Monitoring the Session

SB 2727

Cook Abortion Bill Adds Ethics Committee Review After 24 Weeks

Died in committee

Verdict: Smells

SmellsInitial review
Sen. Molly CookDSenate 15
Why it's charged
New fee, fund, board or appointees

THE TEXT

…“composed of members appointed in accordance with rules the Texas”…

Bill text, introduced version (I)

The bill creates a new multidisciplinary ethics committee with appointed members to review late-term exception decisions. The caption's general phrase 'related matters' does not plainly flag this new review body.

New fee, fund, board or appointees

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 regulation of abortion and related matters, including infant supportive palliative care and exceptions to and the repeal of certain laws prohibiting abortion.

Caption from analyzed text · version I.

Summary

Lethal fetal diagnosis exception, with a second doctor. The caption never names the committee.

The bill adds an exception to Texas abortion bans when the woman's treating physician and a second OB-GYN find the abortion is necessary because of a lethal fetal anomaly or diagnosis, and it repeals the old pre-1925 Revised Statutes abortion ban. It touches pregnant women facing a fatal fetal diagnosis, their doctors, the Texas Medical Board, and the state health commission, which must set standards for comfort (palliative) care for infants born with such conditions. On the ground, doctors could perform these abortions without facing the heartbeat-law ban or private lawsuits, but every case past 24 weeks must be reviewed by an ethics committee whose members are appointed under Medical Board rules.

Labels

Labels: NEVER GOT A HEARING. Filed Mar 13, 2025 and referred to the Senate State Affairs committee. No public hearing. The bill died.

Receipt

The receipt

89R-SB2727 · 2025-03-13

SOLD BY

ITEM

relating to the regulation of abortion and related matters, including infant supportive palliative care and exceptions to and the repeal of certain laws prohibiting abortion.

WHAT IT DOES

Lethal fetal diagnosis exception, with a second doctor. The caption never names the committee.

The bill adds an exception to Texas abortion bans when the woman's treating physician and a second OB-GYN find the abortion is necessary because of a lethal fetal anomaly or diagnosis, and it repeals the old pre-1925 Revised Statutes abortion ban. It touches pregnant women facing a fatal fetal diagnosis, their doctors, the Texas Medical Board, and the state health commission, which must set standards for comfort (palliative) care for infants born with such conditions. On the ground, doctors could perform these abortions without facing the heartbeat-law ban or private lawsuits, but every case past 24 weeks must be reviewed by an ethics committee whose members are appointed under Medical Board rules.

CHARGES

[x] NEW FEE, FUND, BOARD OR APPOINTEESanalysis confidence 45%

THE TEXT

…“composed of members appointed in accordance with rules the Texas”…

Bill text, introduced version (I)

The bill creates a new multidisciplinary ethics committee with appointed members to review late-term exception decisions. The caption's general phrase 'related matters' does not plainly flag this new review body.

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.

Smells

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 13, 2025

04/03/2025 S Referred to State Affairs

Texas Legislature Online · Introduced

Data snapshot Oct 26, 2026 at 6:51 AM CDT. Grades, charges, quotes and corrections follow the published record.

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

Subjects

Abortion

Ethics

Health--Other Diseases & Medical Conditions

PHYSICIANS

PREGNANCY & CHILDBIRTH

HEALTH & HUMAN SERVICES COMMISSION

MEDICAL BOARD, TEXAS

Text

The text as introduced · 538 words

89R15939 MPF-D

By: Cook, Alvarado
S.B. No. 2727

A BILL TO BE ENTITLED

AN ACT

relating to the regulation of abortion and related matters,

including infant supportive palliative care and exceptions to and

the repeal of certain laws prohibiting abortion.

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

SECTION 1. Chapter 142A, Health and Safety Code, is amended

by adding Section 142A.0003 to read as follows:

Sec. 142A.0003. RULES AND MINIMUM STANDARDS FOR DELIVERY OF

CARE TO CERTAIN INFANTS. The executive commissioner by rule shall

prescribe minimum standards for the scope and delivery of

supportive palliative care to an infant born with a lethal fetal

anomaly or diagnosis.

SECTION 2. Section 170A.002, Health and Safety Code, is

amended by adding Subsection (b-1) to read as follows:

(b-1) It is an exception to the application of Subsection

(a) that the pregnant female's treating physician and one other

physician specializing in obstetrics and gynecology determine the

abortion is necessary due to a lethal fetal anomaly or diagnosis.

SECTION 3. Chapter 170A, Health and Safety Code, is amended

by adding Section 170A.0025 to read as follows:

Sec. 170A.0025. MULTIDISCIPLINARY ETHICS COMMITTEE REVIEW

OF CERTAIN ABORTIONS. (a) A multidisciplinary ethics committee

composed of members appointed in accordance with rules the Texas

Medical Board adopts shall review a physician's determination that

an abortion is necessary under Section 170A.002(b-1) for each fetus

older than 24 weeks of age.

(b) The treating physician and other physician who made the

determination described by Subsection (a) may not be a member of the

multidisciplinary ethics committee that reviews the determination.

SECTION 4. The heading to Section 171.205, Health and

Safety Code, is amended to read as follows:

Sec. 171.205. EXCEPTIONS [ EXCEPTION FOR MEDICAL

EMERGENCY ]; RECORDS ; REVIEW .

SECTION 5. Section 171.205, Health and Safety Code, is

amended by adding Subsection (a-1) to read as follows:

(a-1) Sections 171.203 and 171.204 do not apply to an

abortion performed or induced by a physician in accordance with an

exception provided by Section 170A.002.

SECTION 6. Section 171.206(b), Health and Safety Code, is

amended to read as follows:

(b) This subchapter may not be construed to:

(1) authorize the initiation of a cause of action

against or the prosecution of a woman on whom an abortion is

performed or induced or attempted to be performed or induced in

violation of this subchapter;

(2) wholly or partly repeal, either expressly or by

implication, any other statute that regulates or prohibits

abortion[ , including Chapter 6-1/2, Title 71, Revised Statutes ]; or

(3) restrict a political subdivision from regulating

or prohibiting abortion in a manner that is at least as stringent as

the laws of this state.

SECTION 7. Section 171.207(b), Health and Safety Code, is

amended to read as follows:

(b) Subsection (a) may not be construed to:

(1) legalize the conduct prohibited by this subchapter

[ or by Chapter 6-1/2, Title 71, Revised Statutes ];

(2) limit in any way or affect the availability of a

remedy established by Section 171.208; or

(3) limit the enforceability of any other laws that

regulate or prohibit abortion.

SECTION 8. Chapter 6-1/2, Title 71, Revised Statutes, is

repealed.

SECTION 9. This Act takes effect September 1, 2025.