TX HB1151

Prohibits the Department of Family and Protective Services (DFPS) from taking possession of a child or courts from terminating parental rights based solely on a parent refusing psychotropic medications or psychiatric/psychological treatment for the child, unless the refusal presents substantial risk of death, disfigurement, bodily injury, or results in observable impairment to the child's growth, development, or functioning

Protects parents who choose "recognized alternative health care treatment or therapy" that may be considered new, emerging, or nonstandard, with the same exceptions for treatments that present substantial risk of harm or cause observable impairment

Adds these new protections to existing safeguards that prevent child removal or parental rights termination based on homeschooling, economic disadvantage, declining vaccinations for conscience/religious reasons, seeking second medical opinions, or allowing age-appropriate independent activities

Amends the legal definition of "neglect" in the Family Code to exclude refusing psychotropic medications or choosing alternative treatments, subject to the same harm-based exceptions

Takes effect September 1, 2025, and applies only to suits filed by DFPS on or after that date; passed the House 145-1 on April 16, 2025, and the Senate 31-0 on May 14, 2025