Monitoring the Session

HB 1219

bill putting a pregnant patient’s health first

Died in committee

Verdict: No flags

No flagsInitial review
Rep. Mihaela PlesaDHouse 70

Initial review · graded Oct 20, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade

Caption

relating to prioritization of a pregnant individual's health when providing health care treatments; authorizing an administrative penalty.

Caption from analyzed text · version I.

Summary

She still accepts or refuses any treatment, with informed consent.

The bill orders doctors and other health care practitioners to put a pregnant patient's health ahead of the fetus's health when recommending treatment, even if the treatment could injure or kill the fetus. It also says the pregnant patient keeps the right to accept or refuse any treatment, and the provider must get her informed consent first. Licensing boards can fine providers who break the rule, and it takes effect immediately with a two-thirds vote or on September 1, 2025.

Labels

Labels: ZOMBIE BILL. Died 2 times: 88R HB 1490 (Died in committee) and this bill (Died in committee). Checked against 88R only.BACK FROM THE DEAD. Same text as a bill filed before that died: 88R HB 1490 (Died in committee). Filed in 2 sessions, counting this one. Checked against 88R only.TRY NO. 2. Filed in 2 sessions: 88R and 89R. Checked against 88R only.NEVER GOT A HEARING. Filed Nov 12, 2024 and referred to the House Public Health committee. No public hearing. The bill died.

Receipt

The receipt

89R-HB1219 · 2024-11-12

SOLD BY

ITEM

relating to prioritization of a pregnant individual's health when providing health care treatments; authorizing an administrative penalty.

WHAT IT DOES

She still accepts or refuses any treatment, with informed consent.

The bill orders doctors and other health care practitioners to put a pregnant patient's health ahead of the fetus's health when recommending treatment, even if the treatment could injure or kill the fetus. It also says the pregnant patient keeps the right to accept or refuse any treatment, and the provider must get her informed consent first. Licensing boards can fine providers who break the rule, and it takes effect immediately with a two-thirds vote or on September 1, 2025.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
  2. Read first time
  3. Referred to Public Health
FILED UNDER

No verified beat found.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Donors

Not tied to this bill.

Sources

The author's campaign account only. Own money and internal transfers are separate on the member page.

Derived itemized flow · Oct 27, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Texas REALTORS Political Action Committee$79,480.35

Texas REALTORS Political Action Committee

$79,480.35

Cash
$37,500.00
Paid by others
$41,980.35
Total
$79,480.35
mail $33,992.76digital $4,945.63text $2,016.96advertising $525.00fundraiser $500.00

Also funds 140 other sitting lawmakers.

Derived recipient stock · Jul 2, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Oct 31, 2024 to Oct 20, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101012300, 101032600, 101059513, 101069108, 101072533.

Texas Trial Lawyers Association PAC$55,000.00

Texas Trial Lawyers Association PAC

$55,000.00

Cash
$55,000.00
Paid by others
$0.00
Total
$55,000.00

Also funds 137 other sitting lawmakers.

Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 11, 2024 to Sep 21, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101012300, 101032600, 101059513, 101069108.

TexBlue Media PAC$32,511.00

TexBlue Media PAC

$32,511.00

Cash
$0.00
Paid by others
$32,511.00
Total
$32,511.00
advertising $32,511.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · Sep 25, 2026 to Sep 27, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · Sep 25, 2026 to Sep 27, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101072533.

Money

Missing data does not establish zero giving. Display amounts are rounded.

×

Texas REALTORS Political Action Committee

$79,480.35

Cash
$37,500.00
Paid by others
$41,980.35
Total
$79,480.35
mail $33,992.76digital $4,945.63text $2,016.96advertising $525.00fundraiser $500.00

Also funds 140 other sitting lawmakers.

Derived recipient stock · Jul 2, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Oct 31, 2024 to Oct 20, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101012300, 101032600, 101059513, 101069108, 101072533.

×

Texas Trial Lawyers Association PAC

$55,000.00

Cash
$55,000.00
Paid by others
$0.00
Total
$55,000.00

Also funds 137 other sitting lawmakers.

Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 11, 2024 to Sep 21, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101012300, 101032600, 101059513, 101069108.

×

TexBlue Media PAC

$32,511.00

Cash
$0.00
Paid by others
$32,511.00
Total
$32,511.00
advertising $32,511.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · Sep 25, 2026 to Sep 27, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · Sep 25, 2026 to Sep 27, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101072533.

Votes

No floor vote loaded for this bill.

Fiscal

No fiscal note in the loaded record.

How this was graded

Analysis of text version I by claude-opus-5-5, Oct 20, 2026, against the published rubric.

FILED BEFORE

Filed 2 times: 88R and 89R. Checked against 88R only.

88R HB 1490

by Rep. Plesa, same lead author · Died in committee · same text

Introduced text

Last action, Mar 3, 2023: Referred to Public Health

Relating to prioritization of a pregnant individual's health when providing health care treatments; authorizing an administrative penalty.

Caption, 88R bill history

Sources

Texas House · Filed Nov 12, 2024

03/10/2025 H Referred to Public Health: Mar 10 2025 2:24PM

Texas Legislature Online · Introduced

Data snapshot Oct 26, 2026 at 4:20 AM CDT. Grades, charges, quotes and corrections follow the published record.

House committee · Public Health · Final status: Died in committee

Companion

SB 350 by Eckhardt (identical)

Subjects

Abortion

Health Care Providers

Health--Other Diseases & Medical Conditions

Occupational Regulation--Health Occupations

Women

PREGNANCY & CHILDBIRTH

Text

The text as introduced · 269 words

89R2360 JG-D

By: Plesa
H.B. No. 1219

A BILL TO BE ENTITLED

AN ACT

relating to prioritization of a pregnant individual's health when

providing health care treatments; authorizing an administrative

penalty.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

SECTION 1. Chapter 170A, Health and Safety Code, is amended

by adding Section 170A.008 to read as follows:

Sec. 170A.008. PRIORITIZATION OF PREGNANT INDIVIDUAL'S

HEALTH. (a) Notwithstanding any other law, a physician or health

care practitioner shall prioritize the health of a pregnant

individual over the health of the fetus the individual is carrying

when recommending a health care treatment for the individual,

regardless of whether the treatment poses a risk of injury or death

to the fetus.

(b) A pregnant individual retains the right to agree to or

refuse a health care treatment regardless of the physician's or

health care practitioner's recommendation under Subsection (a),

and the physician or practitioner may provide the treatment only

after obtaining the individual's informed consent.

(c) The appropriate licensing authority may impose an

administrative penalty against a physician or health care

practitioner who violates this section in the same manner and using

the same procedures as the authority uses to impose an

administrative penalty against a physician or practitioner who

violates the authority's licensing or other regulatory laws or

rules.

SECTION 2. This Act takes effect immediately if it receives

a vote of two-thirds of all the members elected to each house, as

provided by Section 39, Article III, Texas Constitution. If this

Act does not receive the vote necessary for immediate effect, this

Act takes effect September 1, 2025.