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Paxton: Texas Youth Transition Ban Extends to Mental Health Providers, With License and Funding Penalties

The opinion answers the behavioral health council's request by stating SB 14 applies to therapists, counselors, psychologists, as well as social workers.

Overview

  • Attorney General Ken Paxton issued a legal opinion declaring that mental health professionals fall under Texas’s 2023 ban on gender-transition care for minors.
  • The opinion warns that any licensee who “facilitates” prohibited interventions becomes ineligible for state reimbursement and could face license revocation.
  • It interprets “health care provider” to include all professions regulated by the Texas Behavioral Health Executive Council.
  • Paxton wrote that coverage under the statute “does not require a prescription pad or scalpel,” citing therapists’ roles as clinical gatekeepers.
  • SB 14 bars puberty blockers, cross-sex hormones, and transition surgeries for minors, a framework upheld by the Texas Supreme Court in 2024, and the opinion was released as Paxton runs in a GOP U.S. Senate primary.