SB 2898
bill on nurse needs assessments for high-risk pregnancies
Died in committee
Verdict: No flags
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 provision of certain nursing services under the case management for children and pregnant women program.
Caption from analyzed text · version I.
Summary
Nurses can do a full assessment even when screening wouldn’t call for one.
The bill lets advanced practice nurses and registered nurses in the state case management program for children and pregnant women perform a full needs assessment, including a family needs assessment, for women with a high-risk pregnancy, even if the standard screening results would not call for one. It touches nurses who work in that program and the pregnant women they serve. On the ground, a nurse may do the deeper assessment as long as it is within the nurse's scope of practice and is part of the program's nonmedical services, starting September 1, 2025, unless the state needs a federal waiver first.
Labels
Labels: NEVER GOT A HEARING. Filed Mar 14, 2025 and referred to the Senate Health & Human Services committee. No public hearing. The bill died.
Receipt
The receipt
89R-SB2898 · 2025-03-14
SOLD BY
ITEM
relating to the provision of certain nursing services under the case management for children and pregnant women program.
WHAT IT DOES
Nurses can do a full assessment even when screening wouldn’t call for one.
The bill lets advanced practice nurses and registered nurses in the state case management program for children and pregnant women perform a full needs assessment, including a family needs assessment, for women with a high-risk pregnancy, even if the standard screening results would not call for one. It touches nurses who work in that program and the pregnant women they serve. On the ground, a nurse may do the deeper assessment as long as it is within the nurse's scope of practice and is part of the program's nonmedical services, starting September 1, 2025, unless the state needs a federal waiver first.
CHARGES
[ ] NONE FOUND
TOTAL
No fiscal note in the loaded record.
HISTORY
- Received by the Secretary of the Senate
- Filed
- Read first time
- Referred to Health & Human Services
FILED UNDER
No verified beat found.
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 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.
TeamSources
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.
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.
TeamSources
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 14, 2025
04/07/2025 S Referred to Health & Human Services
Texas Legislature Online · Introduced
Data snapshot Oct 26, 2026 at 4:20 AM CDT. Grades, charges, quotes and corrections follow the published record.
Senate committee · Health & Human Services · Final status: Died in committee
Subjects
Health--General
Human Services--Medical Assistance
MEDICAID
NURSES & NURSE AIDES
PREGNANCY & CHILDBIRTH
Text
The text as introduced · 422 words
By: Cook S.B. No. 2898 A BILL TO BE ENTITLED AN ACT relating to the provision of certain nursing services under the case management for children and pregnant women program. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. (a) This section takes effect only if the Act of the 89th Legislature, Regular Session, 2025, relating to nonsubstantive additions to and corrections in enacted codes does not become law. (b) Subchapter K, Chapter 532, Government Code, is amended by adding Section 532.0507 to read as follows: Sec. 532.0507. COMPREHENSIVE NEEDS ASSESSMENT BY ADVANCED PRACTICE NURSE OR REGISTERED NURSE. Notwithstanding the screening results under Section 532.0505, an advanced practice nurse or registered nurse who provides case management program services may perform a comprehensive needs assessment, including a family needs assessment as defined in Subchapter B, Chapter 27, Administrative Code, for recipients considered to have a high-risk pregnancy, if the assessment is: (1) within the nurse's scope of practice; and (2) incidental to the provision of nonmedical services provided under the program. SECTION 2. (a) This section takes effect only if the Act of the 89th Legislature, Regular Session, 2025, relating to nonsubstantive additions to and corrections in enacted codes does not become law. (b) Subchapter Q, Chapter 531, Government Code, is amended by adding Section 531.657 to read as follows: Sec. 531.657. COMPREHENSIVE NEEDS ASSESSMENT BY ADVANCED PRACTICE NURSE OR REGISTERED NURSE FOR CERTAIN PREGNANT WOMEN. Notwithstanding the screening results under Section 531.655, an advanced practice nurse or registered nurse who provides program services may perform a comprehensive needs assessment, including a family needs assessment as defined in Subchapter B, Chapter 27, Administrative Code, for recipients considered to have a high-risk pregnancy, if the assessment is: (1) within the nurse's scope of practice; and (2) incidental to the provision of nonmedical services provided under the program. SECTION 3. It is the intent of the 89th Legislature, Regular Session, 2025, that the amendments made by this Act to Subchapter Q, Chapter 531, Government Code, be harmonized with another Act of the 89th Legislature, Regular Session, 2025, relating to nonsubstantive additions to and corrections in enacted codes. SECTION 4. If before implementing any provision of this Act a state agency determines that a waiver or authorization from a federal agency is necessary for implementation of that provision, the agency affected by the provision shall request the waiver or authorization and may delay implementing that provision until the waiver or authorization is granted. SECTION 5. This Act takes effect September 1, 2025.