Monitoring the Session

HB 2140

two doulas join the maternal mortality review committee

Did not pass

Verdict: No flags

No flagsInitial review
Rep. Lauren Ashley SimmonsDHouse 146

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 the composition of the Texas Maternal Mortality and Morbidity Review Committee.

Caption from analyzed text · version I.

Summary

From 23 to 25 members. One specializes in end-of-life care.

The bill adds two seats to the Texas Maternal Mortality and Morbidity Review Committee, growing it from 23 to 25 members. The new seats go to one doula and one doula who specializes in end-of-life care, both appointed by the state health services commissioner. The panel stays an advisory committee inside the health department, and the commissioner must fill the new seats soon after September 1, 2025.

Labels

Labels: STALLED AFTER COMMITTEE. Voted out of the House Public Health committee 10-1 on May 8, 2025. Placed on the General State Calendar on May 15, 2025. The bill died.

Receipt

The receipt

89R-HB2140 · 2025-01-28

SOLD BY

+ 1 more author, 5 coauthors

ITEM

relating to the composition of the Texas Maternal Mortality and Morbidity Review Committee.

WHAT IT DOES

From 23 to 25 members. One specializes in end-of-life care.

The bill adds two seats to the Texas Maternal Mortality and Morbidity Review Committee, growing it from 23 to 25 members. The new seats go to one doula and one doula who specializes in end-of-life care, both appointed by the state health services commissioner. The panel stays an advisory committee inside the health department, and the commissioner must fill the new seats soon after September 1, 2025.

CHARGES

[ ] NONE FOUND

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version H · source

Sources

Fiscal note · version H · May 9, 2025

No first-year general revenue figure available here.

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

HISTORY

  1. Filed
  2. Read first time
  3. Referred to s/c on Dis Prev & Women's & Children's Health by Speaker
  4. Scheduled for public hearing in s/c on . . .
  5. Considered by s/c in public hearing
  6. Committee substitute considered in s/c
  7. Testimony taken/registration(s) recorded in subcommittee
  8. Left pending in subcommittee
  9. Recalled from subcommittee
  10. Considered in formal meeting
  11. Committee substitute considered in committee
  12. Reported favorably as substituted
  13. Comte report filed with Committee Coordinator
  14. Committee report distributed
  15. Committee report sent to Calendars
  16. Considered in Calendars
  17. Placed on General State Calendar
ALSO NOTED · NOT CHARGED (1)

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

THE TEXT

“(R) one doula; and”…

Bill text, introduced version (I)

The bill creates two new appointed seats on an existing advisory committee. The caption says it changes the committee's makeup, so this is a minor, openly described expansion.

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 23, 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 Organizing Project Political Action Committee$17,454.66

Texas Organizing Project Political Action Committee

$17,454.66

Cash
$0.00
Paid by others
$17,454.66
Total
$17,454.66
printing $10,819.39Other filed descriptions $6,635.27

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 2, 2026 to Oct 22, 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: 101072739.

Texas Trial Lawyers Association PAC$15,000.00

Texas Trial Lawyers Association PAC

$15,000.00

Cash
$15,000.00
Paid by others
$0.00
Total
$15,000.00

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 10, 2024 to Oct 16, 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: 100986942, 101031959, 101060742, 101072739.

Texas Sands PAC$12,000.00

Texas Sands PAC

$12,000.00

Cash
$12,000.00
Paid by others
$0.00
Total
$12,000.00

Also funds 121 other sitting lawmakers.

Derived recipient stock · Jul 3, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 10, 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: 100986942, 101060742, 101072739.

Money

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

×

Texas Organizing Project Political Action Committee

$17,454.66

Cash
$0.00
Paid by others
$17,454.66
Total
$17,454.66
printing $10,819.39Other filed descriptions $6,635.27

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 2, 2026 to Oct 22, 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: 101072739.

×

Texas Trial Lawyers Association PAC

$15,000.00

Cash
$15,000.00
Paid by others
$0.00
Total
$15,000.00

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 10, 2024 to Oct 16, 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: 100986942, 101031959, 101060742, 101072739.

×

Texas Sands PAC

$12,000.00

Cash
$12,000.00
Paid by others
$0.00
Total
$12,000.00

Also funds 121 other sitting lawmakers.

Derived recipient stock · Jul 3, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 10, 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: 100986942, 101060742, 101072739.

Votes

No floor vote loaded for this bill.

Witnesses14
For
13
Against
0
On
1
Names

For

  • Bexar County Commissioners Court1 registration
  • Conference of Urban Counties1 registration
  • Harris County Commissioners Court1 registration
  • NAMI Texas1 registration
  • National Association of Social Workers1 registration
  • Self2 registrations
  • Self; GALS, MHEC, TDA1 registration
  • Self; Texas Impact1 registration
  • Texas Hospital Association1 registration
  • Texas Medical Association1 registration
  • Texas Pediatric Society1 registration
  • Texas Women's Healthcare Coalition1 registration

On

  • Department of State Health Services1 registration
Sources

14 parsed registrations across the loaded witness lists.

Derived stock of witness registrations. Repeated appearances count separately. Organizations and self-representation appear as printed.

House witness list. Source snapshot 2026-10-20, Central time.

Fiscal

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version H · source

Sources

Fiscal note · version H · May 9, 2025

No first-year general revenue figure available here.

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

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 28, 2025

05/15/2025 H Placed on General State Calendar

Texas Legislature Online · Introduced · House Committee Report

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

Coauthors

House committee · Public Health · Committee vote 10 aye, 1 nay, 2 absent · Out of committee

Subjects

Health--General

Women

MIDWIVES & MIDWIFERY

PREGNANCY & CHILDBIRTH

STATE HEALTH SERVICES, DEPARTMENT OF

TEXAS MATERNAL MORTALITY AND MORBIDITY REVIEW COMMITTEE

Text

The text as introduced · 342 words

89R3673 JDK-D

By: Simmons
H.B. No. 2140

A BILL TO BE ENTITLED

AN ACT

relating to the composition of the Texas Maternal Mortality and

Morbidity Review Committee.

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

SECTION 1. Section 34.002(b), Health and Safety Code, is

amended to read as follows:

(b) The review committee is a multidisciplinary advisory

committee within the department and is composed of the following 25

[ 23 ] members:

(1) 23 [ 21 ] members appointed by the commissioner as

follows:

(A) four physicians specializing in obstetrics,

at least one of whom is a maternal fetal medicine specialist;

(B) one certified nurse-midwife;

(C) one registered nurse;

(D) one nurse specializing in labor and delivery;

(E) one physician specializing in family

practice;

(F) one physician specializing in psychiatry;

(G) one physician specializing in pathology;

(H) one epidemiologist, biostatistician, or

researcher of pregnancy-related deaths;

(I) one social worker or social service provider;

(J) two community members with experience in a

relevant health care field, including a field involving the

analysis of health care data, one of whom must represent an urban

area of this state and one of whom must represent a rural area of

this state;

(K) one medical examiner or coroner responsible

for recording deaths;

(L) one physician specializing in critical care;

(M) one physician specializing in emergency

care;

(N) one physician specializing in cardiology;

(O) one physician specializing in

anesthesiology;

(P) one physician specializing in oncology;

[ and ]

(Q) one representative of a managed care

organization;

(R) one doula; and

(S) one doula specializing in end-of-life care;

(2) a representative of the department's family and

community health programs; and

(3) the state epidemiologist for the department or the

epidemiologist's designee.

SECTION 2. As soon as practicable after the effective date

of this Act, the commissioner of state health services shall

appoint members to the Texas Maternal Mortality and Morbidity

Review Committee in accordance with Section 34.002, Health and

Safety Code, as amended by this Act.

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