SLS 21RS-199 ORIGINAL

2021 Regular Session

SENATE BILL NO. 104

BY SENATOR FESI

Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution of Louisiana.

CHILDREN. Provides relative to gender therapy and minors. (8/1/21)

1 AN ACT

2 To enact R.S. 40:1079.4, relative to minors and medical and therapeutic procedures and

3 practices; to provide relative to gender therapy; to provide relative to consent; to

4 prohibit consent by a minor to gender therapy; to require parental or other consent

5 under certain circumstances; to provide certain definitions, terms, procedures,

6 conditions, requirements, prohibitions, and effects; and to provide for related

7 matters.

8 Be it enacted by the Legislature of Louisiana:

9 Section 1. R.S. 40:1079.4 is hereby enacted to read as follows:

10 1079.4. Minors; gender therapy; consent requirements; prohibitions

11 A. No consent executed by a minor to receive gender therapy in this state

12 shall be valid or binding.

13 B. The providing of gender therapy in this state to a minor shall require

14 prior informed written consent executed as follows:

15 (1) By the remaining parent if the other parent is dead, unknown,

16 interdicted, found by a court to be mentally incompetent, or has had their

17 parental rights involuntarily terminated pursuant to Children's Code Art. 1015.

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Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
 SLS 21RS-199 ORIGINAL
SB NO. 104

1 (2) If Paragraph (1) of this Subsection is inapplicable by both parents of

2 the minor. However, if the parents disagree and custody of the minor has been

3 awarded by court judgment to one or both parents, either parent may petition

4 the court for an order approving or rejecting consent in the best interest of the

5 minor. The motion shall be set for contradictory hearing with the other parent

6 and the hearing may be closed to the public. If the court approves consent to the

7 gender therapy, the informed written consent shall be executed by the

8 consenting parent and a copy of the order attached.

9 (3) If no parent has parental authority, by the caretaker of the minor

10 after approval of the court has been obtained.

11 C. The providing of gender therapy in this state to a minor without the

12 consent required by this Section is prohibited, and shall subject the provider to

13 civil and regulatory liability and sanctions provided by law for unauthorized

14 practice.

15 D. For the purposes of this Section:

16 (1) "Caretaker" means a person other than a parent who is legally

17 obligated to provide or secure adequate care for a minor, including a tutor,

18 guardian, or legal custodian. It shall include an ascendant awarded custody.

19 (2) "Gender therapy" means:

20 (a) Counseling or psychotherapy treatment founded on the position that,

21 regardless of a person possessing physical attributes of a certain gender at birth,

22 no gender identity, expression, or experience by that person is any more valid

23 than any other.

24 (b) Nonsurgical and surgical procedures for gender dysphoria such as

25 hormone treatments and gender-related surgery.

26 (3) "Minor" means a person below the age of eighteen years who has not

27 been fully emancipated.

28 (4) "Provider" includes a physician, psychologist, psychiatrist, therapist,

29 counselor, or other physical or mental health care provider in this state.

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Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
SLS 21RS-199 ORIGINAL
SB NO. 104

The original instrument and the following digest, which constitutes no part
of the legislative instrument, were prepared by Jerry J. Guillot.

DIGEST
SB 104 Original 2021 Regular Session Fesi

Proposed law requires that no consent executed by a minor to receive gender therapy in this
state shall be valid or binding.

Proposed law requires that the providing of gender therapy in this state to a minor shall
require prior informed written consent executed as follows:

(1) By the remaining parent if the other parent is dead, unknown, interdicted, found by
a court to be mentally incompetent, or has had their parental rights involuntarily
terminated pursuant to Ch.C. Art. 1015.

(2) If Paragraph (1) is inapplicable, by both parents of the minor. However, if the parents
disagree and custody of the minor has been awarded by court judgment to one or
both parents, either parent may move the court for an order approving or rejecting
consent in the best interest of the minor. The motion shall be set for contradictory
hearing with the other parent and the hearing may be closed to the public. If the court
approves consent to the gender therapy, the informed written consent shall be
executed by the consenting parent and a copy of the order attached.

(3) If no parent has parental authority, by the caretaker of the minor after approval of the
court has been obtained.

Proposed law states that the providing of gender therapy in this state to a minor without the
consent required by the proposed law is prohibited, and shall subject the provider to civil and
regulatory liability and sanctions provided by law for unauthorized practice.

Proposed law provides definitions, including defining "gender therapy" as:

(1) Counseling or psychotherapy treatment founded on the position that, regardless of

a person possessing physical attributes of a certain gender at birth, no gender
identity, expression, or experience by that person is any more valid than any other.

(2) Nonsurgical and surgical procedures for gender dysphoria such as hormone
treatments and gender-related surgery.

Effective August 1, 2021.

(Adds R.S. 40:1079.4)

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Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.