Medical care for minorsBan▾
SB 14 bans puberty blockers, cross-sex hormones and surgery for minors. The Texas Supreme Court upheld it on 28 June 2024.
SB 14
MedicaidFederal funding ended (minors)▾
Medicaid doesn't pay for sex-change procedures at any age. A federal CMS rule ends federal Medicaid and CHIP money for puberty blockers, cross-sex hormones and surgery for minors.
42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406)
State employeesExcludes▾
State-employee health plans don't pay for sex-change procedures.
Health Benefits | ERS (ers.texas.gov)
SportsSex-based▾
Boys can't play on girls' teams in Texas, from K-12 (HB 25, 2021) through college (SB 15, 2023).
HB 25 (87-3); SB 15 (88R)
FacilitiesSex-based▾
SB 8 (2025) keeps men out of women's bathrooms and changing rooms in schools and government buildings, with fines for violators.
SB 8 (89-2)
Pronouns and parent noticeParental-rights law (no specific notice rule)▾
A parents' rights law gives parents access to information about their child's health and well-being at school, but there is no specific rule on social transition.
SB 12
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)
Sex definitionDefined in law▾
HB 229 (2025) writes biological sex into Texas law: male and female are defined by reproductive biology.
HB 229 (89R)
ID markersBirth-certificate sex cannot be▾
Birth-certificate sex cannot be changed; licence sex cannot be changed.
KP-0489 | Office of the Attorney General (texasattorneygeneral.gov)
Shield lawNone▾
No shield law.
No shield statute identified
AdultsRestricted (funding)▾
Adults: no taxpayer money for sex-change procedures (Medicaid exclusion at all ages, state-employee plan exclusion).
Texas SB14
DetransitionProtection▾
SB 1257 (2025) requires health plans that cover transition procedures to also cover detransition.
SB 1257 (89R)
PrisonsBy biological sex (statute)▾
State law requires TDCJ to house inmates, down to the dormitory and cellblock, according to biological sex (Gov't Code § 3002.054, added by SB 8, effective December 4, 2025). TDCJ's earlier case-by-case PREA policy no longer controls housing.
Tex. Gov't Code § 3002.054 (SB 8, 89th Leg., 2nd C.S., 2025)
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)
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)
Key datesNone upcoming▾
No upcoming effective dates or court deadlines identified.
Review, Oct 2026
Sources
- SB 14
- 42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406)
- Health Benefits | ERS (ers.texas.gov)
- HB 25 (87-3); SB 15 (88R)
- SB 8 (89-2)
- SB 12
- Texas Legislature (SB12, 89R)
- HB 229 (89R)
- KP-0489 | Office of the Attorney General (texasattorneygeneral.gov)
- SB 1257 (89R)
- Tex. Gov't Code § 3002.054 (SB 8, 89th Leg., 2nd C.S., 2025)
- LegiScan search, checked 13 Oct 2026 (adjourned legislature)