Monitoring the Session

SB 2891

Cook Bill Replaces A Health Council With A Planning Council

Did not pass

Verdict: Smells

SmellsReviewed
Sen. Molly CookDSenate 15
Both charges, and why
New fee, fund, board or appointees

THE TEXT

“CHAPTER 104A. HEALTH PROFESSIONS WORKFORCE COORDINATING COUNCIL”…

Bill text, House committee report version (H)

The bill creates a new council with appointed members, plus a new work group and a new nursing advisory committee. The caption says so openly, and the bill abolishes the old council it replaces.

New fee, fund, board or appointees
Study, task force, commission, report

THE TEXT

…“established to study and develop a strategic approach for ensuring”…

Bill text, House committee report version (H)

The new council's whole job is to compile data and write a strategic plan with recommendations. Any action on the health workforce waits on that plan.

Study, task force, commission, report

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 the Health Professions Workforce Coordinating Council and the abolition of the statewide health coordinating council and the nursing advisory committee of that council.

Caption from analyzed text · version H.

Summary

Its job: a 10-year workforce plan, every two years! Any action waits on the plan.

The bill abolishes the state's existing health coordinating council and its nursing advisory committee and replaces them with a new Health Professions Workforce Coordinating Council. The new council pulls in representatives from more than a dozen state agencies and licensing boards, one private veterinary association, and four governor appointees. It gathers workforce data, publishes a 10-year health workforce strategic plan every two years starting October 1, 2026, and sets up a work group and a new nursing advisory committee.

Labels

Labels: CROSS-PARTY HANDOFF. Lead author Molly Cook (D) in the Senate. Lead sponsor Angelia Orr (R) in the House. Party as the Legislative Reference Library lists it for the 89th Legislature.

Receipt

The receipt

89R-SB2891 · 2025-03-14

SOLD BY

+ 4 coauthors

ITEM

relating to the establishment of the Health Professions Workforce Coordinating Council and the abolition of the statewide health coordinating council and the nursing advisory committee of that council.

WHAT IT DOES

Its job: a 10-year workforce plan, every two years! Any action waits on the plan.

The bill abolishes the state's existing health coordinating council and its nursing advisory committee and replaces them with a new Health Professions Workforce Coordinating Council. The new council pulls in representatives from more than a dozen state agencies and licensing boards, one private veterinary association, and four governor appointees. It gathers workforce data, publishes a 10-year health workforce strategic plan every two years starting October 1, 2026, and sets up a work group and a new nursing advisory committee.

CHARGES

[x] NEW FEE, FUND, BOARD OR APPOINTEESanalysis confidence 55%

THE TEXT

“CHAPTER 104A. HEALTH PROFESSIONS WORKFORCE COORDINATING COUNCIL”…

Bill text, House committee report version (H)

The bill creates a new council with appointed members, plus a new work group and a new nursing advisory committee. The caption says so openly, and the bill abolishes the old council it replaces.

[x] STUDY, TASK FORCE, COMMISSION, REPORTanalysis confidence 50%

THE TEXT

…“established to study and develop a strategic approach for ensuring”…

Bill text, House committee report version (H)

The new council's whole job is to compile data and write a strategic plan with recommendations. Any action on the health workforce waits on that plan.

TOTAL

Net to General Revenue · FY 2026($1,270,547)

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

Sources

Fiscal note · version S · April 25, 2025

Estimated Two-year Net Impact to General Revenue Related Funds for SB2891, Committee Report 1st House, Substituted: a negative impact of ($2,872,324) 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 · ($1,270,547)

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
  9. Considered in public hearing
  10. Vote taken in committee
  11. Reported favorably as substituted
  12. Committee report printed and distributed
  13. Co-author authorized
  14. Placed on intent calendar
  15. Co-author authorized
  16. Rules suspended-Regular order of business
  17. Record vote
  18. Read 2nd time & passed to engrossment
  19. Record vote
  20. Three day rule suspended
  21. Record vote
  22. Read 3rd time
  23. Passed
  24. Record vote
  25. Reported engrossed
  26. Received from the Senate
  27. Read first time
  28. Referred to Public Health
  29. Considered in formal meeting
  30. Reported favorably w/o amendment(s)
  31. Comte report filed with Committee Coordinator
  32. Committee report distributed
  33. Committee report sent to Calendars
  34. Considered in Calendars
  35. Placed on General State Calendar
FILED UNDER

GOVERNMENT GROWTH UNDER A CONSERVATIVE BANNER

THE TEXT

“(2) four members with relevant health care experience,”…

Bill text, House committee report version (H)

The bill creates a new council seated by agency appointees and four governor appointees, though it abolishes the old council and moves the old council's funds to the new one.

SIGNED FOR BY

Senate · 25 yea · 6 nay

Sources

Senate: Final passage · May 16, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

All floor motions and other positions below.

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.

Votes4

Senate May 16, 2025

Yea
25
Nay
6
Present, not voting
Not printed
Absent
0
Excused
0
Names

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

Senate journal

Sources

The bill was read third time and was passed by the following vote: Yeas 25, Nays 6. (Same as previous roll call)

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

  • Yea: 25 (published)
  • Nay: 6 (published)
  • Present, not voting: Not printed
  • Absent: 0 (derived from named list)
  • Excused: 0 (derived from named list)

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

Senate May 16, 2025

Yea
25
Nay
6
Present, not voting
Not printed
Absent
0
Excused
0
Names

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

Senate journal

Sources

Senator Cook moved that Senate Rule 7.18 and the Constitutional Rule requiring bills to be read on three several days be suspended and that CSSB 2891 be placed on its third reading and final passage. The motion prevailed by the following vote: Yeas 25, Nays 6.

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

  • Yea: 25 (published)
  • Nay: 6 (published)
  • Present, not voting: Not printed
  • Absent: 0 (derived from named list)
  • Excused: 0 (derived from named list)

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

Senate May 16, 2025

Yea
25
Nay
6
Present, not voting
Not printed
Absent
0
Excused
0
Names

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

Senate journal

Sources

The bill was read second time and was passed to engrossment by the following vote: Yeas 25, Nays 6. (Same as previous roll call)

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

  • Yea: 25 (published)
  • Nay: 6 (published)
  • Present, not voting: Not printed
  • Absent: 0 (derived from named list)
  • Excused: 0 (derived from named list)

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

Senate May 16, 2025

Yea
25
Nay
6
Present, not voting
Not printed
Absent
0
Excused
0
Names

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

Senate journal

Sources

Senator Cook moved to suspend the regular order of business to take up for consideration CSSB 2891 at this time on its second reading: CSSB 2891, Relating to the establishment of the Health Professions Workforce Coordinating Council and the abolition of the statewide health coordinating council and the nursing advisory committee of that council. The motion prevailed by the following vote: Yeas 25, Nays 6.

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

  • Yea: 25 (published)
  • Nay: 6 (published)
  • Present, not voting: Not printed
  • Absent: 0 (derived from named list)
  • Excused: 0 (derived from named list)

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

Witnesses7
For
6
Against
0
On
1
Names

For

  • AARP Texas1 registration
  • Self2 registrations
  • Texas Hospital Association1 registration
  • Texas Nurse Practitioners1 registration
  • Texas Nurses Association1 registration

On

  • Department of State Health Services1 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
Net to General Revenue · FY 2026($1,270,547)

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

Sources

Fiscal note · version S · April 25, 2025

Estimated Two-year Net Impact to General Revenue Related Funds for SB2891, Committee Report 1st House, Substituted: a negative impact of ($2,872,324) 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 · ($1,270,547)

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 H by claude-opus-5-5, Oct 22, 2026, against the published rubric.

Sources

Texas Senate · Filed Mar 14, 2025

05/26/2025 H Placed on General State Calendar

Texas Legislature Online · Introduced · Senate Committee Report · Engrossed · House Committee Report

Data snapshot Nov 1, 2026 at 3:20 PM CST. Grades, charges, quotes and corrections follow the published record.

Coauthors
Sponsors

House committee · Public Health · Committee vote 10 aye, 1 nay, 2 absent · Out of committee

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

Companion

HB 3801 by Orr (identical)

Subjects

Governor

Health Care Providers

Health--General

Labor--Workforce Development

Occupational Regulation--Health Occupations

State Agencies, Boards & Commissions--Newly Proposed

NURSES & NURSE AIDES

BEHAVIORAL HEALTH EXECUTIVE COUNCIL, TEXAS

CHIROPRACTIC EXAMINERS, TEXAS BOARD OF

DENTAL EXAMINERS, STATE BOARD OF

EDUCATION AGENCY, TEXAS

EXECUTIVE COUNCIL OF PHYSICAL THERAPY & OCCUPATIONAL THERAPY EXAMINERS

HEALTH & HUMAN SERVICES COMMISSION

HEALTH PROFESSIONS WORKFORCE COORDINATING COUNCIL (VZ645)

HIGHER EDUCATION COORDINATING BOARD, TEXAS

MEDICAL BOARD, TEXAS

NURSING, TEXAS BOARD OF

PHARMACY, TEXAS STATE BOARD OF

STATE HEALTH SERVICES, DEPARTMENT OF

STATEWIDE HEALTH COORDINATING COUNCIL

TEXAS OPTOMETRY BOARD

VETERINARY MEDICAL EXAMINERS, STATE BOARD OF

WORKFORCE COMMISSION, TEXAS

Text

The text as introduced · 1,997 words

89R6050 MCF-D

By: Cook
S.B. No. 2891

A BILL TO BE ENTITLED

AN ACT

relating to the establishment of the Health Professions Workforce

Coordinating Council and the abolition of the statewide health

coordinating council and the nursing advisory committee of that

council.

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

SECTION 1. Subtitle E, Title 2, Health and Safety Code, is

amended by adding Chapter 104A to read as follows:

CHAPTER 104A. HEALTH PROFESSIONS WORKFORCE COORDINATING COUNCIL

Sec. 104A.001. DEFINITION. In this chapter, "council"

means the Health Professions Workforce Coordinating Council.

Sec. 104A.002. ESTABLISHMENT; ADMINISTRATIVE ATTACHMENT.

(a) The Health Professions Workforce Coordinating Council is

established to study and develop a strategic approach for ensuring

a thriving health care system and health professions workforce in

this state.

(b) The council is administratively attached to the

department. The department shall provide administrative support to

the council.

Sec. 104A.003. MEMBERSHIP. (a) The council is composed of:

(1) at least one representative appointed by each of

the following state agencies:

(A) the department;

(B) the commission;

(C) the Texas Education Agency;

(D) the Texas Higher Education Coordinating

Board;

(E) the Texas Workforce Commission;

(F) the Texas Board of Chiropractic Examiners;

(G) the Texas State Board of Dental Examiners;

(H) the Texas Medical Board;

(I) the Texas Board of Nursing;

(J) the Texas Optometry Board;

(K) the Texas State Board of Pharmacy;

(L) the Executive Council of Physical Therapy and

Occupational Therapy Examiners;

(M) the Texas Behavioral Health Executive

Council; and

(N) the State Board of Veterinary Medical

Examiners; and

(2) four members with relevant health care experience,

including experience in health professions workforce planning or

complex health care data analysis, appointed by the governor.

(b) A council member serves at the pleasure of the

appointing authority.

(c) A vacancy on the council shall be filled in the same

manner as the original appointment.

Sec. 104A.004. DUTIES. The council shall:

(1) compile from each state agency with a

representative appointed to the council under Section

104A.003(a)(1) information regarding the health professions

workforce, including:

(A) high school graduation rates from the Texas

Education Agency;

(B) higher education graduation and

certification rates from the Texas Higher Education Coordinating

Board;

(C) health professions workforce shortages;

(D) the number of licensed health care

professionals regulated by each participating licensing state

agency;

(E) federal labor statistics regarding health

professions; and

(F) any other information relevant to the supply

and demand of health care professionals;

(2) prepare the strategic plan described by Section

104A.005; and

(3) establish the work group described by Section

104A.006.

Sec. 104A.005. STRATEGIC PLAN. (a) The council shall

examine the health professions in this state based on the

information compiled under Section 104A.004(1) and biennially

prepare a health professions strategic plan. The plan must:

(1) include a data analysis model demonstrating the

supply, demand, production, and projected need for the next 10

years of the health professions workforce;

(2) define targeted goals and objectives for the

health professions workforce, including short-term and long-term

strategies for each state agency participating in the council and

local workforce planning agencies to build a thriving health care

system;

(3) identify immediate shortages in health

professions;

(4) define goals for this state to support the health

care needs of a growing population;

(5) examine this state's capacity to satisfy future

health profession demands based on the existing education programs

offered and current trends of interstate migration, attrition, and

other relevant workforce factors;

(6) propose recommendations to realign existing

workforce and education programs;

(7) propose the development of additional education

programs for health professions that align with the long-term goals

and projections identified in the plan;

(8) identify systemic causes of workforce shortages

for health professions; and

(9) inventory programs and services, including state

funding amounts provided for workforce planning and preparation and

for health professional education.

(b) Not later than October 1 of each even-numbered year, the

council shall complete and publish on the council's Internet

website the strategic plan described by Subsection (a).

Sec. 104A.006. WORK GROUP. (a) The council shall establish

a work group to examine the health professions and health care

education programs that provide a gateway into a variety of health

professions. The work group consists of members of the council or

their designees.

(b) The work group shall:

(1) identify sources for gathering information on

gateway health professions; and

(2) build a data analysis model to monitor the

historical growth of gateway health professions.

SECTION 2. Section 56.3075(a), Education Code, is amended

to read as follows:

(a) If the money available for TEXAS grants in a period for

which grants are awarded is sufficient to provide grants to all

eligible applicants in amounts specified by Section 56.307, the

coordinating board may use any excess money available for TEXAS

grants to award a grant in an amount not more than three times the

amount that may be awarded under Section 56.307 to a student who:

(1) is enrolled in a program that fulfills the

educational requirements for licensure or certification by the

state in a health care profession that the coordinating board, in

consultation with the Texas Workforce Commission and the Department

of State Health Services [ statewide health coordinating council ],

has identified as having a critical shortage in the number of

license holders needed in this state;

(2) has completed at least one-half of the work toward

a degree or certificate that fulfills the educational requirement

for licensure or certification; and

(3) meets all the requirements to receive a grant

award under Section 56.307.

SECTION 3. Section 56.4075(a), Education Code, is amended

to read as follows:

(a) The coordinating board may award a grant in an amount

not more than three times the amount that may be awarded under

Section 56.407 to a student who:

(1) is enrolled in a program that fulfills the

educational requirements for licensure or certification by the

state in a health care profession that the coordinating board, in

consultation with the Texas Workforce Commission and the Department

of State Health Services [ statewide health coordinating council ],

has identified as having a critical shortage in the number of

license holders needed in this state;

(2) has completed at least one-half of the work toward

a degree or certificate that fulfills the educational requirement

for licensure or certification; and

(3) meets all the requirements to receive a grant

award under Section 56.407.

SECTION 4. Section 61.9641, Education Code, is amended to

read as follows:

Sec. 61.9641. DEFINITION [ DEFINITIONS ]. In this

subchapter , "clinical [ :

[ (1) "Clinical ] site" means an acute care or

rehabilitation facility, a primary care setting, a long-term care

facility, a nursing home, a residential care setting, or any other

site identified by the board as providing clinical learning

experiences for nursing students.

[ (2) "Nursing advisory committee" means the nursing

advisory committee established under Section 104.0155, Health and

Safety Code. ]

SECTION 5. Section 61.9642(a), Education Code, is amended

to read as follows:

(a) The board[ , in consultation with the nursing advisory

committee, ] shall establish and administer a program to award

grants to eligible clinical sites to support the use of nurse

preceptors in providing clinical training to nursing students.

SECTION 6. Section 61.9646(a), Education Code, is amended

to read as follows:

(a) The [ In consultation with the nursing advisory

committee, the ] board shall allocate funds appropriated for

purposes of this subchapter and any other funds received as

described by Subsection (b) as the board considers appropriate to

further the purposes of this subchapter.

SECTION 7. Section 61.9647, Education Code, is amended to

read as follows:

Sec. 61.9647. RULES. The [ In consultation with the nursing

advisory committee, the ] board shall adopt rules for the

administration of the grant programs established under this

subchapter. The rules must include:

(1) administrative provisions relating to the

awarding of grants under this subchapter, such as:

(A) eligibility criteria for clinical sites or

institutions of higher education, as applicable;

(B) grant application procedures;

(C) guidelines relating to grant amounts;

(D) procedures for evaluating grant

applications; and

(E) procedures for monitoring the use of grants;

and

(2) methods for tracking the effectiveness of grants

that:

(A) use data reasonably available to the board or

the Texas Center for Nursing Workforce Studies; and

(B) evaluate transferability and scalability of

innovation programs.

SECTION 8. Sections 32.046(c) and (d), Health and Safety

Code, are amended to read as follows:

(c) The commission shall coordinate with the department,

[ the statewide health coordinating council, ] the office of mental

health coordination, and the statewide behavioral health

coordinating council in developing the strategic plan.

(d) The commission, in consultation with the department,

[ the statewide health coordinating council, ] the office of mental

health coordination, and the statewide behavioral health

coordinating council, shall annually review and update, as

necessary, the strategic plan.

SECTION 9. Sections 32.047(d) and (e), Health and Safety

Code, are amended to read as follows:

(d) The commission shall coordinate with the department

[ and the statewide health coordinating council ] in the development

of the strategic plan.

(e) The commission, in consultation with the department

[ and the statewide health coordinating council ], shall annually

review the strategic plan and update the plan as necessary.

SECTION 10. Section 105.001(2), Health and Safety Code, is

amended to read as follows:

(2) "Council" means the Health Professions Workforce

Coordinating Council [ statewide health coordinating council ].

SECTION 11. Section 105.002(b), Health and Safety Code, is

amended to read as follows:

(b) To [ In conjunction with the committee formed under

Section 104.0155, to ] avoid duplication of effort, and to the

extent funding is available through fees collected under Section

301.155(c), Occupations Code, the council shall establish a nursing

resource section within the center for the collection and analysis

of educational and employment trends for nurses in this state.

SECTION 12. Section 222.022(2), Health and Safety Code, is

amended to read as follows:

(2) "Health care facility" means a public or private

hospital, skilled nursing facility, intermediate care facility,

ambulatory surgical center, family planning clinic that performs

ambulatory surgical procedures, rural or urban health initiative

clinic, end stage renal disease facility, and inpatient

rehabilitation facility. The term does not include the office of

physicians or practitioners of the healing arts practicing

individually or in groups or [ has the meaning assigned by Section

104.002, except that the term does not include ] a chemical

dependency treatment facility licensed by the Department of State

Health Services under Chapter 464.

SECTION 13. The following provisions of the Health and

Safety Code are repealed:

(1) Chapter 104;

(2) Section 105.011(c); and

(3) Section 311.033(d).

SECTION 14. (a) On the effective date of this Act, the

following are abolished:

(1) the statewide health coordinating council

established under Subchapter B, Chapter 104, Health and Safety

Code, and the council member terms expire; and

(2) the nursing advisory committee established under

Section 104.0155, Health and Safety Code, and the committee member

terms expire.

(b) On the effective date of this Act, any appropriation to

and any unexpended, unobligated funds of the statewide health

coordinating council or the nursing advisory committee is an

appropriation to the Department of State Health Services for

purposes of establishing and providing administrative support to

the Health Professions Workforce Coordinating Council. The

department and council assume all obligations, property, rights,

and duties of the statewide health coordinating council and the

nursing advisory committee.

SECTION 15. (a) Not later than October 1, 2025, the

appropriate entities shall designate members of the Health

Professions Workforce Coordinating Council established under

Chapter 104A, Health and Safety Code, as added by this Act.

(b) Not later than October 1, 2026, the Health Professions

Workforce Coordinating Council established under Chapter 104A,

Health and Safety Code, as added by this Act, shall publish its

initial strategic plan as required by Section 104A.005, Health and

Safety Code, as added by this Act.

SECTION 16. This Act takes effect September 1, 2025.