Monitoring the Session

SB 2256

bill rewriting the definition of ectopic pregnancy

Died in committee

Verdict: No flags

No flagsInitial review
Sen. Molly CookDSenate 15

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 definition of ectopic pregnancy.

Caption from analyzed text · version I.

Summary

Covers any implantation outside the main uterine cavity’s healthy lining.

This bill rewrites the state health code's definition of ectopic pregnancy in the abortion-facility chapter so that it covers any implantation outside the healthy lining of the main uterine cavity. That includes implantation outside the uterus, certain nonviable sites inside the uterus such as cervical, cornual, heterotopic, or intramyometrial sites, and implantation in a scarred part of the uterus, which touches physicians and pregnant women. It also changes a pre-abortion-drug checklist so doctors record the pregnancy's location generally, not just its intrauterine location, when checking for an ectopic pregnancy, with the changes taking effect immediately or September 1, 2025.

Labels

Labels: NEVER GOT A HEARING. Filed Mar 11, 2025 and referred to the Senate State Affairs committee. No public hearing. The bill died.

Receipt

The receipt

89R-SB2256 · 2025-03-11

SOLD BY

ITEM

relating to the definition of ectopic pregnancy.

WHAT IT DOES

Covers any implantation outside the main uterine cavity’s healthy lining.

This bill rewrites the state health code's definition of ectopic pregnancy in the abortion-facility chapter so that it covers any implantation outside the healthy lining of the main uterine cavity. That includes implantation outside the uterus, certain nonviable sites inside the uterus such as cervical, cornual, heterotopic, or intramyometrial sites, and implantation in a scarred part of the uterus, which touches physicians and pregnant women. It also changes a pre-abortion-drug checklist so doctors record the pregnancy's location generally, not just its intrauterine location, when checking for an ectopic pregnancy, with the changes taking effect immediately or September 1, 2025.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Received by the Secretary of the Senate
  2. Filed
  3. Read first time
  4. Referred to State Affairs
FILED UNDER

No verified beat found.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Donors

Texas Trial Lawyers Association PAC$15KGregory Stocks$10,000Amber Alonso$6,500

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 27, 2024 to Jun 30, 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$15,000.00

Texas Trial Lawyers Association PAC

$15,000.00

Cash
$15,000.00
Paid by others
$0.00
Total
$15,000.00

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 13, 2024 to Jun 5, 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: 100987960, 101029944, 101057026.

Gregory Stocks$10,000.00
Amber Alonso$6,500.00
Money

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

×

Texas Trial Lawyers Association PAC

$15,000.00

Cash
$15,000.00
Paid by others
$0.00
Total
$15,000.00

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 13, 2024 to Jun 5, 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: 100987960, 101029944, 101057026.

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 Senate · Filed Mar 11, 2025

03/25/2025 S Referred to State Affairs

Texas Legislature Online · Introduced

Data snapshot Oct 26, 2026 at 4:20 AM CDT. Grades, charges, quotes and corrections follow the published record.

Senate committee · State Affairs · Final status: Died in committee

Subjects

Health--Other Diseases & Medical Conditions

Women

PREGNANCY & CHILDBIRTH

Text

The text as introduced · 320 words

89R8558 AB-F

By: Cook
S.B. No. 2256

A BILL TO BE ENTITLED

AN ACT

relating to the definition of ectopic pregnancy.

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

SECTION 1. Section 245.002(4-a), Health and Safety Code, is

amended to read as follows:

(4-a) "Ectopic pregnancy" means the implantation of a

fertilized egg or embryo in any location except the healthy

endometrial lining of the main uterine cavity, including:

(A) outside of the uterus ;

(B) in an intrauterine location at which the

fertilized egg or embryo becomes nonviable, such as a cervical,

cornual, heterotopic, or intramyometrial implantation site; or

(C) in a scarred portion of the uterus .

SECTION 2. Section 171.063(c), Health and Safety Code, is

amended to read as follows:

(c) Before the physician provides an abortion-inducing

drug, the physician must:

(1) examine the pregnant woman in person;

(2) independently verify that a pregnancy exists;

(3) document, in the woman's medical record, the

gestational age and [ intrauterine ] location of the pregnancy to

determine whether an ectopic pregnancy exists;

(4) determine the pregnant woman's blood type, and for

a woman who is Rh negative, offer to administer Rh immunoglobulin

(RhoGAM) at the time the abortion-inducing drug is administered or

used or the abortion is performed or induced to prevent Rh

incompatibility, complications, or miscarriage in future

pregnancies;

(5) document whether the pregnant woman received

treatment for Rh negativity, as diagnosed by the most accurate

standard of medical care; and

(6) ensure the physician does not provide an

abortion-inducing drug for a pregnant woman whose pregnancy is more

than 49 days of gestational age.

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.