Monitoring the Session

SB 1388

Kolkhorst Bill Bars Hospitals, Unless They Signed Before September 2023

Became law, effective Sep 1, 2025

Verdict: Smells

SmellsNeeds review
Sen. Lois KolkhorstRSenate 18
Both charges, and why
The hole

THE TEXT

“Subsections (d)(2) and (3) do not apply to:”

Bill text, House committee report version (H)

The pitch says groups focused mainly on medical or mental health care are ineligible. This clause lets hospitals and medical providers that contracted before September 1, 2023, and their subcontractors, keep getting funds.

The hole
Dragnet

THE CAPTION

“relating to family support services provided under a Health and”…

Caption, House committee report version (H)

THE TEXT

…“education relating to abortion or abortion-related services; or”…

Bill text, House committee report version (H)

The definition of abortion services provider covers anyone who gives information or education about abortion. That is broader than the pitch's target of entities that promote abortion, and it can disqualify grantees who have even loose ties to such a person.

Dragnet

Needs review · 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 family support services provided under a Health and Human Services Commission program.

Caption from analyzed text · version H.

Summary

Loose ties to anyone offering abortion “education” can also disqualify a grantee.

This bill tightens the rules for the state's Thriving Texas Families program, which pays outside groups to provide pregnancy, parenting and adoption support as an alternative to abortion. It touches the nonprofits and network contractors that get program money, and it bars any group tied to an abortion services provider, along with government bodies, hospitals and mainly medical or mental health providers. Groups must now certify each year that they uphold the program's mission, the program adds help finding stable housing, and contractors from before September 1, 2023 keep their eligibility even if they are hospitals or medical providers.

Receipt

The receipt

89R-SB1388 · 2025-02-19

SOLD BY

+ 6 coauthors

ITEM

relating to family support services provided under a Health and Human Services Commission program.

WHAT IT DOES

Loose ties to anyone offering abortion “education” can also disqualify a grantee.

This bill tightens the rules for the state's Thriving Texas Families program, which pays outside groups to provide pregnancy, parenting and adoption support as an alternative to abortion. It touches the nonprofits and network contractors that get program money, and it bars any group tied to an abortion services provider, along with government bodies, hospitals and mainly medical or mental health providers. Groups must now certify each year that they uphold the program's mission, the program adds help finding stable housing, and contractors from before September 1, 2023 keep their eligibility even if they are hospitals or medical providers.

CHARGES

[x] THE HOLEanalysis confidence 45%

THE TEXT

“Subsections (d)(2) and (3) do not apply to:”

Bill text, House committee report version (H)

The pitch says groups focused mainly on medical or mental health care are ineligible. This clause lets hospitals and medical providers that contracted before September 1, 2023, and their subcontractors, keep getting funds.

[x] DRAGNETanalysis confidence 35%

THE CAPTION

“relating to family support services provided under a Health and”…

Caption, House committee report version (H)

THE TEXT

…“education relating to abortion or abortion-related services; or”…

Bill text, House committee report version (H)

The definition of abortion services provider covers anyone who gives information or education about abortion. That is broader than the pitch's target of entities that promote abortion, and it can disqualify grantees who have even loose ties to such a person.

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version F · source

Sources

Fiscal note · version F · May 21, 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. Received by the Secretary of the Senate
  2. Filed
  3. Read first time
  4. Referred to Health & Human Services
  5. Co-author authorized
  6. Scheduled for public hearing on . . .
  7. Considered in public hearing
  8. Testimony taken in committee
  9. Left pending in committee
  10. Considered in public hearing
  11. Vote taken in committee
  12. Reported favorably as substituted
  13. Committee report printed and distributed
  14. Co-author authorized
  15. Placed on intent calendar
  16. Co-author authorized
  17. Rules suspended-Regular order of business
  18. Record vote
  19. Read 2nd time & passed to engrossment
  20. Record vote
  21. Three day rule suspended
  22. Record vote
  23. Read 3rd time
  24. Passed
  25. Record vote
  26. Reported engrossed
  27. Received from the Senate
  28. Read first time
  29. Referred to Public Health
  30. Scheduled for public hearing on . . .
  31. Considered in public hearing
  32. Testimony taken/registration(s) recorded in committee
  33. Left pending in committee
  34. Considered in formal meeting
  35. Reported favorably w/o amendment(s)
  36. Comte report filed with Committee Coordinator
  37. Committee report distributed
  38. Committee report sent to Calendars
  39. Considered in Calendars
  40. Placed on General State Calendar
  41. Read 2nd time
  42. Amended 1-Frank
  43. Passed to 3rd reading as amended
  44. Record vote RV#2967
  45. Statement(s) of vote recorded in Journal
  46. Read 3rd time
  47. Amendment fails of adoption 1-Capriglione
  48. Record vote RV#3037
  49. Passed
  50. Record vote RV#3038
  51. Statement(s) of vote recorded in Journal
  52. House passage as amended reported
  53. House amendment(s) laid before the Senate
  54. Read
  55. Senate concurs in House amendment(s)
  56. Record vote
  57. Senate concurs in House amendment(s)-reported
  58. Reported enrolled
  59. Signed in the Senate
  60. Signed in the House
  61. Sent to the Governor
  62. Signed by the Governor
  63. Effective on 9/1/25
FILED UNDER

TAXPAYER-FUNDED NGOS

THE TEXT

…“contract with providers who have a history of working with the commission”…

Bill text, House committee report version (H)

The bill keeps routing state program money through private contractors and nonprofit service providers, and it favors groups that already hold contracts.

SIGNED FOR BY

House · 95 yea · 48 nay

Senate · 25 yea · 6 nay

Sources

House: Final passage · May 20, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

Senate: Final passage · Apr 2, 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 11, 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.

Texans for Lawsuit Reform PAC$60,000.00

Texans for Lawsuit Reform PAC

$60,000.00

Cash
$60,000.00
Paid by others
$0.00
Total
$60,000.00

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.

Team
Sources

Derived itemized flow · Nov 19, 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.

Report IDs: 101007416, 101012417, 101070754.

Border Health PAC$35,000.00

Border Health PAC

$35,000.00

Cash
$35,000.00
Paid by others
$0.00
Total
$35,000.00

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 6, 2024. 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: 101012417.

SRR Ranches, LLC$30,000.00

SRR Ranches, LLC

$30,000.00

Cash
$30,000.00
Paid by others
$0.00
Total
$30,000.00

Also funds 3 other sitting lawmakers.

Derived recipient stock · Oct 23, 2024 to Oct 8, 2026. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · Oct 23, 2024 to Oct 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: 101012417, 101070754.

Money

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

×

Texans for Lawsuit Reform PAC

$60,000.00

Cash
$60,000.00
Paid by others
$0.00
Total
$60,000.00

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.

Team
Sources

Derived itemized flow · Nov 19, 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.

Report IDs: 101007416, 101012417, 101070754.

×

Border Health PAC

$35,000.00

Cash
$35,000.00
Paid by others
$0.00
Total
$35,000.00

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 6, 2024. 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: 101012417.

×

SRR Ranches, LLC

$30,000.00

Cash
$30,000.00
Paid by others
$0.00
Total
$30,000.00

Also funds 3 other sitting lawmakers.

Derived recipient stock · Oct 23, 2024 to Oct 8, 2026. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · Oct 23, 2024 to Oct 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: 101012417, 101070754.

Votes8

Senate May 22, 2025

Yea
25
Nay
6
Present, not voting
Not printed
Absent
0
Excused
0
Names

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

Senate journal

Sources

Senator Kolkhorst moved to concur in the House amendment to SB 1388. The motion prevailed by the following vote: Yeas 25, Nays 6.

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

  • Yea: 25 (published)
  • Nay: 6 (published)
  • Present, not voting: Not printed
  • Absent: 0 (derived from named list)
  • Excused: 0 (derived from named list)

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

House May 20, 2025

Yea
95
Nay
48
Present, not voting
2
Absent
4
Excused
1
Names

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

House journal

Sources

Record 3038

SB 1388 was passed by (Record 3038): 95 Yeas, 48 Nays, 2 Present, not voting.

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

  • Yea: 95 (published)
  • Nay: 48 (published)
  • Present, not voting: 2 (published)
  • Absent: 4 (derived from named list)
  • Excused: 1 (derived from named list)

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

House May 20, 2025

Yea
89
Nay
52
Present, not voting
2
Absent
6
Excused
1
Names

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

House journal

Sources

Record 3037

Amendment No. 1 failed of adoption (not receiving the necessary two-thirds vote) by (Record 3037): 89 Yeas, 52 Nays, 2 Present, not voting.

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

  • Yea: 89 (published)
  • Nay: 52 (published)
  • Present, not voting: 2 (published)
  • Absent: 6 (derived from named list)
  • Excused: 1 (derived from named list)

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

House May 19, 2025

Yea
90
Nay
49
Present, not voting
2
Absent
5
Excused
4
Names

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

House journal

Sources

Record 2967

SB 1388, as amended, was passed to third reading by (Record 2967): 90 Yeas, 49 Nays, 2 Present, not voting.

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

  • Yea: 90 (published)
  • Nay: 49 (published)
  • Present, not voting: 2 (published)
  • Absent: 5 (derived from named list)
  • Excused: 4 (derived from named list)

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

Senate Apr 2, 2025

Yea
25
Nay
6
Present, not voting
Not printed
Absent
0
Excused
0
Names

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

Senate journal

Sources

The bill was read third time and was passed by the following vote: Yeas 25, Nays 6. (Same as previous roll call)

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

  • Yea: 25 (published)
  • Nay: 6 (published)
  • Present, not voting: Not printed
  • Absent: 0 (derived from named list)
  • Excused: 0 (derived from named list)

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

Senate Apr 2, 2025

Yea
25
Nay
6
Present, not voting
Not printed
Absent
0
Excused
0
Names

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

Senate journal

Sources

Senator Kolkhorst moved that Senate Rule 7.18 and the Constitutional Rule requiring bills to be read on three several days be suspended and that CSSB 1388 be placed on its third reading and final passage. The motion prevailed by the following vote: Yeas 25, Nays 6.

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

  • Yea: 25 (published)
  • Nay: 6 (published)
  • Present, not voting: Not printed
  • Absent: 0 (derived from named list)
  • Excused: 0 (derived from named list)

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

Senate Apr 2, 2025

Yea
25
Nay
6
Present, not voting
Not printed
Absent
0
Excused
0
Names

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

Senate journal

Sources

The bill was read second time and was passed to engrossment by the following vote: Yeas 25, Nays 6. (Same as previous roll call)

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

  • Yea: 25 (published)
  • Nay: 6 (published)
  • Present, not voting: Not printed
  • Absent: 0 (derived from named list)
  • Excused: 0 (derived from named list)

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

Senate Apr 2, 2025

Yea
25
Nay
6
Present, not voting
Not printed
Absent
0
Excused
0
Names

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

Senate journal

Sources

Senator Kolkhorst moved to suspend the regular order of business to take up for consideration CSSB 1388 at this time on its second reading: CSSB 1388, Relating to family support services provided under a Health and Human Services Commission program. The motion prevailed by the following vote: Yeas 25, Nays 6.

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

  • Yea: 25 (published)
  • Nay: 6 (published)
  • Present, not voting: Not printed
  • Absent: 0 (derived from named list)
  • Excused: 0 (derived from named list)

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

Witnesses31
For
26
Against
2
On
3
Names

For

  • Baptist General Convention of Texas Christian Life Commission2 registrations
  • Brenham & Bryan Pregnancy Center1 registration
  • Brenham Pregnancy Center & Bryan Pregnancy Center1 registration
  • Chosen Ones1 registration
  • Guiding Star Southwest & The Lily Pad Maternity Home1 registration
  • JPII Life Center1 registration
  • National Association of Social Workers- Texas Chapter1 registration
  • Paris Pregnancy Care Center1 registration
  • Self; FifthWard Pregnancy Help Center1 registration
  • Self; Human Coalition1 registration
  • Self; Pregnancy Assistance Center North1 registration
  • Self; Texans for Life1 registration
  • Self; Texas Pregnancy Network1 registration
  • Self; Texas Right to Life1 registration
  • Texas Alliance for Life3 registrations
  • Texas alliance for Life1 registration
  • Texas Catholic Conference of Bishops1 registration
  • Texas Right To Life1 registration
  • Texas Right to Life2 registrations
  • Texas Values1 registration
  • The Texas Catholic Conference of Bishops1 registration
  • United Ways of Texas1 registration

Against

  • Self; Paris Pregnancy Care Center1 registration
  • Self; Texas Pregnancy Network1 registration

On

  • Dept of Family and Protective Services1 registration
  • Health and Human Services Commission2 registrations
Sources

31 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.

Senate witness list. Source snapshot 2026-10-20, Central time.

Fiscal

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version F · source

Sources

Fiscal note · version F · May 21, 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.

Sources

Texas Senate · Filed Feb 19, 2025

06/20/2025 E Effective on 9/1/25

Texas Legislature Online · Introduced · Senate Committee Report · Engrossed · House Committee Report · Enrolled

Data snapshot Nov 1, 2026 at 2:08 PM CST. Grades, charges, quotes and corrections follow the published record.

Coauthors
Sponsors
Cosponsors

House committee · Public Health · Committee vote 8 aye, 1 nay, 4 absent · Out of committee

Senate committee · Health & Human Services · Committee vote 7 aye, 2 nay · Out of committee

Companion

HB 5285 by Frank (identical)

Subjects

Abortion

Business & Commerce--Copyright, Patents, & Trademarks

Family--Parent & Child

Health Care Providers

Housing--General

Political Subdivisions

State Agencies, Boards & Commissions

ADOPTION

MEDICINE & PRESCRIPTION DRUGS

PREGNANCY & CHILDBIRTH

HEALTH & HUMAN SERVICES COMMISSION

Text

The text as introduced · 1,126 words

89R9806 KRM-D

By: Kolkhorst
S.B. No. 1388

A BILL TO BE ENTITLED

AN ACT

relating to family support services provided under a Health and

Human Services Commission program.

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

SECTION 1. Section 54.001, Health and Safety Code, as added

by Chapter 1033 (S.B. 24), Acts of the 88th Legislature, Regular

Session, 2023, is amended by amending Subdivision (2) and adding

Subdivisions (3), (4), (5), and (6) to read as follows:

(2) "Abortion services provider" means a person who

provides abortion-related services, including:

(A) an abortion provider;

(B) a person who provides or refers an individual

for abortion-inducing drugs;

(C) a person who facilitates or funds travel to

receive an abortion or abortion-related services;

(D) a person who provides information or

education relating to abortion or abortion-related services; or

(E) a person who conducts any other activity

related to providing, recommending, or advocating for

abortion-related services.

(3) "Affiliate" means a person who enters into with

another person a legal relationship created or governed by at least

one written instrument, including a certificate of formation, a

franchise agreement, standards of affiliation, bylaws, or a

license, that demonstrates:

(A) common ownership, management, or control

between the parties to the relationship;

(B) a franchise granted by the person to the

affiliate; or

(C) the granting or extension of a license or

other agreement authorizing the affiliate to use the other person's

brand name, trademark, service mark, or other registered

identification mark.

(4) "Governmental entity" means this state or a state

agency or political subdivision of this state, including a court,

municipality, or county.

(5) "Network contractor" means a person who contracts

with the commission to provide or coordinate the provision of

services under this chapter.

(6) "Program" means the Thriving Texas Families

Program established under this chapter.

SECTION 2. Section 54.002, Health and Safety Code, as added

by Chapter 1033 (S.B. 24), Acts of the 88th Legislature, Regular

Session, 2023, is amended by amending Subsections (a) and (d) and

adding Subsection (f) to read as follows:

(a) The commission shall establish the Thriving Texas

Families Program as a continuation of the alternatives to abortion

program to facilitate the operation of a statewide support network

that provides :

(1) community outreach, consultation, and care

coordination for women with an unexpected pregnancy ; and

(2) an alternative to abortion through life-affirming

pregnancy, adoption, and parenting and family support services .

(d) In developing the statewide network of service

providers, the commission shall :

(1) [ , ] to the extent practicable, contract with

providers who have a history of working with the commission in

programs similar to the program created by this chapter ; and

(2) ensure that service providers are not associated

with an abortion services provider and do not provide, refer

patients to, advocate for, or promote abortion services by

verifying the provider:

(A) remains a legally separate entity from any

abortion services provider and does not enter into any legal

relationship with any abortion services provider;

(B) does not contract with or transfer any money,

through gift or payment, to an abortion services provider or

affiliate;

(C) does not share any employees or members of

its governing body with an abortion services provider or affiliate;

(D) does not recommend abortion as an option for

a client; and

(E) does not display or use the names or

trademarks of an abortion services provider in describing or naming

the provider under this program .

(f) Each network contractor and service provider shall

annually certify in writing to the commission that the network

contractor or service provider:

(1) upholds the life-affirming mission of the program;

and

(2) is not involved in activities contradicting the

program's objectives.

SECTION 3. Sections 54.003(b) and (e), Health and Safety

Code, as added by Chapter 1033 (S.B. 24), Acts of the 88th

Legislature, Regular Session, 2023, are amended to read as follows:

(b) Services provided through the program include:

(1) counseling and mentoring on pregnancy, education,

parenting skills, adoption services, life skills, and employment

readiness topics;

(2) care coordination for prenatal, perinatal, and

postnatal services, including connecting participants to health

services;

(3) educational materials and information about

pregnancy, parenting, and adoption services;

(4) referrals to governmental and social service

programs, including child care, transportation, housing, and state

and federal benefit programs;

(5) classes on life skills, personal finance,

parenthood, stress management, job training, job readiness, job

placement, and educational attainment;

(6) provision of supplies for infant care and

pregnancy, including car seats, cribs, maternity clothes, infant

diapers, and formula; [ and ]

(7) housing services ; and

(8) assistance in identifying and applying for stable

housing services other than housing provided as authorized by

Subsection (d) .

(e) The commission or network contractors may not provide

family planning or any abortion-related services through the

network.

SECTION 4. Section 54.006(b), Health and Safety Code, as

added by Chapter 1033 (S.B. 24), Acts of the 88th Legislature,

Regular Session, 2023, is amended to read as follows:

(b) The commission shall seek comments from network

providers in identifying [ identify ] indicators to measure the

performance outcomes under Subsection (a) and require periodic

reporting on the outcomes by network contractors and participating

service providers.

SECTION 5. Section 54.011, Health and Safety Code, as added

by Chapter 1033 (S.B. 24), Acts of the 88th Legislature, Regular

Session, 2023, is amended by amending Subsection (b) and adding

Subsections (d) and (e) to read as follows:

(b) The commission or a service provider may not:

(1) use funding provided through the program to

perform, induce, assist, or refer an abortion; or

(2) grant funds to an abortion provider , [ or ] an

affiliate of an abortion provider , or an abortion services

provider .

(d) An organization is not eligible for funding under this

chapter if the organization:

(1) is a governmental entity or quasi-governmental

entity;

(2) is a hospital or hospital district;

(3) primarily functions as a medical, behavioral

health, or mental health provider;

(4) shares any employees or members of its governing

body with an abortion services provider; or

(5) is affiliated with, collaborates, or has a

relationship with an organization that shares any employees or

members of its governing body with an abortion services provider.

(e) Subsection (d) does not apply to:

(1) an organization that contracted with the

commission before September 1, 2023; or

(2) an organization with a history of contracting

through the program and of providing alternatives to abortion.

SECTION 6. As soon as practicable after the effective date

of this Act, the executive commissioner of the Health and Human

Services Commission shall adopt rules as necessary to implement the

changes in law made by this Act.

SECTION 7. This Act takes effect September 1, 2025.