Monitoring the Session

HB 1578

bill adding two exceptions to the abortion ban

Died in committee

Verdict: No flags

No flagsInitial review
Rep. Penny Morales ShawDHouse 148

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 exceptions to and the repeal of certain laws prohibiting abortion.

Caption from analyzed text · version I.

Summary

Serious health risk, and pregnancies from sexual assault or incest.

The bill adds two new exceptions to the Texas abortion ban: one lets a licensed doctor perform an abortion to prevent a risk of serious harm to the patient's health or well-being, and one covers pregnancies resulting from sexual assault, aggravated sexual assault, or incest as defined in the Penal Code. It affects doctors, pregnant patients, and the Texas Medical Board, which must publish and update each year a list of medical conditions that count as a serious health risk. It also repeals the old pre-1973 abortion statutes and the current narrower medical-emergency exception, and it exempts abortions that fit the new exceptions from the heartbeat-law limits, starting September 1, 2025.

Labels

Labels: NEVER GOT A HEARING. Filed Dec 11, 2024 and referred to the House Public Health committee. No public hearing. The bill died.

Receipt

The receipt

89R-HB1578 · 2024-12-11

SOLD BY

ITEM

relating to exceptions to and the repeal of certain laws prohibiting abortion.

WHAT IT DOES

Serious health risk, and pregnancies from sexual assault or incest.

The bill adds two new exceptions to the Texas abortion ban: one lets a licensed doctor perform an abortion to prevent a risk of serious harm to the patient's health or well-being, and one covers pregnancies resulting from sexual assault, aggravated sexual assault, or incest as defined in the Penal Code. It affects doctors, pregnant patients, and the Texas Medical Board, which must publish and update each year a list of medical conditions that count as a serious health risk. It also repeals the old pre-1973 abortion statutes and the current narrower medical-emergency exception, and it exempts abortions that fit the new exceptions from the heartbeat-law limits, starting 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 17, 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 Trial Lawyers Association PAC$21,500.00

Texas Trial Lawyers Association PAC

$21,500.00

Cash
$21,500.00
Paid by others
$0.00
Total
$21,500.00

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 · Nov 19, 2024 to Aug 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.

Report IDs: 100984943, 101006793, 101044547, 101054176, 101068938.

House Democratic Caucus$7,000.00

House Democratic Caucus

$7,000.00

Cash
$7,000.00
Paid by others
$0.00
Total
$7,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · on Apr 30, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Sources

Derived itemized flow · on Apr 30, 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: 101054176.

Texas Organizing Project Political Action Committee$6,254.03

Texas Organizing Project Political Action Committee

$6,254.03

Cash
$0.00
Paid by others
$6,254.03
Total
$6,254.03
Other filed descriptions $4,070.03printing $2,184.00

Also funds 4 other sitting lawmakers.

Derived recipient stock · Sep 30, 2024 to Oct 22, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · Oct 31, 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: 100984943, 101068938.

Money

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

×

Texas Trial Lawyers Association PAC

$21,500.00

Cash
$21,500.00
Paid by others
$0.00
Total
$21,500.00

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 · Nov 19, 2024 to Aug 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.

Report IDs: 100984943, 101006793, 101044547, 101054176, 101068938.

×

House Democratic Caucus

$7,000.00

Cash
$7,000.00
Paid by others
$0.00
Total
$7,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · on Apr 30, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Sources

Derived itemized flow · on Apr 30, 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: 101054176.

×

Texas Organizing Project Political Action Committee

$6,254.03

Cash
$0.00
Paid by others
$6,254.03
Total
$6,254.03
Other filed descriptions $4,070.03printing $2,184.00

Also funds 4 other sitting lawmakers.

Derived recipient stock · Sep 30, 2024 to Oct 22, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · Oct 31, 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: 100984943, 101068938.

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.

Sources

Texas House · Filed Dec 11, 2024

03/12/2025 H Referred to Public Health: Mar 12 2025 11:15AM

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

Subjects

Abortion

Crimes--Against Persons--Sexual

Health--Other Diseases & Medical Conditions

MEDICAL BOARD, TEXAS

Text

The text as introduced · 630 words

89R4496 MPF-D

By: Morales Shaw
H.B. No. 1578

A BILL TO BE ENTITLED

AN ACT

relating to exceptions to and the repeal of certain laws

prohibiting abortion.

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

SECTION 1. Section 170A.002, Health and Safety Code, is

amended by adding Subsections (b-1) and (e) and amending Subsection

(c) to read as follows:

(b-1) It is an exception to the application of Subsection

(a) that:

(1) the person performing, inducing, or attempting the

abortion is a licensed physician and, in the physician's exercise

of reasonable medical judgment, the physician determines the

abortion is necessary to prevent a risk of serious harm to the

pregnant patient's health or well-being; or

(2) the pregnancy resulted from sexual assault in

violation of Section 22.011, Penal Code, aggravated sexual assault

in violation of Section 22.021, Penal Code, or conduct constituting

an offense under Section 25.02, Penal Code.

(c) A physician may not take an action authorized under

Subsection (b-1) [ (b) ] if, at the time the abortion was performed,

induced, or attempted, the person knew the risk of serious harm

[ death or a substantial impairment of a major bodily function ]

described by Subsection (b-1)(1) [ (b)(2) ] arose from a claim or

diagnosis that the pregnant patient [ female ] would engage in

conduct that might result in serious harm to the patient's health or

well-being [ the female's death or in substantial impairment of a

major bodily function ].

(e) The Texas Medical Board shall publish on the board's

Internet website and annually update a list of medical conditions

the board identifies as posing a risk of serious harm to a pregnant

patient's health or well-being under Subsection (b-1)(1).

SECTION 2. The heading to Section 171.205, Health and

Safety Code, is amended to read as follows:

Sec. 171.205. EXCEPTIONS [ EXCEPTION FOR MEDICAL

EMERGENCY ]; RECORDS.

SECTION 3. Section 171.205, Health and Safety Code, is

amended by adding Subsection (a-1) to read as follows:

(a-1) Sections 171.203 and 171.204 do not apply to an

abortion performed or induced by a person in accordance with an

exception provided by Section 170A.002.

SECTION 4. Section 171.206(b), Health and Safety Code, is

amended to read as follows:

(b) This subchapter may not be construed to:

(1) authorize the initiation of a cause of action

against or the prosecution of a pregnant patient [ woman ] on whom an

abortion is performed or induced or attempted to be performed or

induced in violation of this subchapter;

(2) wholly or partly repeal, either expressly or by

implication, any other statute that regulates or prohibits

abortion[ , including Chapter 6-1/2, Title 71, Revised Statutes ]; or

(3) restrict a political subdivision from regulating

or prohibiting abortion in a manner that is at least as stringent as

the laws of this state.

SECTION 5. Section 171.207(b), Health and Safety Code, is

amended to read as follows:

(b) Subsection (a) may not be construed to:

(1) legalize the conduct prohibited by this subchapter

[ or by Chapter 6-1/2, Title 71, Revised Statutes ];

(2) limit in any way or affect the availability of a

remedy established by Section 171.208; or

(3) limit the enforceability of any other laws that

regulate or prohibit abortion.

SECTION 6. The following provisions are repealed:

(1) Section 170A.002(b), Health and Safety Code; and

(2) Chapter 6-1/2, Title 71, Revised Statutes.

SECTION 7. As soon as practicable after the effective date

of this Act, the Texas Medical Board shall publish the list of

medical conditions the board identifies as posing a risk of serious

harm to a pregnant patient's health or well-being as required by

Section 170A.002(e), Health and Safety Code, as added by this Act.

SECTION 8. This Act takes effect September 1, 2025.