Abbott's letter also states that Texas law imposes reporting requirements on licensed professionals with direct contact with children, including doctors, nurses, and teachers, and criminal penalties for failing to report abuse.
, Commissioner Jaime Masters determined that "genital mutation of a child through reassignment surgery" constitutes child abuse because it may cause "a genuine threat of substantial harm from physical injury to the child".
Certain professionals who have cause to believe a child has been or may be abused must report that belief to DFPS within 48-hours after the professional first suspects the abuse
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