Gender-Affirming Care in Texas: What the Law Says and Where Adults in Austin Get It

At a Glance

Last checked: October 2026. Laws and clinic pages reread October 18

How we checked: Texas Legislature Online, the Texas Judicial Branch, and each clinic’s own website. We didn’t call or book

Covers: What Texas law says for minors and for health plans, and three Austin places that say they care for trans adults

How we check every guide, and what we won’t list: How We Choose

Adults in Texas can get hormone therapy, and two Austin clinics say on their own sites that they provide it: Kind Clinic and Planned Parenthood’s South Austin Health Center. Both also offer virtual visits.

For anyone under 18, Texas law is different. Since September 1, 2023, Senate Bill 14 has barred these treatments for minors, and the Texas Supreme Court upheld it on June 28, 2024. Details and sources are below. This page isn’t legal or medical advice. We checked the clinics on October 13 and the law on October 18, 2026.

What Texas Law Says

Senate Bill 14’s official caption says it relates to “prohibitions on the provision to certain children of procedures and treatments for gender transitioning, gender reassignment, or gender dysphoria and on the use of public money or public assistance to provide those procedures and treatments.” It was signed June 2, 2023, and took effect September 1, 2023, according to the Texas Legislature’s record of SB 14.

In State of Texas v. Loe, the Texas Supreme Court reversed and vacated a trial court’s temporary injunction against the law. The opinion was issued June 28, 2024, according to the court’s case record.

Adults with insurance have one 2025 law to know. Senate Bill 1257 says a health plan that covers gender transition care must also cover side effects of that care, follow-up testing at least once a year, and treatment to manage or reverse it. The rule applies to plans issued or renewed on or after January 1, 2026, according to the Texas Legislature’s record of SB 1257 and the bill’s text. It doesn’t require a plan to cover transition care in the first place.

Two other 2025 laws, one defining sex in state law and one on restrooms in government buildings, are on our page about whether Austin is gay friendly.

The Legislature meets in regular session every other year, and Texas Legislature Online is the official record of what passed. For questions about your own situation, ask a lawyer or one of the organizations below.

Where Adults in Austin Get Hormone Therapy

ClinicWhereWhat it says it offers
Kind ClinicTwo Austin clinics, plus virtual visits anywhere in TexasHRT for trans and gender non-conforming adults
Planned Parenthood South Austin201 E Ben White BlvdEstrogen and testosterone therapy for patients 18 and up
OutWellness211 E Alpine RdPhysical therapy before and after gender-affirming surgery

Kind Clinic

The business states

Kind Clinic lists “Gender-Affirming Care: HRT for trans and gender non-conforming adults” among its services, along with PrEP and HIV care. It’s run by Texas Health Action. Virtual appointments are available anywhere in Texas, so you don’t have to live near one of its clinics.

  • Where: 101 W Koenig Ln, Suite 100, Austin 78751, and 2800 S IH-35 Frontage Rd, #103, Austin 78704
  • Phone: 833-937-5463
  • More: Kind Clinic

Is this your clinic? Update this listing

Planned Parenthood South Austin

The business states

Planned Parenthood of Greater Texas offers estrogen-based and testosterone hormone therapy to patients 18 and up, in person and by telehealth. It says it “follows an informed consent treatment model” and that patients “may be able to start hormone therapy at the first visit.” The first visit covers your medical history and lab work, with regular follow-up labs after that. Staff ask for your name and pronouns at check-in, along with your legal name.

The South Austin Health Center lists gender-affirming care by appointment. It’s open Monday 11 AM to 7 PM and Tuesday through Friday 9 AM to 5 PM. For uninsured patients, it says you may qualify for financial help, and you can ask about that at the same number.

Is this your clinic? Update this listing

OutWellness

The business states

OutWellness, which wrote the first version of this page, is a queer and trans-centered wellness center and gym in South Austin. It says its licensed physical therapists have “advanced training in orthopedics, manual therapy, and gender-affirming care,” including “pre-operative preparation or post-operative rehabilitation for a gender-affirming procedure.”

OutWellness also keeps a longer guide to gender-affirming care in Texas with more resources.

Is this your business? Update this listing

For primary care, PrEP, and HIV care from clinics that serve LGBTQ+ patients, see our guide to LGBTQ+ healthcare and HIV care in Austin. For counseling, our list of LGBTQ+ therapists in Austin has license checks for each one. To change your name or gender marker on your documents, see our guide to the official steps in Texas.

Before Your First Appointment

  • Do you take my insurance, and what will labs and follow-up visits cost?
  • Do I need a letter from a therapist, or do you use informed consent?
  • Can I do the first visit by video, and how often will I need to come in for labs?
  • Which pharmacy do you send prescriptions to, and can I use my chosen name there?
  • If I have insurance, does my plan cover hormone therapy, and what does it say about follow-up care?

Support for Trans Texans

What We Couldn’t Check

We didn’t book or call any clinic, and we didn’t check insurance coverage, wait times, or prices. We couldn’t run a Texas license check on OutWellness’s physical therapists, because the state’s lookup is behind a captcha. For state law we read SB 14, SB 1257 and the Texas Supreme Court’s record. We didn’t follow other court cases, so check Texas Legislature Online for anything passed since.

Last checked: October 2026. Law from Texas Legislature Online and the Texas Judicial Branch, clinic details from each clinic’s own website, read October 13, 2026. Law and clinic pages reread October 18, 2026. See a mistake? Use our contact page.

How We Check

We check every business and group we name against what it publishes about itself: its own site, its booking page, or its state license. No business pays to be in a guide, and we don’t earn a commission when you book.

The full method is on How We Choose. If something here is wrong or out of date, send a correction.

Coming early 2027

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  • Early 2027 for the first circle

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