Monitoring the Session

HB 2058

Bill requiring perinatal palliative care at certain hospitals

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 perinatal palliative care provided by certain hospitals, a perinatal palliative care grant program, and a perinatal palliative care hospital recognition program.

Caption from analyzed text · version I.

Summary

Grieving parents get counseling and a cooling device after a stillbirth.

The bill requires Texas hospitals that hold a maternal level of care designation to offer grieving parents counseling and a cooling device, such as a cooled blanket or cradle, after a perinatal death or stillbirth. It also directs the Health and Human Services Commission to set up a grant program that helps those hospitals pay for staff training and cooling devices, and a recognition program for hospitals that train staff. Starting September 1, 2025, families who lose a baby at these hospitals must be offered these services, and the state will write rules for the grants and recognition.

Labels

Labels: ACROSS THE AISLE. Joint authors: 2 Republicans, 2 Democrats. Party as the Legislative Reference Library lists it for the 89th Legislature.

Receipt

The receipt

89R-HB2058 · 2025-01-24

SOLD BY

+ 1 more author, 13 coauthors

ITEM

relating to perinatal palliative care provided by certain hospitals, a perinatal palliative care grant program, and a perinatal palliative care hospital recognition program.

WHAT IT DOES

Grieving parents get counseling and a cooling device after a stillbirth.

The bill requires Texas hospitals that hold a maternal level of care designation to offer grieving parents counseling and a cooling device, such as a cooled blanket or cradle, after a perinatal death or stillbirth. It also directs the Health and Human Services Commission to set up a grant program that helps those hospitals pay for staff training and cooling devices, and a recognition program for hospitals that train staff. Starting September 1, 2025, families who lose a baby at these hospitals must be offered these services, and the state will write rules for the grants and recognition.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
  2. Read first time
  3. Referred to Public Health
ALSO NOTED · NOT CHARGED (1)

NEW FEE, FUND, BOARD OR APPOINTEES · analysis confidence 30%

THE TEXT

…“shall establish and the commission shall administer a perinatal palliative care grant program”…

Bill text, introduced version (I)

The bill creates a new state grant program run by the commission. It builds no new board or fund, and the caption says plainly that it creates the program.

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.

Sources

Texas House · Filed Jan 24, 2025

03/14/2025 H Referred to Public Health: Mar 14 2025 2:36PM

Texas Legislature Online · Introduced

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

Coauthors

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

Companion

HB 37 by Plesa (duplicate)

Subjects

Health--General

Hospitals

State Finances--Management & Control

PREGNANCY & CHILDBIRTH

HEALTH & HUMAN SERVICES COMMISSION

Text

The text as introduced · 544 words

89R2948 KKR-D

By: Plesa
H.B. No. 2058

A BILL TO BE ENTITLED

AN ACT

relating to perinatal palliative care provided by certain

hospitals, a perinatal palliative care grant program, and a

perinatal palliative care hospital recognition program.

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

SECTION 1. Subtitle G, Title 4, Health and Safety Code, is

amended by adding Chapter 328 to read as follows:

CHAPTER 328. PERINATAL PALLIATIVE CARE SERVICES

Sec. 328.001. DEFINITIONS. In this chapter:

(1) "Commission" means the Health and Human Services

Commission.

(2) "Executive commissioner" means the executive

commissioner of the Health and Human Services Commission.

(3) "Grant program" means the perinatal palliative

care grant program established under Section 328.003.

(4) "Hospital" means a hospital licensed under Chapter

241.

(5) "Perinatal palliative care" means the provision of

supportive care to reduce the suffering of parents and family

members following a perinatal death or stillbirth.

(6) "Perinatal palliative care cooling device" means a

medical device, including a blanket or cradle, with a cooling

mechanism to slow naturally occurring changes to the body following

death.

(7) "Recognition program" means the hospital

recognition program established under Section 328.004.

Sec. 328.002. PERINATAL PALLIATIVE CARE SERVICES REQUIRED

IN CERTAIN HOSPITALS. A hospital assigned a maternal level of care

designation under Section 241.182 shall, following a perinatal

death or stillbirth, make available to the expectant parents and

family members:

(1) perinatal palliative care counseling; and

(2) a perinatal palliative care cooling device.

Sec. 328.003. PERINATAL PALLIATIVE CARE GRANT PROGRAM. (a)

The executive commissioner by rule shall establish and the

commission shall administer a perinatal palliative care grant

program to improve the access to and quality of perinatal

palliative care in this state. The commission may award grants to

hospitals assigned a maternal level of care designation under

Section 241.182 for the hospital's provision of perinatal

palliative care.

(b) A hospital awarded money under the grant program may use

the money only for the reasonable costs, as determined by

commission rule, of:

(1) training hospital personnel who provide maternal

care on interacting with parents and family members in a

considerate and respectful manner following a perinatal death or

stillbirth; and

(2) obtaining and maintaining a perinatal palliative

care cooling device and training personnel on use of the device.

(c) The executive commissioner by rule shall establish

eligibility criteria and a scoring system for awarding grants under

the grant program to hospitals assigned a maternal level of care

designation under Section 241.182.

(d) The commission may accept gifts, grants, and donations

from any source for the purposes of the grant program.

Sec. 328.004. HOSPITAL RECOGNITION PROGRAM. The executive

commissioner by rule, in collaboration with the Palliative Care

Interdisciplinary Advisory Council established under Chapter 118,

shall:

(1) develop and implement a program to recognize

hospitals assigned a maternal level of care designation under

Section 241.182 that provide perinatal palliative care training to

hospital personnel; and

(2) adopt criteria for awarding recognition to a

hospital under the recognition program.

SECTION 2. As soon as practicable after the effective date

of this Act, the executive commissioner of the Health and Human

Services Commission shall adopt rules to implement Chapter 328,

Health and Safety Code, as added by this Act.

SECTION 3. This Act takes effect September 1, 2025.