343.
Texans For Conservative Leadership
$35,000.00
- Cash
- $35,000.00
- Paid by others
- $0.00
- Total
- $35,000.00
Also funds 5 other sitting lawmakers.
Derived recipient stock · Aug 27, 2024 to Mar 31, 2026. State data as of Nov 4, 2026.
TEC account match.
Sources
Derived itemized flow · Oct 28, 2024 to Oct 31, 2024. 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: 100985343.
Texans United for Conservative Majority PAC
$13,812.00
- Cash
- $0.00
- Paid by others
- $13,812.00
- Total
- $13,812.00
Also funds 0 other sitting lawmakers.
Derived recipient stock · on Oct 28, 2024. State data as of Nov 4, 2026.
Name match, not a verified identity: normalized filed name and state.
Sources
Derived itemized flow · on Oct 28, 2024. 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: 100985343.
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.
Sources
Texas House · Filed Feb 26, 2025
03/21/2025 H Referred to Public Health: Mar 21 2025 9:52AM
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
Subjects
Crimes--Miscellaneous
Health Care Providers
Minors--Crimes Against
Minors--Health & Safety
GENDER IDENTITY & EXPRESSION
Text
The text as introduced · 530 words
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.