Texas TX

Ban

SB 14 (2023) prohibits puberty blockers, cross-sex hormones and surgery for minors; the Texas Supreme Court upheld it in State v. Loe (28 June 2024).

Last verified: 13 Oct 2026

Medical care for minorsBan

SB 14 (2023) prohibits puberty blockers, cross-sex hormones and surgery for minors; the Texas Supreme Court upheld it in State v. Loe (28 June 2024).

SB 14

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Medicaid and CHIPFederal funding ended (minors)

State Medicaid policy excludes gender-transition procedures for all ages. A federal CMS final rule (13 Aug 2026) prohibits federal Medicaid and CHIP funding for these procedures for patients under 18 (Medicaid) and under 19 (CHIP).

42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406)

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Excludes (all ages)

SB14 — capitol.texas.gov

State source

State employee coverageExcludes

State employee health plans explicitly exclude coverage of gender-transition procedures.

Health Benefits | ERS (ers.texas.gov)

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SportsSex-based

HB 25 (2021) requires K-12 interscholastic teams to be separated by biological sex; SB 15 (2023) does the same for college athletics.

HB 25 (87-3); SB 15 (88R)

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FacilitiesSex-based

SB 8 (2025, second special session) requires multiple-occupancy restrooms and changing facilities in public schools and government buildings to be used by biological sex.

SB 8 (89-2)

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Pronouns and parent noticeParental-rights law (no specific notice rule)

State parental-rights law requires schools to keep parents informed about changes in a student's health or well-being; it has no provision specific to gender identity.

SB 12

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CurriculumSchools ban

SB12 (89th, effective 2025–26) added Education Code §28.0043: no PreK–12 instruction, guidance, activities, or programming regarding sexual orientation or gender identity. Separate from the medical ban (SB14).

Texas Legislature (SB12, 89R)

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Definition of sexDefined in law

HB 229 (2025) adds statutory definitions of male and female based on reproductive biology for use across state law.

HB 229 (89R)

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Identity documentsBirth-certificate sex cannot be

Birth-certificate sex cannot be changed; driver's licence sex cannot be changed.

KP-0489 | Office of the Attorney General (texasattorneygeneral.gov)

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Shield lawNone

No shield statute identified.

No shield statute identified

AdultsRestricted (funding)

Adult access is limited through public funding rules: Medicaid exclusion at all ages, state-employee plan exclusion.

Texas SB14

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DetransitionProtection

SB 1257 (2025) requires health plans that cover gender-transition procedures to cover procedures that reverse them.

SB 1257 (89R)

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PrisonsCase-by-case

Individualized housing decisions. This is a 2019 copy hosted by the National LGBTQ+ Bar.

TDCJ Safe Prisons/PREA Plan

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Pending billsNo active bills

No active bills (checked 13 Oct 2026). The 2026 regular session has adjourned (or the legislature does not meet in 2026), so 2025-26 bills are no longer moving. LegiScan search linked.

LegiScan search, checked 13 Oct 2026 (adjourned legislature)

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LitigationResolved

State v. Loe (28 June 2024): Texas Supreme Court upheld SB 14.

88(R) History for SB 14 | Texas Legislature Online (capitol.texas.gov)

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Key datesNone upcoming

No upcoming effective dates or court deadlines were identified.

Review, Oct 2026

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