SB 753
Middleton Bill Makes Breaking The Child Gender Transition Ban A 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 prohibiting certain conduct by physicians and health care providers involving gender transitioning and gender reassignment procedures and treatments for children; creating a criminal offense.
Caption from analyzed text · version I.
Summary
Third-degree felony for doctors and providers who knowingly break it. Out-of-state referrals banned too.
This bill adds a new item to the state's existing ban on gender transition procedures and treatments for children: doctors and health care providers may not refer a child to an out-of-state practitioner to get a banned procedure or treatment there. It also makes knowingly breaking the ban a third-degree felony offense for physicians and health care providers, with an exception for conduct the existing law already allows. The ban, which until now had no criminal penalty in this section, would carry a criminal penalty starting September 1, 2025.
Labels
Labels: CREATES AN OFFENSE. The caption of the graded version (introduced) reads: “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.”NEVER GOT A HEARING. Filed Jan 10, 2025 and referred to the Senate State Affairs committee. No public hearing. The bill died.
Receipt
The receipt
89R-SB753 · 2025-01-10
SOLD BY
ITEM
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.
WHAT IT DOES
Third-degree felony for doctors and providers who knowingly break it. Out-of-state referrals banned too.
This bill adds a new item to the state's existing ban on gender transition procedures and treatments for children: doctors and health care providers may not refer a child to an out-of-state practitioner to get a banned procedure or treatment there. It also makes knowingly breaking the ban a third-degree felony offense for physicians and health care providers, with an exception for conduct the existing law already allows. The ban, which until now had no criminal penalty in this section, would carry a criminal penalty starting September 1, 2025.
CHARGES
[ ] NONE FOUND
TOTAL
No fiscal note in the loaded record.
HISTORY
- Received by the Secretary of the Senate
- Filed
- Read first time
- Referred to State Affairs
FILED UNDER
THE TEXT
“refer a child to a health care practitioner who is licensed or otherwise authorized to provide health care in another state”…
Bill text, introduced version (I)
The bill bars Texas doctors and providers from referring a child to an out-of-state practitioner for care banned in Texas, which limits what they can tell or arrange for patients.
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 6, 2024 to Oct 24, 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 for Lawsuit Reform PAC$1,140,000.00
Texans for Lawsuit Reform PAC
$1,140,000.00
- Cash
- $1,140,000.00
- Paid by others
- $0.00
- Total
- $1,140,000.00
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 · Dec 12, 2024 to Oct 21, 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: 101009502, 101012383, 101061137, 101072395, 101072779.
Missing data does not establish zero giving. Display amounts are rounded.
Texans for Lawsuit Reform PAC
$1,140,000.00
- Cash
- $1,140,000.00
- Paid by others
- $0.00
- Total
- $1,140,000.00
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 · Dec 12, 2024 to Oct 21, 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: 101009502, 101012383, 101061137, 101072395, 101072779.
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 Senate · Filed Jan 10, 2025
02/07/2025 S Referred to State Affairs
Texas Legislature Online · Introduced
Data snapshot Oct 26, 2026 at 4:19 AM CDT. Grades, charges, quotes and corrections follow the published record.
Senate committee · State Affairs · Final status: Died in committee
Subjects
Crimes--Against Persons--General
Minors--Crimes Against
Minors--Health & Safety
PHYSICIANS
Text
The text as introduced · 400 words
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.