Many trans Texans have changed the sex listed on their birth certificate, driver’s licenses and other documents. They say their identities will be invalidated under bill headed to governor’s desk.

House Bill 46, which awaits Gov. Greg Abbott’s approval, would include more patients with chronic pain and allow for prescribed smokable products.

The proposal is largely in response to massive pro-Palestinian demonstrations last year. Critics say it would walk back free speech protections that conservatives advocated for in previous legislative sessions.