Monitoring the Session

HB 3339

Bill orders a study of maternal deaths among Black women

Did not pass

Verdict: Smells

SmellsReviewed
Rep. Charlene Ward JohnsonDHouse 139
Why it's charged
Study, task force, commission, report

THE TEXT

“The review committee and the department shall jointly conduct a study to evaluate maternal mortality and morbidity among Black women in this state.”

Bill text, House committee report version (H)

The only duty is a study and a report with recommendations due September 1, 2026. Any real action on maternal deaths waits for a later bill. The caption honestly says this is a study.

Study, task force, commission, report

Reviewed · Nov 1, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade

Caption

relating to a study on maternal mortality and morbidity among Black women in this state.

Caption from analyzed text · version H.

Summary

Report due September 1, 2026. Nothing changes in care on the ground.

The bill orders the state maternal mortality review committee and the Department of State Health Services to study deaths and serious health problems tied to pregnancy among Black women in Texas. It touches those two state bodies and the data they gather on Black mothers, including race, income, insurance, health conditions and provider bias. Nothing changes in care on the ground: the two bodies write recommendations and a report due September 1, 2026, and the law expires December 31, 2026.

Labels

Labels: ZOMBIE BILL. Died 2 times: 88R HB 1664 by Rep. Thierry (Died in committee) and this bill (Did not pass). Checked against 88R only.DO-OVER. Reworked text of a bill filed before that died: 88R HB 1664 by Rep. Thierry (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.GOT HALFWAY. Passed the House on May 16, 2025. Died in the Senate: received, never referred to a committee.

Receipt

The receipt

89R-HB3339 · 2025-02-25

SOLD BY

+ 2 more authors, 29 coauthors

ITEM

relating to a study on maternal mortality and morbidity among Black women in this state.

WHAT IT DOES

Report due September 1, 2026. Nothing changes in care on the ground.

The bill orders the state maternal mortality review committee and the Department of State Health Services to study deaths and serious health problems tied to pregnancy among Black women in Texas. It touches those two state bodies and the data they gather on Black mothers, including race, income, insurance, health conditions and provider bias. Nothing changes in care on the ground: the two bodies write recommendations and a report due September 1, 2026, and the law expires December 31, 2026.

CHARGES

[x] STUDY, TASK FORCE, COMMISSION, REPORTanalysis confidence 60%

THE TEXT

“The review committee and the department shall jointly conduct a study to evaluate maternal mortality and morbidity among Black women in this state.”

Bill text, House committee report version (H)

The only duty is a study and a report with recommendations due September 1, 2026. Any real action on maternal deaths waits for a later bill. The caption honestly says this is a study.

TOTAL

Net to General Revenue · FY 2026($382,062)

LBB estimate, flow · fiscal note version I · ( ) = negative · source

Sources

Fiscal note · version I · April 23, 2025

Estimated Two-year Net Impact to General Revenue Related Funds for HB3339, As Introduced: a negative impact of ($382,062) through the biennium ending August 31, 2027.

First year · FY 2026 · ($382,062)

Probable Net Positive/(Negative) Impact to General Revenue Related Funds

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. Testimony taken/registration(s) recorded in subcommittee
  7. Left pending in subcommittee
  8. Recalled from subcommittee
  9. Considered in formal meeting
  10. Reported favorably w/o amendment(s)
  11. Comte report filed with Committee Coordinator
  12. Committee report distributed
  13. Committee report sent to Calendars
  14. Considered in Calendars
  15. Placed on General State Calendar
  16. Read 2nd time
  17. Passed to engrossment
  18. Record vote RV#2798
  19. Statement(s) of vote recorded in Journal
  20. Read 3rd time
  21. Passed
  22. Record vote RV#2901
  23. Statement(s) of vote recorded in Journal
  24. Reported engrossed
  25. Received from the House
FILED UNDER

No verified beat found.

SIGNED FOR BY

House · 68 yea · 52 nay

Sources

House: Final passage · May 16, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

All floor motions and other positions below.

Smells

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 5, 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 Sands PAC$33,000.00

Texas Sands PAC

$33,000.00

Cash
$33,000.00
Paid by others
$0.00
Total
$33,000.00

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 · Oct 1, 2024 to Jan 28, 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: 100981582, 101039497.

Texas Trial Lawyers Association PAC$32,500.00

Texas Trial Lawyers Association PAC

$32,500.00

Cash
$32,500.00
Paid by others
$0.00
Total
$32,500.00

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 · Jun 23, 2025 to Sep 1, 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: 101008678, 101031228, 101035430, 101039497, 101068178.

Legacy 44$25,343.19

Legacy 44

$25,343.19

Cash
$4,500.00
Paid by others
$20,843.19
Total
$25,343.19
Other filed descriptions $10,000.00mailer $9,036.44digital $1,806.75

Also funds 33 other sitting lawmakers.

Derived recipient stock · Oct 21, 2024 to Oct 20, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Oct 21, 2024 to Oct 9, 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: 100981582, 101031228, 101039497, 101073019.

Money

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

×

Texas Sands PAC

$33,000.00

Cash
$33,000.00
Paid by others
$0.00
Total
$33,000.00

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 · Oct 1, 2024 to Jan 28, 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: 100981582, 101039497.

×

Texas Trial Lawyers Association PAC

$32,500.00

Cash
$32,500.00
Paid by others
$0.00
Total
$32,500.00

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 · Jun 23, 2025 to Sep 1, 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: 101008678, 101031228, 101035430, 101039497, 101068178.

×

Legacy 44

$25,343.19

Cash
$4,500.00
Paid by others
$20,843.19
Total
$25,343.19
Other filed descriptions $10,000.00mailer $9,036.44digital $1,806.75

Also funds 33 other sitting lawmakers.

Derived recipient stock · Oct 21, 2024 to Oct 20, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Oct 21, 2024 to Oct 9, 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: 100981582, 101031228, 101039497, 101073019.

Votes2

House May 16, 2025

Yea
68
Nay
52
Present, not voting
2
Absent
3
Excused
25
Names

Named positions matched to lawmakers. See the journal for unmatched names.

House journal

Sources

Record 2901

HB 3339 was passed by (Record 2901): 68 Yeas, 52 Nays, 2 Present, not voting.

Published stock of positions for this vote, except where marked derived.

  • Yea: 68 (published)
  • Nay: 52 (published)
  • Present, not voting: 2 (published)
  • Absent: 3 (derived from named list)
  • Excused: 25 (derived from named list)

House journal. Source snapshot 2026-10-19, Central time.

House May 15, 2025

Yea
78
Nay
58
Present, not voting
2
Absent
7
Excused
5
Names

Named positions matched to lawmakers. See the journal for unmatched names.

House journal

Sources

Record 2798

HB 3339 was passed to engrossment by (Record 2798): 78 Yeas, 58 Nays, 2 Present, not voting.

Published stock of positions for this vote, except where marked derived.

  • Yea: 78 (published)
  • Nay: 58 (published)
  • Present, not voting: 2 (published)
  • Absent: 7 (derived from named list)
  • Excused: 5 (derived from named list)

House journal. Source snapshot 2026-10-19, Central time.

Witnesses19
For
18
Against
0
On
1
Names

For

  • Bexar County Commissioners Court1 registration
  • Children at Risk1 registration
  • Conference of Urban Counties1 registration
  • Dallas County Commissioners Court1 registration
  • Harris County Commissioners Court1 registration
  • National Association of Social Workers1 registration
  • Prism North Texas1 registration
  • Self1 registration
  • Self; GALS, MHEC, TDA1 registration
  • Self; MHEC1 registration
  • Self; Texas Impact1 registration
  • Texas Health Resources1 registration
  • Texas Hospital Association1 registration
  • Texas Medical Association1 registration
  • Texas Pediatric Society1 registration
  • Texas Women's Healthcare Coalition1 registration
  • Travis County Commissioners Court1 registration
  • United Ways of Texas1 registration

On

  • Department of State Health Services1 registration
Sources

19 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
Net to General Revenue · FY 2026($382,062)

LBB estimate, flow · fiscal note version I · ( ) = negative · source

Sources

Fiscal note · version I · April 23, 2025

Estimated Two-year Net Impact to General Revenue Related Funds for HB3339, As Introduced: a negative impact of ($382,062) through the biennium ending August 31, 2027.

First year · FY 2026 · ($382,062)

Probable Net Positive/(Negative) Impact to General Revenue Related Funds

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

How this was graded

Analysis of text version H by claude-opus-5-5, Oct 22, 2026, against the published rubric.

FILED BEFORE

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

88R HB 1664

by Rep. Thierry, different lead author · Died in committee · reworked

Introduced text

Last action, Mar 7, 2023: Referred to Public Health

Relating to a study on maternal mortality and morbidity among Black women in this state.

Caption, 88R bill history

Sources

Texas House · Filed Feb 25, 2025

05/19/2025 S Received from the House

Texas Legislature Online · Introduced · House Committee Report · Engrossed

Data snapshot Nov 1, 2026 at 3:11 PM CST. Grades, charges, quotes and corrections follow the published record.

Coauthors

House committee · Public Health · Committee vote 13 aye, 0 nay · Out of committee

Subjects

Health--Other Diseases & Medical Conditions

Interim Studies

Women

PREGNANCY & CHILDBIRTH

STATE HEALTH SERVICES, DEPARTMENT OF

TEXAS MATERNAL MORTALITY AND MORBIDITY REVIEW COMMITTEE

Text

The text as introduced · 504 words

89R2825 JDK-D

By: Ward Johnson
H.B. No. 3339

A BILL TO BE ENTITLED

AN ACT

relating to a study on maternal mortality and morbidity among Black

women in this state.

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

SECTION 1. (a) In this section:

(1) "Department" means the Department of State Health

Services.

(2) "Review committee" means the Texas Maternal

Mortality and Morbidity Review Committee established under Chapter

34, Health and Safety Code.

(b) The review committee and the department shall jointly

conduct a study to evaluate maternal mortality and morbidity among

Black women in this state. In conducting the study, the review

committee and department shall:

(1) compare maternal mortality and morbidity rates

among Black women in this state to maternal mortality and morbidity

rates among each other race and ethnicity;

(2) compare maternal mortality and morbidity rates

among Black women in this state in relation to their socioeconomic

status and education level;

(3) assess the impact of social determinants of

health, including an evaluation of data on pregnancy-related

deaths, pregnancy-related complications almost resulting in death,

and morbidities, to identify any correlation in that data to women

who are uninsured, receive health care coverage under Medicaid, or

receive health care coverage through a private health benefit plan

issuer;

(4) evaluate the impact of the following health

conditions on maternal mortality and morbidity:

(A) cardiac health conditions;

(B) preeclampsia, eclampsia, and other

hypertensive disorders;

(C) hemorrhage;

(D) obesity; and

(E) stress-related health conditions; and

(5) assess the effect on maternal mortality and

morbidity among Black women of implicit biases held by health care

providers against Black individuals.

(c) Based on the results of the study conducted under this

section, the review committee and department shall develop

recommendations to address disparities in maternal mortality and

morbidity among Black women, including recommendations on:

(1) strategies to reduce the incidence of

pregnancy-related deaths and severe maternal morbidity;

(2) patient outreach and education;

(3) health care provider training, including a

recommendation on the potential benefit of training on cultural

competency and implicit biases against Black individuals;

(4) best practices identified as successful in

reducing maternal mortality and morbidity; and

(5) the implementation in this state of programs

operating in other states that have reduced maternal mortality and

morbidity rates.

(d) Not later than September 1, 2026, the review committee

and department shall prepare and submit to the governor, lieutenant

governor, speaker of the house of representatives, and appropriate

standing committees of the legislature a written report summarizing

the results of the study and including the recommendations

developed under this section. The report may be consolidated with

the biennial report required under Section 34.015, Health and

Safety Code.

SECTION 2. This Act expires December 31, 2026.

SECTION 3. 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.