HB 4311 Introduced

Relating to required reintegration therapy coursework and training for certain mental health professionals. 

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A BILL TO BE ENTITLED

 

AN ACT

 

relating to required reintegration therapy coursework and training

 

for certain mental health professionals.

 

       BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

 

       SECTION 1.  This Act may be cited as the Reintegration

 

Therapy Training Act of 2025.

 

       SECTION 2.  The legislature finds that:

 

             (1)  mental health professionals require comprehensive

 

training to effectively address the complexities associated with

 

identity confusion and gender dysphoria;

 

             (2)  reintegration therapy is essential for assisting

 

individuals, particularly minors, who experience difficulties

 

after attempting to transition socially or medically from their

 

sex; and

 

             (3)  there is a need for specialized training in

 

reintegration therapy to better support individuals experiencing

 

alienation from self and familial conflicts due to identity issues

 

and gender dysphoria.

 

       SECTION 3.  Subchapter F, Chapter 51, Education Code, is

 

amended by adding Section 51.306 to read as follows:

 

       Sec. 51.306.  REINTEGRATION THERAPY COURSEWORK. (a)  In

 

this section:

 

             (1)  “Coordinating board” means the Texas Higher

 

Education Coordinating Board.

 

             (2)  “Institution of higher education” has the meaning

 

assigned by Section 61.003.

 

             (3)  “Mental health professional” has the meaning

 

assigned by Section 61.601.

 

             (4)  “Reintegration therapy” means therapeutic

 

practices designed to assist an individual who has undergone or

 

considered social or medical transition from the individual’s sex,

 

focusing on alleviating distress over the individual’s sex and

 

fostering reconciliation with the reality of biological sex.

 

       (b)  Each institution of higher education that offers a

 

mental health professional degree program shall require students

 

enrolled in the program to complete a course of instruction on

 

reintegration therapy.  The coordinating board, in consultation

 

with the Texas Behavioral Health Executive Council, by rule shall

 

prescribe the curriculum and other requirements for the course.  

 

The curriculum must cover:

 

             (1)  alienation from self and resulting psychological

 

impacts;

 

             (2)  familial attention and strategies for

 

reconciliation;

 

             (3)  gender stereotypes and that stereotypes do not

 

determine an individual’s sex;

 

             (4)  the binary reality of sex;

 

             (5)  coping strategies for individuals who feel a loss

 

of self due to attempts at social or medical transitioning; and

 

             (6)  other topics as determined by the coordinating

 

board related to the psychological, social, and medical

 

implications of social or medical transitioning, including but not

 

limited to the negative consequences of surgical intervention,

 

puberty blockers or other hormones, binding, and tucking.

 

       SECTION 4.  Subchapter F, Chapter 507, Occupations Code, is

 

amended by adding Section 507.260 to read as follows:

 

       Sec. 507.260.  REINTEGRATION THERAPY TRAINING.  (a)  A

 

license holder shall biennially complete three hours of continuing

 

education in reintegration therapy, as defined by Section 51.306,

 

Education Code.

 

       (b)  The executive council may not renew the license of a

 

license holder who does not complete the training required by this

 

section.

 

       (c)  A license holder may complete the training required by

 

this section:

 

             (1)  as part of any continuing education required by

 

the executive council under Section 507.157; and

 

             (2)  in more than one training session.

 

       SECTION 5.  Section 51.306, Education Code, as added by this

 

Act, applies beginning with students initially enrolling in a

 

mental health professional degree program at a public institution

 

of higher education in the 2025-2026 academic year.

 

       SECTION 6.  Section 507.260, Occupations Code, as added by

 

this Act, applies only to the renewal of a license or registration

 

permit on or after January 1, 2027.

 

       SECTION 7.  This Act takes effect September 1, 2025. 

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