Monitoring the Session

SB 2626

bill widening the definition of ectopic pregnancy

Died in committee

Verdict: No flags

No flagsInitial review
Sen. Donna CampbellRSenate 25

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 ectopic pregnancies and continuing education for certain physicians and nurses regarding treatment of certain pregnancy-related conditions.

Caption from analyzed text · version I.

Summary

Adds nonviable implantation inside the uterus or in scarred tissue.

The bill widens the state's definition of an ectopic pregnancy to include an embryo implanted where it becomes nonviable inside the uterus, or implanted in a scarred part of the uterus. It requires physicians whose practice includes treating pregnant women to take at least one hour of board-approved continuing education on pregnancy-related medical emergencies, ectopic pregnancy, and miscarriage situations, and it requires nurses picked out by the nursing board to take one hour every two years. The courses must explain the standards of care, how state law defines abortion and medical emergency, and which treatments the law allows, with license renewals starting January 1, 2026.

Labels

Labels: GOT HALFWAY. Passed the Senate on Apr 23, 2025. Died in the House: never got out of the Public Health committee.

Receipt

The receipt

89R-SB2626 · 2025-03-13

SOLD BY

+ 3 coauthors

ITEM

relating to ectopic pregnancies and continuing education for certain physicians and nurses regarding treatment of certain pregnancy-related conditions.

WHAT IT DOES

Adds nonviable implantation inside the uterus or in scarred tissue.

The bill widens the state's definition of an ectopic pregnancy to include an embryo implanted where it becomes nonviable inside the uterus, or implanted in a scarred part of the uterus. It requires physicians whose practice includes treating pregnant women to take at least one hour of board-approved continuing education on pregnancy-related medical emergencies, ectopic pregnancy, and miscarriage situations, and it requires nurses picked out by the nursing board to take one hour every two years. The courses must explain the standards of care, how state law defines abortion and medical emergency, and which treatments the law allows, with license renewals starting January 1, 2026.

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 · April 6, 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 State Affairs
  5. Scheduled for public hearing on . . .
  6. Considered in public hearing
  7. Testimony taken in committee
  8. Left pending in committee
  9. Considered in public hearing
  10. Vote taken in committee
  11. Reported favorably w/o amendments
  12. Committee report printed and distributed
  13. Co-author authorized
  14. Co-author authorized
  15. Placed on intent calendar
  16. Co-author authorized
  17. Rules suspended-Regular order of business
  18. Vote recorded in Journal
  19. Read 2nd time & passed to engrossment
  20. Vote recorded in Journal
  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
FILED UNDER

No verified beat found.

SIGNED FOR BY

Senate · 30 yea · 1 nay

Sources

Senate: Final passage · Apr 23, 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

Donors report through Friends of Donna Campbell.

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.

Money

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

Votes3

Senate Apr 23, 2025

Yea
30
Nay
1
Present, not voting
Not printed
Absent
Not printed
Excused
Not printed
Names

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

Senate journal

Names were not printed for yea. Only the named positions are included in member records.

Sources

The bill was read third time and was passed by the following vote: Yeas 30, Nays 1. (Same as previous roll call)

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

  • Yea: 30 (published)
  • Nay: 1 (published)
  • Present, not voting: Not printed
  • Absent: Not printed
  • Excused: Not printed

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

Senate Apr 23, 2025

Yea
30
Nay
1
Present, not voting
Not printed
Absent
Not printed
Excused
Not printed
Names

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

Senate journal

Names were not printed for yea. Only the named positions are included in member records.

Sources

Senator Campbell moved that Senate Rule 7.18 and the Constitutional Rule requiring bills to be read on three several days be suspended and that SB 2626 be placed on its third reading and final passage. The motion prevailed by the following vote: Yeas 30, Nays 1.

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

  • Yea: 30 (published)
  • Nay: 1 (published)
  • Present, not voting: Not printed
  • Absent: Not printed
  • Excused: Not printed

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

Senate Apr 23, 2025

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

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

Senate journal

Names were not printed for yea. Only the named positions are included in member records.

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

Sources

Senator Campbell moved to suspend the regular order of business to take up for consideration SB 2626 at this time on its second reading: SB 2626, Relating to ectopic pregnancies and continuing education for certain physicians and nurses regarding treatment of certain pregnancy-related conditions. The motion prevailed. Senator Eckhardt asked to be recorded as voting "Nay" on suspension of the regular order of business. 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.

Witnesses7
For
7
Against
0
On
0
Names

For

  • Self1 registration
  • Self; Texas Right to Life3 registrations
  • Self; Texas Values Action1 registration
  • Texas Alliance for Life1 registration
  • The Texas Catholic Conference of Bishops1 registration
Sources

7 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 I · source

Sources

Fiscal note · version I · April 6, 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 13, 2025

04/28/2025 H Referred to Public Health: Apr 28 2025 4:21PM

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 · State Affairs · Committee vote 9 aye, 0 nay, 2 absent · Out of committee

Subjects

Abortion

Health Care Providers

Health--Other Diseases & Medical Conditions

Occupational Regulation--Health Occupations

Women

CONTINUING EDUCATION

NURSES & NURSE AIDES

PHYSICIANS

PREGNANCY & CHILDBIRTH

MEDICAL BOARD, TEXAS

NURSING, TEXAS BOARD OF

Text

The text as introduced · 998 words

89R10984 JTZ-F

By: Campbell, Paxton
S.B. No. 2626

A BILL TO BE ENTITLED

AN ACT

relating to ectopic pregnancies and continuing education for

certain physicians and nurses regarding treatment of certain

pregnancy-related conditions.

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 :

(A) outside of the uterus ;

(B) in an intrauterine location at which the

fertilized egg or embryo becomes nonviable; or

(C) in a scarred portion of the uterus .

SECTION 2. Subchapter B, Chapter 156, Occupations Code, is

amended by adding Section 156.061 to read as follows:

Sec. 156.061. CONTINUING MEDICAL EDUCATION REGARDING

TREATMENT OF CERTAIN PREGNANCY-RELATED CONDITIONS. (a) In this

section:

(1) "Abortion" and "ectopic pregnancy" have the

meanings assigned by Section 245.002, Health and Safety Code.

(2) "Medical emergency" has the meaning assigned by

Section 171.002, Health and Safety Code.

(b) A physician licensed under this subtitle who submits an

application for renewal of a registration permit and whose practice

includes treating pregnant women shall complete, in accordance with

this section, at least one hour of continuing medical education

approved by the board on the treatment of:

(1) pregnancy-related medical emergencies;

(2) ectopic pregnancy; and

(3) situations involving a dead, unborn child whose

death was caused by a spontaneous abortion.

(c) The continuing medical education required under

Subsection (b) must include instruction on:

(1) standards of care for managing a condition or

situation described by Subsection (b);

(2) identification of and timely response to a medical

emergency caused or aggravated by a woman's pregnancy and that

requires intervention;

(3) how abortion is defined under Section 245.002,

Health and Safety Code, including the medical situations and

interventions excluded from abortion regulations protecting unborn

life;

(4) how medical emergency is defined under Section

171.002, Health and Safety Code, and what interventions are

permitted in a medical emergency involving a pregnant woman; and

(5) communication strategies for effectively

discussing a condition or situation described by Subsection (b)

with patients and their families.

(d) A physician must complete one hour of continuing medical

education required by Subsection (b) in each of the first two

renewal periods following the issuance of the physician's initial

registration permit under this chapter, with one hour to be

completed not later than the first anniversary of the date of

issuance.

(e) After the period described by Subsection (d), a

physician must complete not less than one hour of continuing

medical education as described by Subsection (b) every eight years.

(f) The hours required by this section may be counted toward

the hours of continuing medical education required by Section

156.051(a)(2).

(g) The board shall adopt rules to implement this section,

including rules to establish the content of and approval

requirements for continuing medical education required under this

section.

SECTION 3. Subchapter G, Chapter 301, Occupations Code, is

amended by adding Section 301.309 to read as follows:

Sec. 301.309. CONTINUING EDUCATION REGARDING TREATMENT OF

CERTAIN PREGNANCY-RELATED CONDITIONS. (a) In this section:

(1) "Abortion" and "ectopic pregnancy" have the

meanings assigned by Section 245.002, Health and Safety Code.

(2) "Medical emergency" has the meaning assigned by

Section 171.002, Health and Safety Code.

(b) As part of a continuing competency program under Section

301.303, a license holder whose practice includes treating pregnant

women and who is required under board rules to comply with this

section shall complete at least one hour of continuing education

during each two-year licensing period relating to the treatment of:

(1) pregnancy-related medical emergencies;

(2) ectopic pregnancy; and

(3) situations involving a dead, unborn child whose

death was caused by a spontaneous abortion.

(c) The continuing education under Subsection (b) must

include instruction on:

(1) standards of care for managing a condition or

situation described by Subsection (b);

(2) identification of and timely response to a medical

emergency caused or aggravated by a woman's pregnancy and that

requires intervention;

(3) how abortion is defined under Section 245.002,

Health and Safety Code, including the medical situations and

interventions excluded from abortion regulations protecting unborn

life;

(4) how medical emergency is defined under Section

171.002, Health and Safety Code, and what interventions are

permitted in a medical emergency involving a pregnant woman; and

(5) communication strategies for effectively

discussing a condition or situation described by Subsection (b)

with patients and their families.

(d) The continuing education required under Subsection (b)

must be part of a program approved under Section 301.303(c).

(e) The board shall adopt rules to identify the license

holders who are required to complete continuing education under

Subsection (b) and to establish the content of that continuing

education. The board may adopt other rules to implement this

section, including rules under Section 301.303(c) for the approval

of education programs and providers.

SECTION 4. (a) Not later than December 1, 2025, the Texas

Medical Board shall adopt rules necessary to implement Section

156.061, Occupations Code, as added by this Act.

(b) Not later than December 1, 2025, the Texas Board of

Nursing shall adopt rules necessary to implement Section 301.309,

Occupations Code, as added by this Act.

SECTION 5. (a) Section 156.061, Occupations Code, as added

by this Act, applies only to an application for renewal of a

registration permit submitted on or after January 1, 2026. An

application submitted before January 1, 2026, is governed by the

law in effect immediately before the effective date of this Act, and

the former law is continued in effect for that purpose.

(b) Section 301.309, Occupations Code, as added by this Act,

applies only to an application for the renewal of a license to

practice nursing submitted on or after January 1, 2026. An

application submitted before January 1, 2026, is governed by the

law in effect immediately before the effective date of this Act, and

the former law is continued in effect for that purpose.

SECTION 6. This Act takes effect September 1, 2025.