Monitoring the Session

SB 2357

bill creating a maternal health training program

Died in committee

Verdict: No flags

No flagsInitial review
Sen. Charles PerryRSenate 28

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

Obstetric emergency protocols, TexasAIM practices and safety simulations.

The bill orders the state health department to build and run a maternal health training program for health care providers who treat pregnant and postpartum patients. The curriculum is set with the Texas Maternal Mortality and Morbidity Review Committee and must cover obstetric emergency protocols, TexasAIM safety practices, and safety simulations. State rules must then require those providers to take part in the training, and the state will monitor whether they comply, starting from a September 1, 2025 effective date.

Labels

Labels: GOT HALFWAY. Passed the Senate on May 5, 2025. Died in the House: never got out of the Public Health committee.

Receipt

The receipt

89R-SB2357 · 2025-03-12

SOLD BY

+ 2 coauthors

ITEM

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

WHAT IT DOES

Obstetric emergency protocols, TexasAIM practices and safety simulations.

The bill orders the state health department to build and run a maternal health training program for health care providers who treat pregnant and postpartum patients. The curriculum is set with the Texas Maternal Mortality and Morbidity Review Committee and must cover obstetric emergency protocols, TexasAIM safety practices, and safety simulations. State rules must then require those providers to take part in the training, and the state will monitor whether they comply, starting from a September 1, 2025 effective date.

CHARGES

[ ] NONE FOUND

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version S · source

Sources

Fiscal note · version S · April 28, 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. Scheduled for public hearing on . . .
  6. Considered in public hearing
  7. Left pending in committee
  8. Considered in public hearing
  9. Vote taken in committee
  10. Reported favorably as substituted
  11. Recommended for local & uncontested calendar
  12. Committee report printed and distributed
  13. Placed on intent calendar
  14. Co-author authorized
  15. Rules suspended-Regular order of business
  16. Read 2nd time & passed to engrossment
  17. Vote recorded in Journal
  18. Three day rule suspended
  19. Record vote
  20. Read 3rd time
  21. Passed
  22. Record vote
  23. Reported engrossed
  24. Received from the Senate
  25. Read first time
  26. Referred to Public Health
FILED UNDER

No verified beat found.

SIGNED FOR BY

Senate · 31 yea · 0 nay

Sources

Senate: Final passage · May 5, 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

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 1, 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 13, 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: 100983698, 101007598, 101030579, 101072377.

Ryan Texas PAC$35,000.00

Ryan Texas PAC

$35,000.00

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

Also funds 25 other sitting lawmakers.

Derived recipient stock · Sep 23, 2024 to Oct 22, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 13, 2024 to Mar 12, 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: 100983698, 101057700.

Fort Stockton Holdings LP$25,000.00

Fort Stockton Holdings LP

$25,000.00

Cash
$25,000.00
Paid by others
$0.00
Total
$25,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · on Nov 23, 2024. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · on Nov 23, 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: 100983698.

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 13, 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: 100983698, 101007598, 101030579, 101072377.

×

Ryan Texas PAC

$35,000.00

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

Also funds 25 other sitting lawmakers.

Derived recipient stock · Sep 23, 2024 to Oct 22, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 13, 2024 to Mar 12, 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: 100983698, 101057700.

×

Fort Stockton Holdings LP

$25,000.00

Cash
$25,000.00
Paid by others
$0.00
Total
$25,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · on Nov 23, 2024. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · on Nov 23, 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: 100983698.

Votes3

Senate May 5, 2025

Yea
31
Nay
0
Present, not voting
Not printed
Absent
Not printed
Excused
Not printed
Names

Senate journal

Names were not printed. No individual positions are inferred.

Sources

Senator Perry moved that Senate Rule 7.18 and the Constitutional Rule requiring bills to be read on three several days be suspended and that CSSB 2357 be placed on its third reading and final passage. The motion prevailed by the following vote: Yeas 31, Nays 0. The bill was read third time and was passed by the following vote: Yeas 31, Nays 0.

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

  • Yea: 31 (published)
  • Nay: 0 (published)
  • Present, not voting: Not printed
  • Absent: Not printed
  • Excused: Not printed

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

Senate May 5, 2025

Yea
31
Nay
0
Present, not voting
Not printed
Absent
Not printed
Excused
Not printed
Names

Senate journal

Names were not printed. No individual positions are inferred.

Sources

Senator Perry moved that Senate Rule 7.18 and the Constitutional Rule requiring bills to be read on three several days be suspended and that CSSB 2357 be placed on its third reading and final passage. The motion prevailed by the following vote: Yeas 31, Nays 0.

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

  • Yea: 31 (published)
  • Nay: 0 (published)
  • Present, not voting: Not printed
  • Absent: Not printed
  • Excused: Not printed

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

Senate May 5, 2025

Yea
Not printed
Nay
Not printed
Present, not voting
Not printed
Absent
Not printed
Excused
Not printed
Names

Senate journal

Names were not printed. No individual positions are inferred.

Voice vote. No numeric tally or individual yeas are inferred.

Sources

The bill was read second time and was passed to engrossment by a viva voce vote.

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

  • Yea: Not printed
  • Nay: Not printed
  • Present, not voting: Not printed
  • Absent: Not printed
  • Excused: Not printed

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

Witnesses12
For
11
Against
0
On
1
Names

For

  • DHR Health1 registration
  • Methodist Healthcare Ministries1 registration
  • National Association of Social Workers- Texas Chapter1 registration
  • Self1 registration
  • Teaching Hospitals of Texas1 registration
  • Texas Alliance for Life1 registration
  • Texas Conference of Catholic Bishops1 registration
  • Texas Hospital Association1 registration
  • Texas Nurses Association1 registration
  • Texas Women’s Healthcare Coalition1 registration
  • United Ways of Texas1 registration

On

  • Department of State Health Services1 registration
Sources

12 parsed registrations across the loaded witness lists.

Derived stock of witness registrations. Repeated appearances count separately. Organizations and self-representation appear as printed.

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 S · source

Sources

Fiscal note · version S · April 28, 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 I by claude-opus-5-5, Oct 20, 2026, against the published rubric.

Sources

Texas Senate · Filed Mar 12, 2025

05/06/2025 H Referred to Public Health: May 6 2025 9:01PM

Texas Legislature Online · Introduced · Senate Committee Report · Engrossed

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

Coauthors

House committee · Public Health · Final status: Died in committee

Senate committee · Health & Human Services · Committee vote 9 aye, 0 nay · Out of committee

Companion

HB 4435 by Orr (very similar)

Subjects

Health Care Providers

Occupational Regulation--Health Occupations

Women

PREGNANCY & CHILDBIRTH

HEALTH & HUMAN SERVICES COMMISSION

STATE HEALTH SERVICES, DEPARTMENT OF

TEXAS MATERNAL MORTALITY AND MORBIDITY REVIEW COMMITTEE

Text

The text as introduced · 391 words

89R13701 EAS-D

By: Perry
S.B. No. 2357

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.