89R HB 2573
by Rep. Walle, same lead author · Died in committee · same text
Introduced textLast action, Mar 17, 2025: Referred to Human Services
Relating to Medicaid coverage and reimbursement of doula services.
Caption, 89R bill history
HB 538
Walle Bill Puts Doula Services On Medicaid’s Tab
Filed
Verdict: No flags
No flagsInitial review
Initial review · graded Nov 9, 2026 · How we grade
Caption
relating to Medicaid coverage and reimbursement of doula services.
Caption from analyzed text · version I.
Summary
Coverage runs from confirmed pregnancy to 12 months after. Federal sign-off sought by 2028.
This bill orders the state health commission to pay for doula services through Medicaid, on top of the case management pay doulas can already get. It touches pregnant Texans on Medicaid, the doulas who serve them, and the state Medicaid budget. Coverage would start when a medical professional confirms the pregnancy and run until 12 months after the pregnancy ends, once the state gets federal sign-off, which it must seek by January 1, 2028.
Labels
Labels: BACK FROM THE DEAD. Same text as a bill filed before that died: 89R HB 2573 (Died in committee). Filed in 2 sessions, counting this one. Checked against 88R and 89R only.TRY NO. 2. Filed in 2 sessions: 89R and 90R. Checked against 88R and 89R only.
Receipt
The receipt
90R-HB538 · 2026-11-09
SOLD BY
ITEM
relating to Medicaid coverage and reimbursement of doula services.
WHAT IT DOES
Coverage runs from confirmed pregnancy to 12 months after. Federal sign-off sought by 2028.
This bill orders the state health commission to pay for doula services through Medicaid, on top of the case management pay doulas can already get. It touches pregnant Texans on Medicaid, the doulas who serve them, and the state Medicaid budget. Coverage would start when a medical professional confirms the pregnancy and run until 12 months after the pregnancy ends, once the state gets federal sign-off, which it must seek by January 1, 2028.
CHARGES
[ ] NONE FOUND
TOTAL
No fiscal note in the loaded record.
HISTORY
- Filed
FILED UNDER
THE TEXT
…“shall ensure that medical assistance reimbursement is provided for”…
Bill text, introduced version (I)
The bill adds a new paid benefit, doula services, to Medicaid, covering the whole pregnancy and 12 months after it ends.
No flags
THANK YOU FOR CHECKING THE RECEIPT
CAMPAIGN PAID FOR BY
CAMPAIGN PAID FOR BY
Donors
Texas Trial Lawyers Association PAC$43KTexas REALTORS Political Action Committee$18KBorder Health PAC$10K
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 4, 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 Trial Lawyers Association PAC$42,500.00
Texas Trial Lawyers Association PAC
$42,500.00
- Cash
- $42,500.00
- Paid by others
- $0.00
- Total
- $42,500.00
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.
TeamSources
Derived itemized flow · Nov 19, 2024 to Sep 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.
Report IDs: 100985345, 101012323, 101027868, 101056902, 101071964.
Texas REALTORS Political Action Committee$17,500.00
Texas REALTORS Political Action Committee
$17,500.00
- Cash
- $17,500.00
- Paid by others
- $0.00
- Total
- $17,500.00
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.
TeamSources
Derived itemized flow · Nov 25, 2024 to Sep 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.
Report IDs: 100985345, 101012323, 101056902, 101071964.
Border Health PAC$10,000.00
Border Health PAC
$10,000.00
- Cash
- $10,000.00
- Paid by others
- $0.00
- Total
- $10,000.00
Also funds 17 other sitting lawmakers.
Derived recipient stock · Oct 28, 2024 to Aug 26, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamSources
Derived itemized flow · on Dec 15, 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: 101027868.
Missing data does not establish zero giving. Display amounts are rounded.
Texas Trial Lawyers Association PAC
$42,500.00
- Cash
- $42,500.00
- Paid by others
- $0.00
- Total
- $42,500.00
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.
TeamSources
Derived itemized flow · Nov 19, 2024 to Sep 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.
Report IDs: 100985345, 101012323, 101027868, 101056902, 101071964.
Texas REALTORS Political Action Committee
$17,500.00
- Cash
- $17,500.00
- Paid by others
- $0.00
- Total
- $17,500.00
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.
TeamSources
Derived itemized flow · Nov 25, 2024 to Sep 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.
Report IDs: 100985345, 101012323, 101056902, 101071964.
Border Health PAC
$10,000.00
- Cash
- $10,000.00
- Paid by others
- $0.00
- Total
- $10,000.00
Also funds 17 other sitting lawmakers.
Derived recipient stock · Oct 28, 2024 to Aug 26, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamSources
Derived itemized flow · on Dec 15, 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: 101027868.
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 2 times: 89R and now. Checked against 88R and 89R only.
Sources
Texas House · Filed Nov 9, 2026
11/09/2026 H Filed
Texas Legislature Online · Introduced
Data snapshot Nov 10, 2026 at 2:34 AM CST. Grades, charges, quotes and corrections follow the published record.
Subjects
Human Services--Medical Assistance
Women
Text
The text as introduced · 260 words
90R125 SCF-D By: Walle H.B. No. 538 A BILL TO BE ENTITLED AN ACT relating to Medicaid coverage and reimbursement of doula services. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter B, Chapter 32, Human Resources Code, is amended by adding Section 32.02481 to read as follows: Sec. 32.02481. MEDICAL ASSISTANCE REIMBURSEMENT FOR DOULA SERVICES. In addition to reimbursement a doula may receive under Section 32.024(qq) for case management services, the commission shall ensure that medical assistance reimbursement is provided for doula services provided by a doula to a medical assistance recipient. Notwithstanding Section 32.024(l-1), the commission shall ensure medical assistance reimbursement under this subsection is provided beginning on the date a recipient's pregnancy is confirmed by a medical professional and ending the 12th month after the date the pregnancy ends. SECTION 2. (a) As soon as practicable after the effective date of this Act but not later than January 1, 2028, the executive commissioner of the Health and Human Services Commission shall seek from the appropriate federal agency an amendment to the state Medicaid plan to implement Section 32.02481, Human Resources Code, as added by this Act. (b) Notwithstanding Subsection (a) of this section, if before implementing any provision of this Act the Health and Human Services Commission or other state agency determines that a waiver from a federal agency is necessary for implementation of that provision, the agency shall request the waiver and may delay implementing that provision until the waiver is granted. SECTION 3. This Act takes effect September 1, 2027.