Monitoring the Session

HB 258

bill for endometriosis screening guidelines, updated every five years

Filed

Verdict: No flags

No flagsInitial review
Rep. Mihaela PlesaDHouse 70

Initial review · graded Nov 9, 2026 · How we grade

Caption

relating to endometriosis screening and diagnosis guidelines and continuing medical education.

Caption from analyzed text · version I.

Summary

Doctors are encouraged, not required, to take the course. Guidelines by 2028.

The bill orders the Texas Medical Board, working with the state health department, to write evidence-based guidelines for screening and diagnosing endometriosis, post them online, and update them at least every five years. It touches the medical board and physicians whose practice includes reproductive health, who are encouraged but not required to take continuing education on the topic, and the board must write rules for what that coursework covers. On the ground, the guidelines and coursework rules must be in place by September 1, 2028, and the board must report to the lieutenant governor and speaker every five years starting December 1, 2028.

Receipt

The receipt

90R-HB258 · 2026-11-09

SOLD BY

ITEM

relating to endometriosis screening and diagnosis guidelines and continuing medical education.

WHAT IT DOES

Doctors are encouraged, not required, to take the course. Guidelines by 2028.

The bill orders the Texas Medical Board, working with the state health department, to write evidence-based guidelines for screening and diagnosing endometriosis, post them online, and update them at least every five years. It touches the medical board and physicians whose practice includes reproductive health, who are encouraged but not required to take continuing education on the topic, and the board must write rules for what that coursework covers. On the ground, the guidelines and coursework rules must be in place by September 1, 2028, and the board must report to the lieutenant governor and speaker every five years starting December 1, 2028.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
FILED UNDER

No verified beat found.

No flags

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 Oct 24, 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 REALTORS Political Action Committee$79,480.35

Texas REALTORS Political Action Committee

$79,480.35

Cash
$37,500.00
Paid by others
$41,980.35
Total
$79,480.35
mail $33,992.76digital $4,945.63text $2,016.96advertising $525.00fundraiser $500.00

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 · Oct 31, 2024 to Oct 20, 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: 101012300, 101032600, 101059513, 101069108, 101072533.

Texas Trial Lawyers Association PAC$55,000.00

Texas Trial Lawyers Association PAC

$55,000.00

Cash
$55,000.00
Paid by others
$0.00
Total
$55,000.00

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 11, 2024 to Sep 21, 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: 101012300, 101032600, 101059513, 101069108.

TexBlue Media PAC$32,511.00

TexBlue Media PAC

$32,511.00

Cash
$0.00
Paid by others
$32,511.00
Total
$32,511.00
advertising $32,511.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · Sep 25, 2026 to Sep 27, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · Sep 25, 2026 to Sep 27, 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: 101072533.

Money

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

×

Texas REALTORS Political Action Committee

$79,480.35

Cash
$37,500.00
Paid by others
$41,980.35
Total
$79,480.35
mail $33,992.76digital $4,945.63text $2,016.96advertising $525.00fundraiser $500.00

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 · Oct 31, 2024 to Oct 20, 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: 101012300, 101032600, 101059513, 101069108, 101072533.

×

Texas Trial Lawyers Association PAC

$55,000.00

Cash
$55,000.00
Paid by others
$0.00
Total
$55,000.00

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 11, 2024 to Sep 21, 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: 101012300, 101032600, 101059513, 101069108.

×

TexBlue Media PAC

$32,511.00

Cash
$0.00
Paid by others
$32,511.00
Total
$32,511.00
advertising $32,511.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · Sep 25, 2026 to Sep 27, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · Sep 25, 2026 to Sep 27, 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: 101072533.

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 a super-expensive superintelligence, Nov 9, 2026, against the published rubric.

Sources

Texas House · Filed Nov 9, 2026

11/09/2026 H Filed

Texas Legislature Online · Introduced

Data snapshot Nov 10, 2026 at 2:32 AM CST. Grades, charges, quotes and corrections follow the published record.

Subjects

Health--Other Diseases & Medical Conditions

Women

CONTINUING EDUCATION

MEDICAL BOARD, TEXAS

Text

The text as introduced · 417 words

90R434 KRM-D

By: Plesa
H.B. No. 258

A BILL TO BE ENTITLED

AN ACT

relating to endometriosis screening and diagnosis guidelines and

continuing medical education.

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

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

amended by adding Chapter 100B to read as follows:

CHAPTER 100B. ENDOMETRIOSIS

Sec. 100B.001. DEFINITION. In this chapter, "board" means

the Texas Medical Board.

Sec. 100B.002. SCREENING AND DIAGNOSIS GUIDELINES. (a)

The board, in collaboration with the department, shall:

(1) develop evidence-based endometriosis screening

and diagnosis guidelines; and

(2) post the guidelines on a publicly accessible

webpage of the board's Internet website.

(b) The board must update the guidelines described by

Subsection (a) at least once every five years to incorporate any

emerging medical evidence or discoveries.

Sec. 100B.003. REPORT. (a) At least once every five years,

the board shall prepare and deliver to the lieutenant governor and

the speaker of the house of representatives a written report on:

(1) the status and content of the guidelines described

by Section 100B.002 and compliance with the continuing medical

education described by Section 156.062, Occupations Code; and

(2) contemporary statistics on screening and

diagnostic timelines for endometriosis patients.

(a-1) The initial report required under Subsection (a) must

be delivered not later than December 1, 2028.

(b) This section expires September 1, 2040.

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

amended by adding Section 156.062 to read as follows:

Sec. 156.062. CONTINUING EDUCATION ON ENDOMETRIOSIS

SCREENING AND DIAGNOSIS. (a) A physician licensed under this

subtitle who submits an application for renewal of a license to

practice medicine and whose practice includes reproductive health

is encouraged to include continuing medical education on

endometriosis screening and diagnosis among the hours of continuing

medical education completed for purposes of rules adopted under

Section 156.051(a)(2).

(b) The board shall adopt rules to establish the content of

and approval requirements for continuing medical education on

endometriosis screening and diagnosis. In adopting rules, the

board shall base the course content and requirements on the

guidelines developed under Section 100B.002, Health and Safety

Code.

SECTION 3. Not later than September 1, 2028, the Texas

Medical Board shall:

(1) in collaboration with the Department of State

Health Services, establish the guidelines required by Section

100B.002, Health and Safety Code, as added by this Act; and

(2) adopt the rules required by Section 156.062,

Occupations Code, as added by this Act.

SECTION 4. This Act takes effect September 1, 2027.