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Texas is latest state to try to limit health care options for transgender children. According to legislation passed by the Texas Senate and pending in the House, providing gender-affirming health care to children would constitute child abuse, and parents who consent to such treatment, including puberty suppression therapy, hormone treatment, or gender transitioning surgery, could lose their parental rights. If the bill becomes law, Texas would join a handful of states with restrictive transgender laws. Alabama, Arkansas, Tennessee, Mississippi, and South Dakota have all passed laws prohibiting transgender youths who identify as female from competing on girls' sports teams. Arkansas also passed a bill banning gender-affirming therapy, and Alabama and Tennessee have similar bills pending. The American Medical Association and the American Academy of Pediatrics oppose these bills, saying they place transgender children's physical and mental health at risk.