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  | By:  Hall, et al. | S.B.  No.  1029 |
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  | relating to civil liability for, governmental health plan coverage | |
  | of, and public funding for gender modification procedures and | |
  | treatments. | |
  |              BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | |
  |              SECTION  1.    The legislature finds that: | |
  |                          (1)    as evidenced by a 2018 video of a Vanderbilt | |
  | University Medical Center administrator who promoted gender | |
  | modification surgeries as financially beneficial and stated that | |
  | entire clinics are being financed by phalloplasties, the medical | |
  | community has knowledge that many so-called "gender affirming" | |
  | treatments are not in the best interest of the health of the patient | |
  | but rather are being promoted for the monetary gain the health care | |
  | facilities will receive from providing those treatments; and | |
  |                          (2)    the medical community has a conflict of interest | |
  | in offering gender modification treatments and procedures because | |
  | those treatments and procedures create lifelong patients as a | |
  | result of required follow-up visits after those treatments and | |
  | procedures. | |
  |              SECTION  2.    Title 4, Civil Practice and Remedies Code, is | |
  | amended by adding Chapter 74B to read as follows: | |
  | CHAPTER 74B.  LIABILITY FOR GENDER MODIFICATION PROCEDURES AND | |
  | TREATMENTS | |
  |              Sec.  74B.001.    DEFINITION. In this chapter, "gender | |
  | modification procedure or treatment" means a health care procedure | |
  | or treatment provided for the purpose of transitioning a patient's | |
  | biological sex, as determined by the patient's sex organs, | |
  | chromosomes, and endogenous profiles, or affirming the patient's | |
  | perception of the patient's sex if that perception is inconsistent | |
  | with the patient's sex.  The term includes: | |
  |                          (1)    a surgery that sterilizes the patient, including: | |
  |                                      (A)    castration; | |
  |                                      (B)    vasectomy; | |
  |                                      (C)    hysterectomy; | |
  |                                      (D)    oophorectomy; | |
  |                                      (E)    metoidioplasty; | |
  |                                      (F)    orchiectomy; | |
  |                                      (G)    penectomy; | |
  |                                      (H)    phalloplasty; and | |
  |                                      (I)    vaginoplasty; | |
  |                          (2)    a mastectomy; | |
  |                          (3)    the prescription, administration, or supply of any | |
  | of the following medications that induce transient or permanent | |
  | infertility: | |
  |                                      (A)    puberty-blocking medication to stop or delay | |
  | normal puberty; | |
  |                                      (B)    supraphysiologic doses of testosterone to | |
  | females; or | |
  |                                      (C)    supraphysiologic doses of estrogen to males; | |
  | and | |
  |                          (4)    the removal of any otherwise healthy or | |
  | non-diseased body part or tissue. | |
  |              Sec.  74B.002.    CONFLICT OF LAWS. To the extent this chapter | |
  | conflicts with another law, this chapter prevails. | |
  |              Sec.  74B.003.    STRICT LIABILITY FOR HEALTH COVERAGE. A | |
  | health benefit plan issuer is strictly liable to a patient for the | |
  | patient's medical, mental health, and pharmaceutical costs, | |
  | including costs associated with reversing a gender modification | |
  | procedure or treatment, incurred for the life of the patient as a | |
  | result of a gender modification procedure or treatment covered by | |
  | the issuer's plan. | |
  |              Sec.  74B.004.    LIABILITY FOR PHYSICIAN OR HEALTH CARE | |
  | PROVIDER. A physician or health care provider who provides a gender | |
  | modification procedure or treatment to a patient is: | |
  |              Statutes affected: Introduced: () Senate Committee Report: () Engrossed: () |