The provision of procedures and treatments for gender transitioning, gender reassignment, or gender dysphoria and the use of public money or public assistance to provide those procedures or treatments

Texas House Bill 3399 (HB3399), introduced in 2025, aims to restrict the use of public funds for medical procedures and treatments related to gender transitioning, gender reassignment, or gender dysphoria. The bill seeks to amend existing health and safety codes to prohibit state money or public assistance from being used to provide these procedures or treatments. Additionally, it proposes to extend existing restrictions on such procedures for minors to include adults, effectively banning the use of public funds for gender-affirming care across all age groups.

Supporters of HB3399 argue that the bill is necessary to ensure that taxpayer dollars are not used to fund medical procedures they consider controversial or elective. They believe that public funds should be allocated to essential services and that individuals seeking gender-affirming care should do so without state financial support. Proponents also contend that the bill aligns with their views on traditional gender roles and the appropriate use of public resources.

Opponents of HB3399 criticize the bill for potentially denying essential medical care to transgender individuals, particularly those who rely on public assistance. They argue that gender-affirming treatments are recognized by major medical organizations as necessary for the well-being of transgender people. Critics also express concern that the bill could exacerbate health disparities and discrimination against the transgender community by limiting access to medically necessary care.