Monitoring the Session

SB 243

Cook Abortion Bill Adds Lethal Anomaly Exception And Ethics Committees

Filed

Verdict: Smells

SmellsInitial review
Sen. Molly CookDSenate 15
Why it's charged
New fee, fund, board or appointees

THE TEXT

…“composed of members appointed in accordance with rules the Texas”…

Bill text, introduced version (I)

The bill creates multidisciplinary ethics committees with appointed members to review late lethal-anomaly abortions. The broad caption covers related matters but does not name this new appointed body.

New fee, fund, board or appointees

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

Caption

relating to the regulation of abortion and related matters, including infant supportive palliative care and exceptions to and the repeal of certain laws prohibiting abortion.

Caption from analyzed text · version I.

Summary

Two doctors find a lethal fetal anomaly, the ban yields. Past 24 weeks, a new appointed committee reviews.

This bill adds a new exception to the Texas abortion ban when two doctors find a lethal fetal anomaly or diagnosis, and it repeals an old set of abortion laws in the Revised Statutes. It touches pregnant women, their doctors, the Texas Medical Board, which must set up ethics committees to review these cases past 24 weeks, and the state health agency, which must write care standards for infants born with fatal conditions. On the ground, abortions for lethal fetal diagnoses become legal under both the main ban and the heartbeat law, private suits cannot target them, and the older statute is wiped off the books starting September 1, 2027.

Labels

Labels: BACK FROM THE DEAD. Same text as a bill filed before that died: 89R SB 2727 (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-SB243 · 2026-11-09

SOLD BY

+ 1 more author

ITEM

relating to the regulation of abortion and related matters, including infant supportive palliative care and exceptions to and the repeal of certain laws prohibiting abortion.

WHAT IT DOES

Two doctors find a lethal fetal anomaly, the ban yields. Past 24 weeks, a new appointed committee reviews.

This bill adds a new exception to the Texas abortion ban when two doctors find a lethal fetal anomaly or diagnosis, and it repeals an old set of abortion laws in the Revised Statutes. It touches pregnant women, their doctors, the Texas Medical Board, which must set up ethics committees to review these cases past 24 weeks, and the state health agency, which must write care standards for infants born with fatal conditions. On the ground, abortions for lethal fetal diagnoses become legal under both the main ban and the heartbeat law, private suits cannot target them, and the older statute is wiped off the books starting September 1, 2027.

CHARGES

[x] NEW FEE, FUND, BOARD OR APPOINTEESanalysis confidence 45%

THE TEXT

…“composed of members appointed in accordance with rules the Texas”…

Bill text, introduced version (I)

The bill creates multidisciplinary ethics committees with appointed members to review late lethal-anomaly abortions. The broad caption covers related matters but does not name this new appointed body.

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Received by the Secretary of the Senate
  2. Filed
FILED UNDER

ABORTION BAN ROLLBACK

THE TEXT

…“abortion is necessary due to a lethal fetal anomaly or diagnosis.”

Bill text, introduced version (I)

The bill adds a lethal fetal anomaly exception to the state abortion ban, shields those abortions from heartbeat-law suits, and repeals the old Revised Statutes abortion law.

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.

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.

89R SB 2727

by Sen. Cook, same lead author · Died in committee · same text

Introduced text

Last action, Apr 3, 2025: Referred to State Affairs

Relating to the regulation of abortion and related matters, including infant supportive palliative care and exceptions to and the repeal of certain laws prohibiting abortion.

Caption, 89R bill history

Sources

Texas Senate · Filed Nov 9, 2026

11/09/2026 S Filed

Texas Legislature Online · Introduced

Data snapshot Nov 10, 2026 at 2:41 AM CST. Grades, charges, quotes and corrections follow the published record.

Subjects

Abortion

Health--Other Diseases & Medical Conditions

MEDICAL BOARD, TEXAS

Text

The text as introduced · 541 words

90R763 MPF-D

By: Cook of Harris, et al.
S.B. No. 243

A BILL TO BE ENTITLED

AN ACT

relating to the regulation of abortion and related matters,

including infant supportive palliative care and exceptions to and

the repeal of certain laws prohibiting abortion.

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

SECTION 1. Chapter 142A, Health and Safety Code, is amended

by adding Section 142A.0003 to read as follows:

Sec. 142A.0003. RULES AND MINIMUM STANDARDS FOR DELIVERY OF

CARE TO CERTAIN INFANTS. The executive commissioner by rule shall

prescribe minimum standards for the scope and delivery of

supportive palliative care for an infant born with a lethal fetal

anomaly or diagnosis.

SECTION 2. Section 170A.002, Health and Safety Code, is

amended by adding Subsection (b-1) to read as follows:

(b-1) It is an exception to the application of Subsection

(a) that the pregnant female's treating physician and one other

physician specializing in obstetrics and gynecology determine the

abortion is necessary due to a lethal fetal anomaly or diagnosis.

SECTION 3. Chapter 170A, Health and Safety Code, is amended

by adding Section 170A.0024 to read as follows:

Sec. 170A.0024. MULTIDISCIPLINARY ETHICS COMMITTEE REVIEW

OF CERTAIN ABORTIONS. (a) A multidisciplinary ethics committee

composed of members appointed in accordance with rules the Texas

Medical Board adopts shall review a physician's determination that

an abortion is necessary under Section 170A.002(b-1) for each fetus

older than 24 weeks of age.

(b) The treating physician and other physician who made the

determination described by Subsection (a) may not be a member of the

multidisciplinary ethics committee that reviews the determination.

SECTION 4. The heading to Section 171.205, Health and

Safety Code, is amended to read as follows:

Sec. 171.205. EXCEPTIONS [ EXCEPTION FOR MEDICAL

EMERGENCY ]; RECORDS ; REVIEW .

SECTION 5. Section 171.205, Health and Safety Code, is

amended by adding Subsection (a-1) to read as follows:

(a-1) Sections 171.203 and 171.204 do not apply to an

abortion performed or induced by a physician in accordance with an

exception provided by Section 170A.002.

SECTION 6. Section 171.206(b), Health and Safety Code, is

amended to read as follows:

(b) This subchapter may not be construed to:

(1) authorize the initiation of a cause of action

against or the prosecution of a woman on whom an abortion is

performed or induced or attempted to be performed or induced in

violation of this subchapter;

(2) wholly or partly repeal, either expressly or by

implication, any other statute that regulates or prohibits

abortion[ , including Chapter 6-1/2, Title 71, Revised Statutes ]; or

(3) restrict a political subdivision from regulating

or prohibiting abortion in a manner that is at least as stringent as

the laws of this state.

SECTION 7. Section 171.207(b), Health and Safety Code, is

amended to read as follows:

(b) Subsection (a) may not be construed to:

(1) legalize the conduct prohibited by this subchapter

[ or by Chapter 6-1/2, Title 71, Revised Statutes ];

(2) limit in any way or affect the availability of a

remedy established by Section 171.208; or

(3) limit the enforceability of any other laws that

regulate or prohibit abortion.

SECTION 8. Chapter 6-1/2, Title 71, Revised Statutes, is

repealed.

SECTION 9. This Act takes effect September 1, 2027.