Monitoring the Session

HB 514

outreach campaign for more maternal health workers

Did not pass

Verdict: No flags

No flagsInitial review
Rep. Suleman LalaniDHouse 76

Initial review · graded Oct 22, 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 care workforce campaign.

Caption from analyzed text · version H.

Summary

Doulas included. Funding: money the department already has.

The bill orders the state health department to create and run a public outreach campaign to grow the number of maternal health workers in Texas, using money it already has. It covers licensed or certified maternal care workers, including doulas and nonmedical birth support workers, and aims at rural and shortage areas plus racial and ethnic minority recruitment and services. On the ground, the department must write rules and launch a campaign promoting continuing education, training programs and added capacity, starting September 1, 2025.

Labels

Labels: ZOMBIE BILL. Died 2 times: 88R HB 3626 (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 3626 (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 6, 2025. Died in the Senate: received, never referred to a committee.

Receipt

The receipt

89R-HB514 · 2024-11-12

SOLD BY

Rep. Suleman LalaniDHouse 76 Rep. Mihaela PlesaDHouse 70 Rep. Lauren Ashley SimmonsDHouse 146

+ 1 more author, 1 coauthor

ITEM

relating to a maternal health care workforce campaign.

WHAT IT DOES

Doulas included. Funding: money the department already has.

The bill orders the state health department to create and run a public outreach campaign to grow the number of maternal health workers in Texas, using money it already has. It covers licensed or certified maternal care workers, including doulas and nonmedical birth support workers, and aims at rural and shortage areas plus racial and ethnic minority recruitment and services. On the ground, the department must write rules and launch a campaign promoting continuing education, training programs and added capacity, starting September 1, 2025.

CHARGES

[ ] NONE FOUND

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version I · source

Sources

Fiscal note · version I · March 31, 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. 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#1393
  19. Statement(s) of vote recorded in Journal
  20. Read 3rd time
  21. Passed
  22. Record vote RV#1447
  23. Statement(s) of vote recorded in Journal
  24. Reported engrossed
  25. Received from the House
FILED UNDER

DEI BY ANOTHER NAME

THE TEXT

“increase the number in the maternal health care workforce of health care professionals who are members of racial or ethnic minority groups”

Bill text, House committee report version (H)

The campaign must be designed to recruit workers by race or ethnicity and to target services to minority groups, inside a bill captioned only as a workforce campaign.

SIGNED FOR BY

House · 85 yea · 57 nay

Sources

House: Final passage · May 6, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

All floor motions and other positions below.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Suleman Lalani

Donors

Texas Trial Lawyers Association PAC$38KTexas House Democratic Campaign Committee$12KTSA PAC$10K

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 28, 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$37,500.00

Texas Trial Lawyers Association PAC

$37,500.00

Cash
$37,500.00
Paid by others
$0.00
Total
$37,500.00

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 · Dec 10, 2024 to Aug 31, 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: 100987680, 101007262, 101030846, 101036309, 101069420.

Texas House Democratic Campaign Committee$11,569.08

Texas House Democratic Campaign Committee

$11,569.08

Cash
$7,000.00
Paid by others
$4,569.08
Total
$11,569.08
Other filed descriptions $4,569.08

Also funds 9 other sitting lawmakers.

Derived recipient stock · Oct 15, 2024 to Oct 15, 2026. State data as of Nov 4, 2026.

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

Team
Sources

Derived itemized flow · Feb 3, 2026 to Jun 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: 101040256, 101061992.

TSA PAC$10,000.00

TSA PAC

$10,000.00

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

Also funds 15 other sitting lawmakers.

Derived recipient stock · Oct 1, 2024 to Oct 10, 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 23, 2025 to Oct 10, 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: 101030846, 101072241.

Money

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

×

Texas Trial Lawyers Association PAC

$37,500.00

Cash
$37,500.00
Paid by others
$0.00
Total
$37,500.00

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 · Dec 10, 2024 to Aug 31, 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: 100987680, 101007262, 101030846, 101036309, 101069420.

×

Texas House Democratic Campaign Committee

$11,569.08

Cash
$7,000.00
Paid by others
$4,569.08
Total
$11,569.08
Other filed descriptions $4,569.08

Also funds 9 other sitting lawmakers.

Derived recipient stock · Oct 15, 2024 to Oct 15, 2026. State data as of Nov 4, 2026.

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

Team
Sources

Derived itemized flow · Feb 3, 2026 to Jun 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: 101040256, 101061992.

×

TSA PAC

$10,000.00

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

Also funds 15 other sitting lawmakers.

Derived recipient stock · Oct 1, 2024 to Oct 10, 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 23, 2025 to Oct 10, 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: 101030846, 101072241.

Votes2

House May 6, 2025

Yea
85
Nay
57
Present, not voting
1
Absent
7
Excused
0
Names

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

House journal

Sources

Record 1447

HB 514 was passed by (Record 1447): 85 Yeas, 57 Nays, 1 Present, not voting.

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

  • Yea: 85 (published)
  • Nay: 57 (published)
  • Present, not voting: 1 (published)
  • Absent: 7 (derived from named list)
  • Excused: 0 (derived from named list)

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

House May 5, 2025

Yea
87
Nay
52
Present, not voting
2
Absent
6
Excused
3
Names

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

House journal

Sources

Record 1393

HB 514 was passed to engrossment by (Record 1393): 87 Yeas, 52 Nays, 2 Present, not voting.

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

  • Yea: 87 (published)
  • Nay: 52 (published)
  • Present, not voting: 2 (published)
  • Absent: 6 (derived from named list)
  • Excused: 3 (derived from named list)

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

Witnesses21
For
20
Against
0
On
1
Names

For

  • Methodist Healthcare Ministries1 registration
  • NAMI Texas1 registration
  • National Association of Social Workers TX1 registration
  • Self1 registration
  • Self; Black mamas village1 registration
  • Self; Healing hHands Community Birthing Project and Texas Doula Assoc., Maternal Health Equity Collaborative1 registration
  • Self; Texas Doula Association, GALS, Maternal Health Equity Collaborative1 registration
  • Teaching Hospitals of Texas1 registration
  • Texans Care for Children1 registration
  • Texas Association of Business1 registration
  • Texas Chapter American College of Physicians1 registration
  • Texas Civil Rights Project1 registration
  • Texas Health Resources1 registration
  • Texas Hospital Association1 registration
  • Texas Impact1 registration
  • Texas Medical Association1 registration
  • Texas Pediatric Society1 registration
  • Texas Women's Healthcare Coalition1 registration
  • The Texas Catholic Conference of Bishops1 registration
  • United Ways of Texas1 registration

On

  • Department of State Health Services1 registration
Sources

21 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 I · source

Sources

Fiscal note · version I · March 31, 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 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 3626

by Rep. Lalani, same lead author · Died in committee · reworked

Introduced text

Last action, Mar 16, 2023: Referred to Health Care Reform, Select

Relating to a maternal health care workforce campaign.

Caption, 88R bill history

Sources

Texas House · Filed Nov 12, 2024

05/07/2025 S Received from the House

Texas Legislature Online · Introduced · House Committee Report · Engrossed

Data snapshot Oct 26, 2026 at 4:19 AM CDT. Grades, charges, quotes and corrections follow the published record.

Coauthors
Lulu FloresDHouse 51

House committee · Public Health · Committee vote 9 aye, 2 nay, 2 absent · Out of committee

Subjects

Health Care Providers

Health--Rural

Women

PREGNANCY & CHILDBIRTH

HEALTH & HUMAN SERVICES COMMISSION

STATE HEALTH SERVICES, DEPARTMENT OF

Text

The text as introduced · 373 words

89R2863 JDK-D

By: Lalani
H.B. No. 514

A BILL TO BE ENTITLED

AN ACT

relating to a maternal health care workforce campaign.

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

SECTION 1. Subchapter A, Chapter 32, Health and Safety

Code, is amended by adding Section 32.022 to read as follows:

Sec. 32.022. MATERNAL HEALTH CARE WORKFORCE CAMPAIGN. (a)

In this section, "maternal health care professional" means a

professional who is certified or licensed in this state to provide

maternal health care, including a doula and an individual who

provides nonmedical support during pregnancy, labor, delivery, and

the postpartum period.

(b) Using available resources, the department shall develop

and implement a public outreach campaign to increase the number of

maternal health care professionals in this state's health care

workforce to improve access to maternal health care in rural areas

of this state and other areas with a shortage of maternal health

care professionals. The department shall design the campaign to:

(1) prioritize continuing education for maternal

health care professionals;

(2) facilitate the implementation of training

programs to:

(A) provide trauma-informed care training for

all maternal health care professionals;

(B) increase the number of maternal health care

professionals in rural areas of this state and other areas with a

shortage of maternal health care professionals; and

(C) increase the number in the maternal health

care workforce of health care professionals who are members of

racial or ethnic minority groups;

(3) increase the overall capacity of the maternal

health care workforce in this state, including by investing in

equipment and locations to provide maternal health care; and

(4) facilitate the implementation of maternal health

care programs to improve access to maternal health care and provide

services to women of underserved racial or ethnic minority groups.

(c) The executive commissioner shall adopt rules necessary

to implement this section.

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 and the Department of

State Health Services shall develop and implement the maternal

health care workforce campaign required by Section 32.022, Health

and Safety Code, as added by this Act.

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