Monitoring the Session

HB 286

Relating to a study on maternal mortality and morbidity among Black women in this state.

Filed

Verdict: Smells

SmellsInitial review
Rep. Charlene Ward JohnsonDHouse 139
Why it's charged
Study, task force, commission, report

THE TEXT

“Not later than September 1, 2028, the review committee”…

Bill text, introduced version (I)

The bill's only duty is a study and a report due in 2028; any real action waits on recommendations a later legislature would have to adopt. The caption honestly says it is a study.

Study, task force, commission, report

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

Caption

relating to a study on maternal mortality and morbidity among Black women in this state.

Caption from analyzed text · version I.

Summary

The bill orders the state's maternal mortality review committee and the Department of State Health Services to jointly study maternal deaths and serious complications among Black women in Texas.

The bill orders the state's maternal mortality review committee and the Department of State Health Services to jointly study maternal deaths and serious complications among Black women in Texas. The study compares rates by race, income and education, looks at insurance type, specific health conditions and provider bias, and must produce recommendations for the governor and legislative leaders by September 1, 2028. Nothing changes in patient care or the law on the ground; the only output is a report, and the Act expires December 31, 2028.

Labels

Labels: ZOMBIE BILL. Died 2 times: 88R HB 1664 by Rep. Thierry (Died in committee) and 89R HB 3339 (Did not pass). Checked against 88R and 89R only.BACK FROM THE DEAD. Same text as a bill filed before that died: 89R HB 3339 (Did not pass). Filed in 3 sessions, counting this one. Checked against 88R and 89R only.TRY NO. 3. Filed in 3 sessions: 88R, 89R and 90R. Checked against 88R and 89R only.

Receipt

The receipt

90R-HB286 · 2026-11-09

SOLD BY

ITEM

relating to a study on maternal mortality and morbidity among Black women in this state.

WHAT IT DOES

The bill orders the state's maternal mortality review committee and the Department of State Health Services to jointly study maternal deaths and serious complications among Black women in Texas.

The bill orders the state's maternal mortality review committee and the Department of State Health Services to jointly study maternal deaths and serious complications among Black women in Texas. The study compares rates by race, income and education, looks at insurance type, specific health conditions and provider bias, and must produce recommendations for the governor and legislative leaders by September 1, 2028. Nothing changes in patient care or the law on the ground; the only output is a report, and the Act expires December 31, 2028.

CHARGES

[x] STUDY, TASK FORCE, COMMISSION, REPORTanalysis confidence 60%

THE TEXT

“Not later than September 1, 2028, the review committee”…

Bill text, introduced version (I)

The bill's only duty is a study and a report due in 2028; any real action waits on recommendations a later legislature would have to adopt. The caption honestly says it is a study.

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
FILED UNDER

No verified beat found.

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 · Jul 5, 2024 to Oct 23, 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 Sands PAC$33,000.00

Texas Sands PAC

$33,000.00

Cash
$33,000.00
Paid by others
$0.00
Total
$33,000.00

Also funds 121 other sitting lawmakers.

Derived recipient stock · Jul 3, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Oct 1, 2024 to Jan 28, 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: 100981582, 101039497.

Texas Trial Lawyers Association PAC$32,500.00

Texas Trial Lawyers Association PAC

$32,500.00

Cash
$32,500.00
Paid by others
$0.00
Total
$32,500.00

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 · Jun 23, 2025 to Sep 1, 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: 101008678, 101031228, 101035430, 101039497, 101068178.

Legacy 44$25,343.19

Legacy 44

$25,343.19

Cash
$4,500.00
Paid by others
$20,843.19
Total
$25,343.19
Other filed descriptions $10,000.00mailer $9,036.44digital $1,806.75

Also funds 33 other sitting lawmakers.

Derived recipient stock · Oct 21, 2024 to Oct 20, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Oct 21, 2024 to Oct 9, 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: 100981582, 101031228, 101039497, 101073019.

Money

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

×

Texas Sands PAC

$33,000.00

Cash
$33,000.00
Paid by others
$0.00
Total
$33,000.00

Also funds 121 other sitting lawmakers.

Derived recipient stock · Jul 3, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Oct 1, 2024 to Jan 28, 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: 100981582, 101039497.

×

Texas Trial Lawyers Association PAC

$32,500.00

Cash
$32,500.00
Paid by others
$0.00
Total
$32,500.00

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 · Jun 23, 2025 to Sep 1, 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: 101008678, 101031228, 101035430, 101039497, 101068178.

×

Legacy 44

$25,343.19

Cash
$4,500.00
Paid by others
$20,843.19
Total
$25,343.19
Other filed descriptions $10,000.00mailer $9,036.44digital $1,806.75

Also funds 33 other sitting lawmakers.

Derived recipient stock · Oct 21, 2024 to Oct 20, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Oct 21, 2024 to Oct 9, 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: 100981582, 101031228, 101039497, 101073019.

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.

FILED BEFORE

Filed 3 times: 88R, 89R and now. Checked against 88R and 89R only.

88R HB 1664

by Rep. Thierry, different lead author · Died in committee · reworked

Introduced text

Last action, Mar 7, 2023: Referred to Public Health

Relating to a study on maternal mortality and morbidity among Black women in this state.

Caption, 88R bill history

89R HB 3339

by Rep. Ward Johnson, same lead author · Did not pass · same text

Introduced text

Last action, May 19, 2025: Received from the House

Relating to a study on maternal mortality and morbidity among Black women in this state.

Caption, 89R bill history

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

Interim Studies

Women

PREGNANCY & CHILDBIRTH

STATE HEALTH SERVICES, DEPARTMENT OF

TEXAS MATERNAL MORTALITY AND MORBIDITY REVIEW COMMITTEE

Text

The text as introduced · 504 words

90R4387 JDB-D

By: Ward Johnson
H.B. No. 286

A BILL TO BE ENTITLED

AN ACT

relating to a study on maternal mortality and morbidity among Black

women in this state.

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

SECTION 1. (a) In this section:

(1) "Department" means the Department of State Health

Services.

(2) "Review committee" means the Texas Maternal

Mortality and Morbidity Review Committee established under Chapter

34, Health and Safety Code.

(b) The review committee and the department shall jointly

conduct a study to evaluate maternal mortality and morbidity among

Black women in this state. In conducting the study, the review

committee and department shall:

(1) compare maternal mortality and morbidity rates

among Black women in this state to maternal mortality and morbidity

rates among each other race and ethnicity;

(2) compare maternal mortality and morbidity rates

among Black women in this state in relation to their socioeconomic

status and education level;

(3) assess the impact of social determinants of

health, including an evaluation of data on pregnancy-related

deaths, pregnancy-related complications almost resulting in death,

and morbidities, to identify any correlation in that data to women

who are uninsured, receive health care coverage under Medicaid, or

receive health care coverage through a private health benefit plan

issuer;

(4) evaluate the impact of the following health

conditions on maternal mortality and morbidity:

(A) cardiac health conditions;

(B) preeclampsia, eclampsia, and other

hypertensive disorders;

(C) hemorrhage;

(D) obesity; and

(E) stress-related health conditions; and

(5) assess the effect of implicit biases held by

health care providers against Black individuals on maternal

mortality and morbidity among Black women.

(c) Based on the results of the study conducted under this

section, the review committee and department shall develop

recommendations to address disparities in maternal mortality and

morbidity among Black women, including recommendations on:

(1) strategies to reduce the incidence of

pregnancy-related deaths and severe maternal morbidity;

(2) patient outreach and education;

(3) health care provider training, including a

recommendation on the potential benefit of training on cultural

competency and implicit biases against Black individuals;

(4) best practices identified as successful in

reducing maternal mortality and morbidity; and

(5) the implementation in this state of programs

operating in other states that have reduced maternal mortality and

morbidity rates.

(d) Not later than September 1, 2028, the review committee

and department shall prepare and submit to the governor, lieutenant

governor, speaker of the house of representatives, and appropriate

standing committees of the legislature a written report summarizing

the results of the study and including the recommendations

developed under this section. The report may be consolidated with

the biennial report required under Section 34.015, Health and

Safety Code.

SECTION 2. This Act expires December 31, 2028.

SECTION 3. This Act takes effect immediately if it receives

a vote of two-thirds of all the members elected to each house, as

provided by Section 39, Article III, Texas Constitution. If this

Act does not receive the vote necessary for immediate effect, this

Act takes effect September 1, 2027.