HB 4435

bill ordering maternal health training for providers

Died in committee

Verdict: No flags

No flagsInitial review

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 a maternal health training program for certain health care providers.

Caption from analyzed text · version I.

Summary

Providers treating pregnant and postpartum patients must take it, by rule.

The bill orders the state health department to build a maternal health training program, with a curriculum set alongside the state maternal mortality review committee. Health care providers who treat pregnant and postpartum patients in Texas would be required by rule to take the training, and the state would write rules to monitor whether they comply. On the ground, these providers face a new mandatory training covering obstetric emergencies, TexasAIM safety practices and simulations, starting with rules adopted after September 1, 2025.

Labels

Labels: NEVER GOT A HEARING. Filed Mar 11, 2025 and referred to the House Public Health committee. No public hearing. The bill died.

Receipt

The receipt

89R-HB4435 · 2025-03-11

SOLD BY

Rep. Angelia OrrRHouse 13

ITEM

relating to a maternal health training program for certain health care providers.

WHAT IT DOES

Providers treating pregnant and postpartum patients must take it, by rule.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

Mar 11, 2025Filed
Apr 2, 2025Read first time
Apr 2, 2025Referred to Public Health

ALSO NOTED · NOT CHARGED (1)

CARVE-OUT · analysis confidence 35%

THE TEXT

…“the program established by the department in collaboration with the Alliance for Innovation on Maternal Health and the Texas Hospital Association”…

Bill text, introduced version (I)

The required curriculum must include practices from a program tied to two named private groups, which gives those groups' materials a built-in place in state-mandated training. The bill still does what its caption says, so this is a minor tag.

FILED UNDER

No verified beat found.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

Angelia Orr

Donors

Texans for Lawsuit Reform PAC$434K Texas Sands PAC$154K Dustin Burrows Campaign$136K

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 31, 2024 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.

Texans for Lawsuit Reform PAC$434,355.69

Texans for Lawsuit Reform PAC

$434,355.69

Cash: $185,000.00
Paid by others: $249,355.69
Total: $434,355.69

advertising $241,605.69polling $7,750.00

Also funds 124 other sitting lawmakers.

Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team

Sources

Derived itemized flow · Jun 23, 2025 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: 101007596, 101032794, 101035908, 101040770, 101058009, 101071193.

Texas Sands PAC$154,250.00

Texas Sands PAC

$154,250.00

Cash: $137,000.00
Paid by others: $17,250.00
Total: $154,250.00

polling $17,250.00

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 9, 2024 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: 101012337, 101032794, 101035908, 101071193.

Dustin Burrows Campaign$136,250.00

Dustin Burrows Campaign

$136,250.00

Cash: $119,000.00
Paid by others: $17,250.00
Total: $136,250.00

polling $17,250.00

Also funds 39 other sitting lawmakers.

Derived recipient stock · Sep 13, 2025 to Sep 23, 2026. State data as of Nov 4, 2026.

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

Team

Sources

Derived itemized flow · Sep 13, 2025 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: 101032794, 101040770.

Money

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

Texans for Lawsuit Reform PAC

$434,355.69

Cash: $185,000.00
Paid by others: $249,355.69
Total: $434,355.69

advertising $241,605.69polling $7,750.00

Also funds 124 other sitting lawmakers.

Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team

Sources

Derived itemized flow · Jun 23, 2025 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: 101007596, 101032794, 101035908, 101040770, 101058009, 101071193.

Texas Sands PAC

$154,250.00

Cash: $137,000.00
Paid by others: $17,250.00
Total: $154,250.00

polling $17,250.00

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 9, 2024 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: 101012337, 101032794, 101035908, 101071193.

Dustin Burrows Campaign

$136,250.00

Cash: $119,000.00
Paid by others: $17,250.00
Total: $136,250.00

polling $17,250.00

Also funds 39 other sitting lawmakers.

Derived recipient stock · Sep 13, 2025 to Sep 23, 2026. State data as of Nov 4, 2026.

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

Team

Sources

Derived itemized flow · Sep 13, 2025 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: 101032794, 101040770.

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 Mar 11, 2025

04/02/2025 H Referred to Public Health: Apr 2 2025 11:48AM

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

Companion

SB 2357 by Perry (very similar)

Subjects

Health Care Providers

Health--Other Diseases & Medical Conditions

Women

PREGNANCY & CHILDBIRTH

HEALTH & HUMAN SERVICES COMMISSION

STATE HEALTH SERVICES, DEPARTMENT OF

TEXAS MATERNAL MORTALITY AND MORBIDITY REVIEW COMMITTEE

Text

The text as introduced · 389 words

By: Orr
H.B. No. 4435

A BILL TO BE ENTITLED

AN ACT

relating to a maternal health training program for certain health

care providers.

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

SECTION 1. Subtitle B, Title 2, Health and Safety Code, is

amended by adding Chapter 34A to read as follows:

CHAPTER 34A. MATERNAL HEALTH TRAINING PROGRAM FOR HEALTH CARE

PROVIDERS

Sec. 34A.001. DEFINITIONS. In this chapter:

(1) "Health care provider" and "maternal morbidity"

have the meanings assigned by Section 34.001.

(2) "Review committee" means the Texas Maternal

Mortality and Morbidity Review Committee established under Chapter

34.

(3) "TexasAIM" means the program established by the

department in collaboration with the Alliance for Innovation on

Maternal Health and the Texas Hospital Association to assist health

care providers with implementing maternal safety projects and

decreasing incidents of preventable maternal death and severe

maternal morbidity by applying best practices for maternal safety

and improving maternal health care.

(4) "Training program" means the maternal health

training program established under Section 34A.002.

Sec. 34A.002. MATERNAL HEALTH TRAINING PROGRAM. (a) The

department shall develop and implement a training program for

health care providers providing health care services to maternal

patients in this state.

(b) The training program must ensure health care providers

providing health care services to maternal patients are equipped to

deliver consistent, superior health care services.

(c) The department shall collaborate with the review

committee to establish the training program curriculum. The

training program curriculum must include:

(1) evidence-based protocols for obstetric

emergencies;

(2) TexasAIM maternal safety best practices for

specific maternal and postpartum conditions;

(3) maternal safety simulations; and

(4) other information the review committee recommends

regarding best practices for reducing maternal mortality and

morbidity rates.

(d) The executive commissioner by rule shall require health

care providers providing health care services to maternal patients

to participate in the training program.

Sec. 34A.003. RULES. The executive commissioner shall

adopt rules as necessary to establish and implement the training

program under this chapter, including rules regarding monitoring

health care provider compliance.

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 the rules required by Chapter 34A,

Health and Safety Code, as added by this Act.

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