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CS/SB 254: Treatments for Sex Reassignment

GENERAL BILL by Health Policy ; Yarborough ; (CO-INTRODUCERS) Perry ; Broxson

Treatments for Sex Reassignment; Granting courts of this state temporary emergency jurisdiction over a child present in this state if the child has been subjected to or is threatened with being subjected to sex-reassignment prescriptions or procedures; providing that, for purposes of warrants to take physical custody of a child in certain child custody enforcement proceedings, serious physical harm to the child includes, but is not limited to, being subjected to sex-reassignment prescriptions or procedures; prohibiting certain public entities from expending state funds for the provision of sex-reassignment prescriptions or procedures; prohibiting sex-reassignment prescriptions and procedures for patients younger than 18 years of age; requiring the department to immediately suspend the license of a health care practitioner who is arrested for committing or attempting, soliciting, or conspiring to commit specified violations related to sex-reassignment prescriptions or procedures for a patient younger than 18 years of age, etc.

Effective Date: 5/17/2023
 Last Action: 5/18/2023 - Chapter No. 2023-90
Bill Text: Web Page | PDF
Senate Committee References:
  1. Health Policy (HP)
  2. Fiscal Policy (FP)

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  • Bill History

    Date Chamber Action
    3/3/2023 Senate • Filed
    3/6/2023 Senate • Referred to Health Policy; Fiscal Policy
    3/7/2023 Senate • Introduced
    3/8/2023 Senate • On Committee agenda-- Health Policy, 03/13/23, 3:30 pm, 412 Knott Building
    3/13/2023 Senate • CS by Health Policy; YEAS 8 NAYS 3
    3/14/2023 Senate • Pending reference review under Rule 4.7(2) - (Committee Substitute)
    • CS by Health Policy read 1st time
    3/15/2023 Senate • Now in Fiscal Policy
    3/20/2023 Senate • On Committee agenda-- Fiscal Policy, 03/23/23, 8:30 am, 412 Knott Building
    3/23/2023 Senate • Favorable by- Fiscal Policy; YEAS 13 NAYS 6
    • Placed on Calendar, on 2nd reading
    3/27/2023 Senate • Placed on Special Order Calendar, 03/30/23
    3/30/2023 Senate • Retained on Calendar
    • Placed on Special Order Calendar, 04/03/23
    4/3/2023 Senate • Read 2nd time -SJ 315
    • Amendment(s) adopted (218794, 450510, 654418, 756102) -SJ 315
    • Amendment(s) failed (299002, 442004, 616390, 712462, 818468) -SJ 316
    • Ordered engrossed
    • Placed on 3rd reading
    4/4/2023 Senate • Read 3rd time -SJ 324
    • CS passed as amended; YEAS 27 NAYS 12 -SJ 325
    • Immediately certified -SJ 335
    4/5/2023 House • In Messages
    4/13/2023 House • Bill referred to House Calendar
    • Bill added to Special Order Calendar (4/18/2023)
    • 1st Reading (Engrossed 1)
    4/18/2023 House • Substituted for CS/CS/HB 1421
    • Read 2nd time
    • Amendment 311545 temporarily postponed
    • Amendment 289149 Failed
    • Amendment 531629 Failed
    • Amendment 117705 Failed
    • Amendment 374289 Failed
    • Amendment 388571 Failed
    • Amendment 389103 Failed
    • Amendment 633677 Failed
    • Amendment 916215 Failed
    • Amendment 088875 Failed
    • Amendment 608559 Failed
    • Amendment 386565 Failed
    • Amendment 172969 Failed
    • Amendment 829593 Failed
    • Amendment 063349 Failed
    • Amendment 256341 adopted
    • Amendment 984929 ruled out of order
    • Placed on 3rd reading
    • Added to Third Reading Calendar
    4/19/2023 House • Read 3rd time
    • CS passed as amended; YEAS 82, NAYS 31
    4/19/2023 Senate • In returning messages
    5/4/2023 Senate • Amendment(s) to House amendment(s) adopted (738500) -SJ 811
    • Concurred in House amendment(s) as amended (256341) -SJ 812
    • CS passed as amended; YEAS 26 NAYS 13 -SJ 812
    5/4/2023 House • In Messages
    • Added to Senate Message List
    • Amendment 738500 Concur
    • CS passed as amended; YEAS 83, NAYS 28
    5/4/2023 Senate • Ordered engrossed, then enrolled
    5/16/2023 • Signed by Officers and presented to Governor
    5/17/2023 • Approved by Governor
    5/18/2023 • Chapter No. 2023-90

    Top of SectionTop of Page

  • CS/SB 254, Enrolled (Current Bill Version) Posted 5/4/2023 at 8:12 PM

    Bill Text:   Web Page | PDF
    Analyses:   None

    Related Bills (1)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    H 1421 (c2) Gender Clinical Interventions Healthcare Regulation Subcommittee Compare Last Action: 4/18/2023 H Laid on Table; companion bill(s) passed, see CS/SB 254 (Ch. 2023-90) Track This Bill

    Citations - Statutes (7)

    Citation Catchline Location in Bill Location In Bill Help
    61.517 Temporary emergency jurisdiction. Page 3 (pdf)
    61.534 Warrant to take physical custody of child. Page 3 (pdf)
    286.31 Page 3 (pdf)
    456.001 Definitions. Page 4 (pdf)
    456.074 Certain health care practitioners; immediate suspension of license. Page 8 (pdf)
    456.52 Page 6 (pdf)
    766.318 Page 9 (pdf)

    Top of SectionTop of Page

  • CS/SB 254, Engrossed 2 Posted 5/4/2023 at 2:39 PM

    Bill Text:   Web Page | PDF
    Analyses:   None

    Related Bills (1)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    H 1421 (c2) Gender Clinical Interventions Healthcare Regulation Subcommittee Compare Last Action: 4/18/2023 H Laid on Table; companion bill(s) passed, see CS/SB 254 (Ch. 2023-90) Track This Bill

    Citations - Statutes (7)

    Citation Catchline Location in Bill Location In Bill Help
    61.517 Temporary emergency jurisdiction. Page 3 (pdf)
    61.534 Warrant to take physical custody of child. Page 3 (pdf)
    286.31 Page 3 (pdf)
    456.001 Definitions. Page 4 (pdf)
    456.074 Certain health care practitioners; immediate suspension of license. Page 8 (pdf)
    456.52 Page 6 (pdf)
    766.318 Page 9 (pdf)

    Top of SectionTop of Page

  • CS/SB 254, Engrossed 1 Posted 4/3/2023 at 4:39 PM

    Bill Text:   Web Page | PDF
    Analyses:   House Message Summary (pdf)

    Related Bills (1)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    H 1421 (c2) Gender Clinical Interventions Healthcare Regulation Subcommittee Compare Last Action: 4/18/2023 H Laid on Table; companion bill(s) passed, see CS/SB 254 (Ch. 2023-90) Track This Bill

    Floor Amendments (33)

    Amendment Sponsor Filed Last Floor Action Format
    311545 - Amendment
    Remove lines 83-333 and insert:     		Harris 4/14/2023
    12:27 PM     		House: Temporarily Postponed
    4/18/2023     		PDF
    256341 - Amendment
    Remove lines 83-370 and insert:     		Fine 4/14/2023
    3:48 PM     		Senate: Concurred as Amended
    5/4/2023     		PDF
    hierarchy 289149 - Amendment to Amendment (256341)
    Remove lines 7-16     		Rayner 4/14/2023
    5:25 PM     		House: Failed
    4/18/2023     		PDF
    hierarchy 531629 - Amendment to Amendment (256341)
    Remove lines 17-26     		Eskamani 4/14/2023
    5:15 PM     		House: Failed
    4/18/2023     		PDF
    hierarchy 709539 - Amendment to Amendment (256341)
    Remove lines 19-26 and insert:     		Rayner 4/14/2023
    5:25 PM     		House: Withdrawn
    4/18/2023     		PDF
    hierarchy 117705 - Amendment to Amendment (256341)
    Remove lines 27-50     		Rayner 4/14/2023
    5:25 PM     		House: Failed
    4/18/2023     		PDF
    hierarchy 374289 - Amendment to Amendment (256341)
    Remove lines 69-95 and insert:     		Harris 4/14/2023
    5:50 PM     		House: Failed
    4/18/2023     		PDF
    hierarchy 388571 - Amendment to Amendment (256341)
    Between lines 95 and 96, insert:     		Harris 4/14/2023
    5:12 PM     		House: Failed
    4/18/2023     		PDF
    hierarchy 389103 - Amendment to Amendment (256341)
    Between lines 95 and 96, insert:     		Rayner 4/14/2023
    5:25 PM     		House: Failed
    4/18/2023     		PDF
    hierarchy 633677 - Amendment to Amendment (256341)
    Remove lines 100-106 and insert:     		Bartleman 4/14/2023
    6:01 PM     		House: Failed
    4/18/2023     		PDF
    hierarchy 916215 - Amendment to Amendment (256341)
    Between lines 106 and 107, insert:     		Harris 4/14/2023
    5:03 PM     		House: Failed
    4/18/2023     		PDF
    hierarchy 088875 - Amendment to Amendment (256341)
    Between lines 106 and 107, insert:     		Eskamani 4/14/2023
    5:14 PM     		House: Failed
    4/18/2023     		PDF
    hierarchy 547075 - Amendment to Amendment (256341)
    Remove lines 112-113 and insert:     		Bartleman 4/14/2023
    6:01 PM     		House: Withdrawn
    4/17/2023     		PDF
    hierarchy 608559 - Amendment to Amendment (256341)
    Remove lines 112-113 and insert:     		Driskell 4/14/2023
    6:42 PM     		House: Failed
    4/18/2023     		PDF
    hierarchy 386565 - Amendment to Amendment (256341)
    Remove lines 138-145     		Rayner 4/14/2023
    5:25 PM     		House: Failed
    4/18/2023     		PDF
    hierarchy 172969 - Amendment to Amendment (256341)
    Between lines 145 and 146, insert:     		Eskamani 4/14/2023
    5:15 PM     		House: Failed
    4/18/2023     		PDF
    hierarchy 829593 - Amendment to Amendment (256341)
    Remove lines 146-156     		Eskamani 4/14/2023
    5:41 PM     		House: Failed
    4/18/2023     		PDF
    hierarchy 063349 - Amendment to Amendment (256341)
    Between lines 191 and 192, insert:     		Arrington 4/14/2023
    5:57 PM     		House: Failed
    4/18/2023     		PDF
    hierarchy 278999 - Amendment to Amendment (256341)
    Between lines 191 and 192, insert:     		Tant 4/14/2023
    6:14 PM     		House: Withdrawn
    4/18/2023     		PDF
    hierarchy 738500 - S Amend. to H Amend. (256341)
    Delete lines 5 - 197 and insert:     		Yarborough 5/4/2023
    10:18 AM     		House: Concur
    5/4/2023     		Web Page
    PDF
    489075 - Amendment
    Remove lines 96-111     		Eskamani 4/14/2023
    2:38 PM     		House: Withdrawn
    4/18/2023     		PDF
    281093 - Amendment
    Remove lines 98-111 and insert:     		Rayner 4/14/2023
    3:24 PM     		House: Withdrawn
    4/18/2023     		PDF
    497287 - Amendment
    Between lines 203 and 204, insert:     		Rayner 4/14/2023
    3:24 PM     		House: Withdrawn
    4/18/2023     		PDF
    099529 - Amendment
    Between lines 203 and 204, insert:     		Harris 4/14/2023
    3:48 PM     		House: Withdrawn
    4/18/2023     		PDF
    186057 - Amendment
    Remove lines 222-284 and insert:     		Driskell 4/14/2023
    2:05 PM     		House: Withdrawn
    4/18/2023     		PDF
    342155 - Amendment
    Between lines 222 and 223, insert:     		Eskamani 4/14/2023
    2:36 PM     		House: Withdrawn
    4/18/2023     		PDF
    106427 - Amendment
    Between lines 222 and 223, insert:     		Harris 4/14/2023
    3:49 PM     		House: Withdrawn
    4/18/2023     		PDF
    161405 - Amendment
    Remove line 231 and insert:     		Bartleman 4/14/2023
    2:55 PM     		House: Withdrawn
    4/18/2023     		PDF
    976397 - Amendment
    Remove lines 255-286 and insert:     		Rayner 4/14/2023
    3:24 PM     		House: Withdrawn
    4/18/2023     		PDF
    915881 - Amendment
    Between lines 271 and 272, insert:     		Eskamani 4/14/2023
    3:52 PM     		House: Withdrawn
    4/18/2023     		PDF
    984929 - Amendment
    Between lines 286 and 287, insert:     		Nixon 4/14/2023
    3:45 PM     		House: Ruled Out of Order
    4/18/2023     		PDF
    387971 - Amendment
    Between lines 361 and 362, insert:     		Arrington 4/14/2023
    2:33 PM     		House: Withdrawn
    4/18/2023     		PDF
    526853 - Amendment
    Between lines 361 and 362, insert:     		Tant 4/14/2023
    3:53 PM     		House: Withdrawn
    4/18/2023     		PDF

    Floor Votes (9)

    Date Chamber Result
    4/4/2023 5:22 PM Senate 27 Yeas - 12 Nays
    4/18/2023 1:51 PM House - Amendment 531629 27 Yeas - 81 Nays
    4/18/2023 2:08 PM House - Amendment 389103 31 Yeas - 82 Nays
    4/18/2023 2:12 PM House - Amendment 633677 32 Yeas - 82 Nays
    4/18/2023 2:27 PM House - Amendment 608559 28 Yeas - 82 Nays
    4/18/2023 2:38 PM House - Amendment 829593 28 Yeas - 82 Nays
    4/19/2023 4:29 PM House 82 Yeas - 31 Nays
    5/4/2023 11:17 AM Senate 26 Yeas - 13 Nays
    5/4/2023 11:59 AM House 83 Yeas - 28 Nays

    Citations - Statutes (10)

    Citation Catchline Location in Bill Location In Bill Help
    61.517 Temporary emergency jurisdiction. Page 3 (pdf)
    61.534 Warrant to take physical custody of child. Page 3 (pdf)
    286.31 Page 4 (pdf)
    395.003 Licensure; denial, suspension, and revocation. Page 5 (pdf)
    456.001 Definitions. Page 6 (pdf)
    456.074 Certain health care practitioners; immediate suspension of license. Page 10 (pdf)
    456.52 Page 8 (pdf)
    458.328 Office surgeries. Page 10 (pdf)
    459.0138 Office surgeries. Page 11 (pdf)
    766.318 Page 12 (pdf)

    Top of SectionTop of Page

  • CS/SB 254, Committee Substitute 1 Posted 3/14/2023 at 12:07 PM

    Bill Text:   Web Page | PDF
    Analyses:   Fiscal Policy (Pre-Meeting) 3/22/2023 (pdf)
    Fiscal Policy (Post-Meeting) 3/23/2023 (pdf)

    Related Bills (1)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    H 1421 (c2) Gender Clinical Interventions Healthcare Regulation Subcommittee Compare Last Action: 4/18/2023 H Laid on Table; companion bill(s) passed, see CS/SB 254 (Ch. 2023-90) Track This Bill

    Committee Amendments (2)

    Amendment Sponsor Filed Last Committee Action Format
    350064 - Amendment
    Between lines 175 and 176 insert:     		Fiscal Policy
    (Jones)     		3/22/2023
    8:58 AM     		Unfavorable
    3/24/2023     		Web Page
    PDF
    212692 - Amendment
    Delete lines 200 - 216 and insert:     		Fiscal Policy
    (Jones)     		3/22/2023
    8:57 AM     		Unfavorable
    3/24/2023     		Web Page
    PDF

    Floor Amendments (10)

    Amendment Sponsor Filed Last Floor Action Format
    218794 - Amendment
    Delete lines 59 - 68 and insert:     		Yarborough 3/31/2023
    1:51 PM     		Senate: Adopted
    4/3/2023     		Web Page
    PDF
    442004 - Amendment
    Delete lines 62 - 301 and insert:     		Berman 3/29/2023
    2:03 PM     		Senate: Failed
    4/3/2023     		Web Page
    PDF
    712462 - Amendment
    Delete lines 69 - 83.     		Torres 3/29/2023
    6:58 PM     		Senate: Failed
    4/3/2023     		Web Page
    PDF
    756102 - Amendment
    Delete line 78 and insert:     		Yarborough 3/31/2023
    1:50 PM     		Senate: Adopted
    4/3/2023     		Web Page
    PDF
    299002 - Amendment
    Between lines 175 and 176 insert:     		Jones 3/29/2023
    12:23 PM     		Senate: Failed
    4/3/2023     		Web Page
    PDF
    654418 - Amendment
    Delete lines 184 - 235 and insert:     		Yarborough 3/31/2023
    1:49 PM     		Senate: Adopted
    4/3/2023     		Web Page
    PDF
    616390 - Amendment
    Delete lines 193 - 253 and insert:     		Davis 3/29/2023
    1:55 PM     		Senate: Failed
    4/3/2023     		Web Page
    PDF
    818468 - Amendment
    Delete line 201 and insert:     		Polsky 3/29/2023
    1:13 PM     		Senate: Failed
    4/3/2023     		Web Page
    PDF
    227150 - Amendment
    Between lines 240 and 241 insert:     		Berman 3/29/2023
    1:00 PM     		Senate: Withdrawn
    4/3/2023     		Web Page
    PDF
    450510 - Amendment
    Between lines 307 and 308 insert:     		Yarborough 3/31/2023
    1:51 PM     		Senate: Adopted
    4/3/2023     		Web Page
    PDF

    Committee Votes (1)

    Date Committee Result
    3/23/2023 8:30 AM Fiscal Policy 13 Yeas - 6 Nays

    Citations - Statutes (8)

    Citation Catchline Location in Bill Location In Bill Help
    61.5175 Page 3 (pdf)
    286.31 Page 3 (pdf)
    395.003 Licensure; denial, suspension, and revocation. Page 4 (pdf)
    456.001 Definitions. Page 5 (pdf)
    456.074 Certain health care practitioners; immediate suspension of license. Page 9 (pdf)
    456.52 Page 7 (pdf)
    458.328 Office surgeries. Page 9 (pdf)
    459.0138 Office surgeries. Page 10 (pdf)

    Top of SectionTop of Page

  • SB 254, Original Filed Version Posted 3/3/2023 at 1:12 PM

    Bill Text:   Web Page | PDF
    Analyses:   Health Policy (Pre-Meeting) 3/10/2023 (pdf)
    Health Policy PCS 112830 (Pre-Meeting) 3/10/2023 (pdf)
    Health Policy (Post-Meeting) 3/14/2023 (pdf)

    Related Bills (1)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    H 1421 Gender Clinical Interventions Healthcare Regulation Subcommittee Compare Last Action: 4/18/2023 H Laid on Table; companion bill(s) passed, see CS/SB 254 (Ch. 2023-90) Track This Bill

    Proposed Committee Substitutes (1)

    PCS and Amendments Sponsor Filed Last Committee Action Format
    112830 - Proposed Committee Substitute Health Policy 3/10/2023
    3:28 PM     		Replaced by Committee Substitute
    3/14/2023    		 Web Page
    PDF
    hierarchy 788684 - Amendment (112830)
    Delete lines 59 - 68.     		Health Policy
    (Davis)     		3/13/2023
    12:42 PM     		Unfavorable
    3/14/2023     		Web Page
    PDF
    hierarchy 953930 - Amendment (112830)
    Delete line 63 and insert:     		Health Policy
    (Book)     		3/13/2023
    11:44 AM     		Unfavorable
    3/14/2023     		Web Page
    PDF
    hierarchy 309890 - Amendment (112830)
    Delete lines 200 - 216 and insert:     		Health Policy
    (Book)     		3/13/2023
    11:43 AM     		Unfavorable
    3/14/2023     		Web Page
    PDF
    hierarchy 448208 - Amendment (112830)
    Delete lines 224 - 234 and insert:     		Health Policy
    (Davis)     		3/13/2023
    12:42 PM     		Unfavorable
    3/14/2023     		Web Page
    PDF

    Committee Amendments (3)

    Amendment Sponsor Filed Last Committee Action Format
    201722 - Amendment
    Delete lines 77 - 160.     		Health Policy
    (Davis)     		3/10/2023
    4:58 PM     		Out of Order
    3/13/2023     		Web Page
    PDF
    302480 - Amendment
    Delete lines 281 - 297 and insert:     		Health Policy
    (Book)     		3/10/2023
    4:57 PM     		Out of Order
    3/13/2023     		Web Page
    PDF
    590780 - Amendment
    Delete lines 305 - 315 and insert:     		Health Policy
    (Davis)     		3/10/2023
    4:58 PM     		Out of Order
    3/13/2023     		Web Page
    PDF

    Committee Votes (1)

    Date Committee Result
    3/13/2023 3:30 PM Health Policy 8 Yeas - 3 Nays

    Citations - Statutes (12)

    Citation Catchline Location in Bill Location In Bill Help
    61.517 Temporary emergency jurisdiction. Page 3 (pdf)
    61.520 Inconvenient forum. Page 4 (pdf)
    61.521 Jurisdiction declined by reason of conduct. Page 5 (pdf)
    61.534 Warrant to take physical custody of child. Page 5 (pdf)
    61.536 Recognition and enforcement. Page 6 (pdf)
    381.0027 Page 6 (pdf)
    395.003 Licensure; denial, suspension, and revocation. Page 7 (pdf)
    456.001 Definitions. Page 8 (pdf)
    456.074 Certain health care practitioners; immediate suspension of license. Page 9 (pdf)
    456.52 Page 12 (pdf)
    458.328 Office surgeries. Page 12 (pdf)
    459.0138 Office surgeries. Page 13 (pdf)

    Top of SectionTop of Page