Sec. 38.452. DETERMINATION OF BIOLOGICAL SEX. (a) For purposes of this subchapter, a person's biological sex is the biological sex correctly stated on the person's official birth certificate as described by Subsection (b).

DETERMINATION OF BIOLOGICAL SEX. (a) For purposes of this subchapter, a person's biological sex is the biological sex correctly stated on the person's official birth certificate as described by Subsection (b).

(a) In this section, "multi-occupancy bathroom or changing facility" [...] includes a restroom, locker room, changing room, or shower room. [...] (c) If a school district adopts a policy that allows for separation of multi-occupancy bathrooms or changing facilities according to a criterion other than a person's biological sex assigned at birth, the policy must: (1) include: (A) a description of: (i) which multi-occupancy bathrooms or changing facilities are not separated by biological sex assigned at birth; and (ii) if a multi-occupancy bathroom or changing facility is not separated by biological sex assigned at birth, the method by which students will be supervised in that facility and the manner in which that method of supervision ensures the safety and privacy of students; and (B) accommodations or modifications for students who wish to use a multi-occupancy bathroom or changing facility separated by biological sex assigned at birth; and (2) be: (A) posted on the district's Internet website; and (B) provided at the beginning of each school year by mail to each parent of a student enrolled in the district.

LIABILITY FOR DRAG PERFORMANCE IN PRESENCE OF MINOR [...] (1) "Drag performance" means a performance in which a performer exhibits a gender that is different than the performer's gender recorded at birth using clothing, makeup, or other physical markers and sings, lip syncs, dances, or otherwise performs in a lascivious manner before an audience.

Sec. 74.252. STATUTE OF LIMITATIONS ON HEALTH CARE LIABILITY CLAIMS INVOLVING CERTAIN GENDER MODIFICATION DRUGS AND PROCEDURES. A claimant must bring a health care liability claim not later than the claimant's 30th birthday if: (1) the claimant is a minor at the time the cause of action accrues; and (2) the basis for the claim is malpractice in the provision of a puberty suppression prescription drug or cross-sex hormone to or the performance of surgery or another medical procedure on the minor for the purpose of gender transitioning or gender reassignment.

In this chapter, “abuse” and “ neglect,” as defined in Sec. 261.001, do not include the refusal of the child’s parent, legal guardian, or other person responsible for a child’s care, custody, or welfare to: (a) affirm the child’s expressed sexual orientation or gender identity; or (b) address the child according to the child’s preferred name or pronoun(s), regardless of whether the child has legally changed their name.

A student may not compete in an interscholastic athletic competition designated for a particular biological sex if the student's chromosomal sex does not match the biological sex assigned at birth as described in subsection (a). This determination shall be made based on clinical evidence, including genetic testing results provided by a licensed medical professional under Section 33.098.

PROHIBITION ON CERTAIN DIVERSITY, EQUITY, AND INCLUSION INITIATIVES [...] (a) A governmental entity shall ensure that each unit of the entity: (1) does not, except as required by federal law: (A) establish or maintain a diversity, equity, and inclusion office; (B) hire or assign an employee of the entity or contract with a third party to perform the duties of a diversity, equity, and inclusion office; (C) compel, require, induce, or solicit any person to provide a diversity, equity, and inclusion statement or give preferential consideration to any person based on the provision of a diversity, equity, and inclusion statement; (D) give preference on the basis of race, sex, color, ethnicity, or national origin to an applicant for employment, an employee, or a participant in any function of the entity; or (E) require as a condition of employment any person to participate in diversity, equity, and inclusion training, which: (i) includes a training, program, or activity designed or implemented in reference to race, color, ethnicity, gender identity, or sexual orientation; and (ii) does not include a training, program, or activity developed for the purpose of ensuring compliance with any applicable federal law; and (2) adopts policies and procedures for appropriately disciplining, including by termination, an employee or contractor of the entity who engages in conduct in violation of Subdivision (1).

(14) "Boy" means a child of the male sex. (15) "Father" means a parent of the male sex. (16) "Female" and "woman" mean an individual whose biological reproductive system is developed to produce ova. (17) "Girl" means a child of the female sex. (18) "Male" and "man" mean an individual whose biological reproductive system is developed to fertilize the ova of a female. (19) "Mother" means a parent of the female sex. (20) "Sex" means an individual's biological sex, either male or female.

"Biological sex" means the physical condition of being male or female, as determined by: (A) the sex organs, chromosomes, and endogenous profiles of a person; and (B) a person's original birth certificate, if the biological sex is correctly stated on the birth certificate, as indicated by the biological sex being: (1) entered at or near the time of birth; or (2) modified only to correct a scrivener or clerical error in the biological sex.

PROHIBITION ON INSTRUCTION AND CERTAIN ACTIVITIES REGARDING SEXUAL ORIENTATION OR GENDER IDENTITY. (a) Except as provided by Subsection (b), a school district, open-enrollment charter school, or district or charter school employee may not provide or allow a third party to provide instruction, guidance, activities, or programming regarding sexual orientation or gender identity to students enrolled in prekindergarten through 12th grade.

(d) An event is not eligible for funding under this chapter if the event allows for a biological male to compete in a sport designated by rule or procedure for female athletes. (e) For purposes of this section: (1) An athlete's status as a biological male is determined by the biological sex correctly stated on: (A) the athlete's official birth certificate; or (B) if the athlete's official birth certificate described by Paragraph (A) is unobtainable, another government record that accurately states the athlete's biological sex; and (2) a statement of an athlete's biological sex on the athlete's official birth certificate is considered to have correctly stated the athlete's biological sex only if the statement was: (A) entered at or near the time of the athlete's birth; or (B) modified to correct a scrivener or clerical error in the student's biological sex.

PLACEMENT OF JUVENILES BASED ON BIOLOGICAL SEX. (a) In this section, "department" means the Texas Juvenile Justice Department. (b) A juvenile board created under Chapter 152, Human Resources Code, or the department, as applicable, shall place a child in a detention or correctional facility according to the child's biological sex, as determined by: (1) the child's official birth certificate, if the child's biological sex is correctly stated on the certificate as described by Subsection (c); or (2) if the child's official birth certificate described by Subdivision (1) is unobtainable, another government record that states the child's biological sex.

(a) A governmental entity shall ensure that each unit of the entity: (1) does not [...] (A) compel, require, induce, or solicit any employee or applicant for employment to provide a diversity, equity, and inclusion statement [...] or (B) require as a condition of hiring or continued employment any employee or applicant for employment to participate in diversity, equity, and inclusion training, which: (i) includes a training, program, or activity designed or implemented in reference to race, color, ethnicity, gender identity, or sexual orientation;

PLACEMENT OF JUVENILES BASED ON BIOLOGICAL SEX. (a) In this section, "department" means the Texas Juvenile Justice Department. (b) A juvenile board created under Chapter 152, Human Resources Code, or the department, as applicable, shall place a child in a detention or correctional facility according to the child's biological sex, as determined by: (1) the child's official birth certificate, if the child's biological sex is correctly stated on the certificate as described by Subsection (c); or (2) if the child's official birth certificate described by Subdivision (1) is unobtainable, another government record that states the child's biological sex. (c) For purposes of this section, a statement of a child's biological sex on the child's official birth certificate is considered to have correctly stated the child's biological sex only if the statement was: (1) entered at or near the time of the child's birth; and (2) not modified except as necessary to correct any type of scrivener or clerical error in the child's biological sex. (d) The vital statistics unit of the Department of State Health Services may not charge a juvenile board or the department a fee to issue a birth certificate for use under this section.

(c-1) The form must include a space for recording the biological sex of a child as either male or female.

(a) A health benefit plan that provides coverage for an enrollee's gender transition procedure or treatment shall provide coverage for: (1) all possible adverse consequences related to the enrollee's gender transition procedure or treatment, including any short- or long-term side effects of the procedure or treatment; (2) any testing or screening necessary to monitor the mental and physical health of the enrollee on at least an annual basis; and (3) any procedure or treatment necessary to reverse the enrollee's gender transition procedure or treatment. (b) A health benefit plan that offers coverage for a gender transition procedure or treatment shall also provide the coverage described by Subsection (a)to any enrollee who has undergone a gender transition procedure or treatment regardless of whether the enrollee was enrolled in the plan at the time of the procedure or treatment.

(14) "Boy" means a child of the male sex. (15) "Father" means a parent of the male sex. (16) "Female" and "woman" mean an individual whose biological reproductive system is developed to produce ova. (17) "Girl" means a child of the female sex. (18) "Male" and "man" mean an individual whose biological reproductive system is developed to fertilize the ova of a female. (19) "Mother" means a parent of the female sex. (20) "Sex" means an individual's biological sex, either male or female.

Sec. 2278.002. PROHIBITION ON USE OF TAXPAYER RESOURCES FOR GENDER REASSIGNMENT. (a) No funds authorized or appropriated by State law shall be expended for any gender reassignment. (b) No funds authorized or appropriated by State law shall be expended for health benefits that covers gender reassignment. (c) The prohibition in subsection (a) and (b) does not apply to gender reassignment to be performed on an intersex person.

"Drag performance" means a performance in which a performer exhibits a gender that is different than the performer's gender recorded at birth using clothing, makeup, or other physical markers and sings, lip syncs, dances, or otherwise performs in a lascivious manner before an audience.

AMENDMENT OF STUDENT PERMANENT RECORD. (a) In this section, "biological sex" means the physical condition of being male or female as determined by the sex organs, chromosomes, and endogenous profile of the individual at birth. (b) A court, administrative agency, or other tribunal may not order or otherwise require a school district employee to amend a student's permanent record to reflect the student's sex to be different than the student's biological sex.

RESTRICTION ON INSTRUCTION REGARDING SEXUAL ORIENTATION AND GENDER IDENTITY. [...] (b) A school district, open-enrollment charter school, or district or charter school employee may not provide or allow a third party to provide instruction regarding sexual orientation or gender identity: (1) to students enrolled in prekindergarten through eighth grade

(c-1) The form must include a space for recording the biological sex of a child as either male or female. A child born with a Y chromosome must be classified as male and a child born without a Y chromosome must be classified as female. The method of classifying a child's biological sex used under this section applies to other laws of this state with respect to the determination of a person's sex or gender.

(a) A health benefit plan that provides coverage for an enrollee's gender transition procedure or treatment shall provide coverage for: (1) all possible adverse consequences related to the enrollee's gender transition procedure or treatment, including any short- or long-term side effects of the procedure or treatment; (2) any testing or screening necessary to monitor the mental and physical health of the enrollee on at least an annual basis; and (3) any procedure or treatment necessary to reverse the enrollee's gender transition procedure or treatment. (b) A health benefit plan that offers coverage for a gender transition procedure or treatment shall also provide the coverage described by Subsection (a)to any enrollee who has undergone a gender transition procedure or treatment regardless of whether the enrollee was enrolled in the plan at the time of the procedure or treatment.

Sec. 74.252. STATUTE OF LIMITATIONS ON HEALTH CARE LIABILITY CLAIMS INVOLVING CERTAIN GENDER MODIFICATION DRUGS AND PROCEDURES. A claimant must bring a health care liability claim not later than the claimant's 30th birthday if: (1) the claimant is a minor at the time the cause of action accrues; and (2) the basis for the claim is malpractice in the provision of a puberty suppression prescription drug or cross-sex hormone to or the performance of surgery or another medical procedure on the minor for the purpose of gender transitioning or gender reassignment.

"Biological sex" means the physical condition of being male or female, as determined by: (A) the sex organs, chromosomes, and endogenous profiles of a person; and (B) a person's original birth certificate, if the biological sex is correctly stated on the birth certificate, as indicated by the biological sex being: (1) entered at or near the time of birth; or (2) modified only to correct a scrivener or clerical error in the biological sex.

(c-1) The form must include a space for recording the biological sex of a person as either male or female.

(1) "Female" means an individual whose biological reproductive system is developed to produce ova. [...] (3) "Male" means an individual whose biological reproductive system is developed to fertilize the ova of a female.

INSTRUCTION REGARDING SEXUAL ORIENTATION AND GENDER IDENTITY PROHIBITED. A school district, open-enrollment charter school, or district or charter school employee may not provide or allow a third party to provide instruction regarding sexual orientation or gender identity to students enrolled in the district or school.