Monitoring the Session

SB 2826

Parker Bill’s Medical Child Abuse Training Program Waits Until 2027

Died in committee

Verdict: Smells

SmellsReviewed
Sen. Tan ParkerRSenate 12
Why it's charged
Delayed start

THE TEXT

“Not later than September 1, 2027, the commission, in”…

Bill text, introduced version (I)

The central program does not have to exist until September 2027, after the November 2026 election and about two years after the session. The school, medical board and caseworker training duties carry no date and apply sooner.

Delayed start

Reviewed · 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 the establishment of an education-based program to prevent medical child abuse through standardized training for medical students, healthcare professionals, and child protective services caseworkers.

Caption from analyzed text · version I.

Summary

Full program due September 1, 2027, after the November 2026 election. Other training duties carry no date.

The bill orders the state health and human services commission to set up a training program on medical child abuse, meaning a parent or caregiver faking or causing illness in a child. It reaches Texas medical schools, licensed doctors and other healthcare workers, and child protective services caseworkers. Medical schools must add the topic to their teaching, the Texas Medical Board must add it to continuing education, and caseworkers must get yearly training, with the full program due by September 1, 2027.

Labels

Labels: PENDING FOREVER. Heard by the Senate Health & Human Services committee on Apr 30, 2025 and left pending. Never voted out. The bill died.

Receipt

The receipt

89R-SB2826 · 2025-03-14

SOLD BY

ITEM

relating to the establishment of an education-based program to prevent medical child abuse through standardized training for medical students, healthcare professionals, and child protective services caseworkers.

WHAT IT DOES

Full program due September 1, 2027, after the November 2026 election. Other training duties carry no date.

The bill orders the state health and human services commission to set up a training program on medical child abuse, meaning a parent or caregiver faking or causing illness in a child. It reaches Texas medical schools, licensed doctors and other healthcare workers, and child protective services caseworkers. Medical schools must add the topic to their teaching, the Texas Medical Board must add it to continuing education, and caseworkers must get yearly training, with the full program due by September 1, 2027.

CHARGES

[x] DELAYED STARTanalysis confidence 45%

THE TEXT

“Not later than September 1, 2027, the commission, in”…

Bill text, introduced version (I)

The central program does not have to exist until September 2027, after the November 2026 election and about two years after the session. The school, medical board and caseworker training duties carry no date and apply sooner.

TOTAL

Net to General Revenue · FY 2026($1,021,486)

LBB estimate, flow · fiscal note version I · ( ) = negative · source

Sources

Fiscal note · version I · April 29, 2025

Estimated Two-year Net Impact to General Revenue Related Funds for SB2826, As Introduced: a negative impact of ($2,005,603) through the biennium ending August 31, 2027. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.

First year · FY 2026 · ($1,021,486)

Probable Net Positive/(Negative) Impact to General Revenue Related Funds

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. Testimony taken in committee
  8. Left pending in committee
FILED UNDER

Beats not yet reviewed.

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 · Oct 28, 2024 to Jun 29, 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 Stock Exchange | TXSE Group PAC$40,000.00

Texas Stock Exchange | TXSE Group PAC

$40,000.00

Cash
$40,000.00
Paid by others
$0.00
Total
$40,000.00

Also funds 10 other sitting lawmakers.

Derived recipient stock · Feb 17, 2026 to Oct 16, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Feb 17, 2026 to Jun 25, 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: 101060289.

Texas REALTORS Political Action Committee$25,250.00

Texas REALTORS Political Action Committee

$25,250.00

Cash
$25,000.00
Paid by others
$250.00
Total
$25,250.00
fundraiser $250.00

Also funds 140 other sitting lawmakers.

Derived recipient stock · Jul 2, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 4, 2024 to Oct 9, 2025. 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: 100986801, 101009904, 101031351.

The Peck Family Trust$25,000.00

The Peck Family Trust

$25,000.00

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

Also funds 1 other sitting lawmakers.

Derived recipient stock · Dec 14, 2024 to Sep 18, 2026. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · on Dec 14, 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: 100986801.

Money

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

×

Texas Stock Exchange | TXSE Group PAC

$40,000.00

Cash
$40,000.00
Paid by others
$0.00
Total
$40,000.00

Also funds 10 other sitting lawmakers.

Derived recipient stock · Feb 17, 2026 to Oct 16, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Feb 17, 2026 to Jun 25, 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: 101060289.

×

Texas REALTORS Political Action Committee

$25,250.00

Cash
$25,000.00
Paid by others
$250.00
Total
$25,250.00
fundraiser $250.00

Also funds 140 other sitting lawmakers.

Derived recipient stock · Jul 2, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 4, 2024 to Oct 9, 2025. 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: 100986801, 101009904, 101031351.

×

The Peck Family Trust

$25,000.00

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

Also funds 1 other sitting lawmakers.

Derived recipient stock · Dec 14, 2024 to Sep 18, 2026. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · on Dec 14, 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: 100986801.

Votes

No floor vote loaded for this bill.

Fiscal
Net to General Revenue · FY 2026($1,021,486)

LBB estimate, flow · fiscal note version I · ( ) = negative · source

Sources

Fiscal note · version I · April 29, 2025

Estimated Two-year Net Impact to General Revenue Related Funds for SB2826, As Introduced: a negative impact of ($2,005,603) through the biennium ending August 31, 2027. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.

First year · FY 2026 · ($1,021,486)

Probable Net Positive/(Negative) Impact to General Revenue Related Funds

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 19, 2026, against the published rubric.

Sources

Texas Senate · Filed Mar 14, 2025

04/30/2025 S Left pending in committee

Texas Legislature Online · Introduced

Data snapshot Nov 1, 2026 at 2:15 PM CST. Grades, charges, quotes and corrections follow the published record.

Senate committee · Health & Human Services · Final status: Died in committee

Subjects

Education--Higher--Health Institutions

ALYSSA'S LAW (PG3TF)

CHILD ABUSE

CONTINUING EDUCATION

STAFF DEVELOPMENT & TRAINING

FAMILY & PROTECTIVE SERVICES, DEPARTMENT OF

HEALTH & HUMAN SERVICES COMMISSION

MEDICAL BOARD, TEXAS

Text

The text as introduced · 576 words

By: Parker
S.B. No. 2826

A BILL TO BE ENTITLED

AN ACT

relating to the establishment of an education-based program to

prevent medical child abuse through standardized training for

medical students, healthcare professionals, and child protective

services caseworkers.

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

SECTION 1. Chapter 531, Government Code, is amended by adding

Subchapter X to read as follows:

SUBCHAPTER X. MEDICAL CHILD ABUSE EDUCATION PROGRAM

Sec. 531.981. SHORT TITLE. This subchapter may be cited as

"Alyssa's Law."

Sec. 531.982. DEFINITIONS. In this subchapter:

(1) "Medical child abuse" means the intentional

misrepresentation, fabrication, exaggeration, or induction of

illness or medical symptoms in a child by a parent or caregiver,

leading to unnecessary medical treatment, interventions, or harm.

(2) "Medical child abuse prevention training" means

standardized education designed to help medical professionals and

child protective services workers identify, report, and prevent

medical child abuse while ensuring due process in investigations.

Sec. 531.983. ESTABLISHMENT OF MEDICAL CHILD ABUSE

EDUCATION PROGRAM.

(a) Not later than September 1, 2027, the commission, in

collaboration with the Texas Medical Board, the Department of

Family and Protective Services, and accredited healthcare

institutions, using existing resources, grants, and programs to the

extent possible, shall establish and administer a program to:

(1) define and identify medical child abuse based on

clinical, behavioral, and legal standards;

(2) train medical students, licensed healthcare

professionals, and child protective services (CPS) caseworkers to

recognize and respond to medical child abuse cases;

(3) implement standardized training protocols for medical

schools, hospitals, and social services agencies;

(4) develop continuing education modules for medical

professionals and child welfare personnel;

(5) ensure that training programs incorporate best

practices for thorough case evaluation before CPS intervention; and

(6) promote collaboration between CPS caseworkers and

medical professionals to improve accuracy in identifying medical

child abuse.

(b) The program must ensure that all training modules

reflect:

(1) the clinical indicators of medical child abuse;

(2) the distinction between legitimate medical conditions

and fabricated illness claims;

(3) the ethical and legal considerations in child abuse

reporting;

(4) best practices for peer review and medical consultation

before CPS intervention; and

(5) procedures for multidisciplinary case review to ensure

investigative accuracy.

Sec. 531.984. INTEGRATION INTO MEDICAL AND PROFESSIONAL

TRAINING.

(a) Texas medical schools shall integrate medical child

abuse education into their curricula as part of students'

professional training.

(b) The Texas Medical Board, in consultation with the

commission and the Department of Family and Protective Services,

shall require continuing medical education requirements that

include:

(1) identifying and preventing medical child abuse;

(2) recognizing patterns of falsified symptoms and

unnecessary medical procedures;

(3) distinguishing true medical concerns from fabricated

abuse allegations; and

(4) legal responsibilities for reporting suspected cases.

(c) The Department of Family and Protective Services shall

ensure that CPS investigators and caseworkers receive annual

training on:

(1) investigative protocols for suspected medical child

abuse;

(2) how to collaborate with medical professionals before

taking legal action; and

(3) the role of peer-reviewed medical assessments in

child abuse cases.

Sec. 531.985. IMPLEMENTATION AND OVERSIGHT.

(a) The commission, in collaboration with the Texas Medical

Board and the Department of Family and Protective Services, shall

oversee the development and implementation of the medical child

abuse education program under this subchapter.

(b) The program must be made accessible to all medical

students, healthcare professionals, and child protective services

caseworkers as part of their required training and continuing

education.

SECTION 2. This Act takes effect September 1, 2025.