Monitoring the Session

HB 2573

bill has Medicaid pay for doula services

Died in committee

Verdict: No flags

No flagsInitial review
Rep. Armando WalleDHouse 140

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 Medicaid coverage and reimbursement of doula services.

Caption from analyzed text · version I.

Summary

Coverage runs from confirmed pregnancy to 12 months after.

The bill requires the state's Medicaid program to pay for doula services given to Medicaid patients, on top of any case management pay doulas can already get. Coverage runs from the day a medical professional confirms the pregnancy until 12 months after the pregnancy ends. The Health and Human Services Commission must ask the federal government for a Medicaid plan change by January 1, 2026, and may hold off on any piece that needs a federal waiver until the waiver comes through.

Labels

Labels: NEVER GOT A HEARING. Filed Feb 7, 2025 and referred to the House Human Services committee. No public hearing. The bill died.

Receipt

The receipt

89R-HB2573 · 2025-02-07

SOLD BY

ITEM

relating to Medicaid coverage and reimbursement of doula services.

WHAT IT DOES

Coverage runs from confirmed pregnancy to 12 months after.

The bill requires the state's Medicaid program to pay for doula services given to Medicaid patients, on top of any case management pay doulas can already get. Coverage runs from the day a medical professional confirms the pregnancy until 12 months after the pregnancy ends. The Health and Human Services Commission must ask the federal government for a Medicaid plan change by January 1, 2026, and may hold off on any piece that needs a federal waiver until the waiver comes through.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
  2. Read first time
  3. Referred to Human Services
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 · Jul 4, 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 Trial Lawyers Association PAC$42,500.00

Texas Trial Lawyers Association PAC

$42,500.00

Cash
$42,500.00
Paid by others
$0.00
Total
$42,500.00

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 Sep 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: 100985345, 101012323, 101027868, 101056902, 101071964.

Texas REALTORS Political Action Committee$17,500.00

Texas REALTORS Political Action Committee

$17,500.00

Cash
$17,500.00
Paid by others
$0.00
Total
$17,500.00

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 · Nov 25, 2024 to Sep 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: 100985345, 101012323, 101056902, 101071964.

Border Health PAC$10,000.00

Border Health PAC

$10,000.00

Cash
$10,000.00
Paid by others
$0.00
Total
$10,000.00

Also funds 17 other sitting lawmakers.

Derived recipient stock · Oct 28, 2024 to Aug 26, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · on Dec 15, 2025. 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: 101027868.

Money

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

×

Texas Trial Lawyers Association PAC

$42,500.00

Cash
$42,500.00
Paid by others
$0.00
Total
$42,500.00

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 Sep 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: 100985345, 101012323, 101027868, 101056902, 101071964.

×

Texas REALTORS Political Action Committee

$17,500.00

Cash
$17,500.00
Paid by others
$0.00
Total
$17,500.00

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 · Nov 25, 2024 to Sep 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: 100985345, 101012323, 101056902, 101071964.

×

Border Health PAC

$10,000.00

Cash
$10,000.00
Paid by others
$0.00
Total
$10,000.00

Also funds 17 other sitting lawmakers.

Derived recipient stock · Oct 28, 2024 to Aug 26, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · on Dec 15, 2025. 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: 101027868.

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 Feb 7, 2025

03/17/2025 H Referred to Human Services: Mar 17 2025 2:32PM

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 · Human Services · Final status: Died in committee

Subjects

Human Services--Medical Assistance

Women

HEALTH & HUMAN SERVICES COMMISSION

Text

The text as introduced · 260 words

89R4749 AB-D

By: Walle
H.B. No. 2573

A BILL TO BE ENTITLED

AN ACT

relating to Medicaid coverage and reimbursement of doula services.

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

SECTION 1. Subchapter B, Chapter 32, Human Resources Code,

is amended by adding Section 32.02481 to read as follows:

Sec. 32.02481. MEDICAL ASSISTANCE REIMBURSEMENT FOR DOULA

SERVICES. In addition to reimbursement a doula may receive under

Section 32.024(qq) for case management services, the commission

shall ensure that medical assistance reimbursement is provided for

doula services provided by a doula to a medical assistance

recipient. Notwithstanding Section 32.024(l-1), the commission

shall ensure medical assistance reimbursement under this

subsection is provided beginning on the date a recipient's

pregnancy is confirmed by a medical professional and ending the

12th month after the date the pregnancy ends.

SECTION 2. (a) As soon as practicable after the effective

date of this Act but not later than January 1, 2026, the executive

commissioner of the Health and Human Services Commission shall seek

from the appropriate federal agency an amendment to the state

Medicaid plan to implement Section 32.02481, Human Resources Code,

as added by this Act.

(b) Notwithstanding Subsection (a) of this section, if

before implementing any provision of this Act the Health and Human

Services Commission or other state agency determines that a waiver

from a federal agency is necessary for implementation of that

provision, the agency shall request the waiver and may delay

implementing that provision until the waiver is granted.

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