HB 4593
Troxclair’s bill requiring in-person exams for abortion-inducing drugs
Died in committee
Verdict: No flags
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 provision of an abortion-inducing drug.
Caption from analyzed text · version I.
Summary
The physician must be in Texas and examine her in person.
The bill bars a physician from giving a pregnant woman an abortion-inducing drug unless the physician is physically in Texas and examines her in person at the time the drug is provided. It also removes the out-of-state consultation exceptions to Texas's medical license rules when the consultation is the provision of an abortion-inducing drug. Out-of-state doctors and remote prescribers can no longer rely on consultation exceptions or remote visits to provide these drugs to Texas patients starting September 1, 2025.
Labels
Labels: NEVER GOT A HEARING. Filed Mar 12, 2025 and referred to the House Public Health committee. No public hearing. The bill died.
Receipt
The receipt
89R-HB4593 · 2025-03-12
SOLD BY
ITEM
relating to the provision of an abortion-inducing drug.
WHAT IT DOES
The physician must be in Texas and examine her in person.
The bill bars a physician from giving a pregnant woman an abortion-inducing drug unless the physician is physically in Texas and examines her in person at the time the drug is provided. It also removes the out-of-state consultation exceptions to Texas's medical license rules when the consultation is the provision of an abortion-inducing drug. Out-of-state doctors and remote prescribers can no longer rely on consultation exceptions or remote visits to provide these drugs to Texas patients starting September 1, 2025.
CHARGES
[ ] NONE FOUND
TOTAL
No fiscal note in the loaded record.
HISTORY
- Filed
- Read first time
- Referred to Public Health
FILED UNDER
No verified beat found.
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 29, 2024 to Oct 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.
Texans for Lawsuit Reform PAC$100,000.00
Texans for Lawsuit Reform PAC
$100,000.00
- Cash
- $100,000.00
- Paid by others
- $0.00
- Total
- $100,000.00
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.
TeamSources
Derived itemized flow · Jul 14, 2025 to Feb 3, 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: 101031227, 101040659.
Texans for Lawsuit Reform PC$10,000.00
Texans for Lawsuit Reform PC
$10,000.00
- Cash
- $10,000.00
- Paid by others
- $0.00
- Total
- $10,000.00
Also funds 0 other sitting lawmakers.
Derived recipient stock · on Oct 2, 2026. State data as of Nov 4, 2026.
Name match, not a verified identity: normalized filed name and state.
Sources
Derived itemized flow · on Oct 2, 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: 101072162.
Texas REALTORS Political Action Committee$5,083.34
Texas REALTORS Political Action Committee
$5,083.34
- Cash
- $5,000.00
- Paid by others
- $83.34
- Total
- $5,083.34
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.
TeamSources
Derived itemized flow · Dec 12, 2024 to Sep 25, 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: 100982032, 101031227, 101072162.
Missing data does not establish zero giving. Display amounts are rounded.
Texans for Lawsuit Reform PAC
$100,000.00
- Cash
- $100,000.00
- Paid by others
- $0.00
- Total
- $100,000.00
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.
TeamSources
Derived itemized flow · Jul 14, 2025 to Feb 3, 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: 101031227, 101040659.
Texans for Lawsuit Reform PC
$10,000.00
- Cash
- $10,000.00
- Paid by others
- $0.00
- Total
- $10,000.00
Also funds 0 other sitting lawmakers.
Derived recipient stock · on Oct 2, 2026. State data as of Nov 4, 2026.
Name match, not a verified identity: normalized filed name and state.
Sources
Derived itemized flow · on Oct 2, 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: 101072162.
Texas REALTORS Political Action Committee
$5,083.34
- Cash
- $5,000.00
- Paid by others
- $83.34
- Total
- $5,083.34
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.
TeamSources
Derived itemized flow · Dec 12, 2024 to Sep 25, 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: 100982032, 101031227, 101072162.
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 12, 2025
04/03/2025 H Referred to Public Health: Apr 3 2025 12:38PM
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 2625 by Campbell (similar)
Subjects
Abortion
Health Care Providers
Health--General
Occupational Regulation--Health Occupations
MEDICINE & PRESCRIPTION DRUGS
PREGNANCY & CHILDBIRTH
Text
The text as introduced · 313 words
89R13771 MPF-F By: Troxclair H.B. No. 4593 A BILL TO BE ENTITLED AN ACT relating to the provision of an abortion-inducing drug. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 171.063, Health and Safety Code, is amended by adding Subsection (b) to read as follows: (b) A physician may not provide to a pregnant woman an abortion-inducing drug unless the physician is physically present in this state and examines the woman in person at the time the physician provides the drug to the woman. SECTION 2. Section 151.056, Occupations Code, is amended by amending Subsection (b) and adding Subsection (b-1) to read as follows: (b) Except as provided by Subsection (b-1), this [ This ] section does not apply to the act of: (1) a medical specialist located in another jurisdiction who provides only episodic consultation services on request to a physician licensed in this state who practices in the same medical specialty; (2) a physician located in another jurisdiction who is providing consultation services to a medical school as defined by Section 61.501, Education Code; (3) a physician located in another jurisdiction who is providing consultation services to an institution subject to: (A) Subchapter C, Chapter 73, Education Code; or (B) Subchapter K, Chapter 74, Education Code; or (4) a physician located in another jurisdiction of a state having borders contiguous with the borders of this state who is the treating physician of a patient and orders home health or hospice services for a resident of this state to be delivered by a home and community support services agency licensed in this state. (b-1) This section applies to a consultation service described by Subsection (b)(1), (2), or (3) if the service is the provision of an abortion-inducing drug, as defined by Section 171.061, Health and Safety Code. SECTION 3. This Act takes effect September 1, 2025.