Texas HB1123

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.

REQUIREMENTS FOR PHYSICAL EXAMINATIONS AND GENETIC TESTING IN INTERSCHOLASTIC ATHLETICS. (a) A licensed physician conducting a physical examination for a student seeking to participate in an interscholastic athletic activity must not approve the Physical Examination Form if the licensed physician, based on their expertise, reasonably suspects that the student's chromosomal makeup is inconsistent with the biological sex assigned to the student at birth. (b) If a licensed physician suspects a student has chromosomal characteristics that are different from the biological sex assigned at birth, the licensed physician must refer the student for genetic testing to confirm the student's chromosomal sex. (c) The University Interscholastic League (UIL) shall adopt rules as necessary to administer this chapter. These rules must include procedures for ensuring that physical examinations are conducted properly, including provisions for addressing cases where a physician suspects a discrepancy between a student's assigned sex at birth and their chromosomal sex.