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Texas · 90th Legislature Regular Session
SB243Relating to the regulation of abortion and related matters, including infant supportive palliative care and exceptions to and the repeal of certain laws prohibiting abortion.
Direction
AbortionexceptionsAI label
↑Expands abortion accessmodel confidence 90%
Adds an exception to the abortion ban for lethal fetal anomalies diagnosed by two physicians, and exempts such abortions from heartbeat-act procedures, so more legal access to abortion in those cases.
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.
✓ Quote verified word for word in the bill text
Abortionbans gestational limitsAI label
↓Restricts abortion accessmodel confidence 80%
Requires multidisciplinary ethics committee review of abortions after 24 weeks performed under the new lethal-anomaly exception, adding a procedural limit on later abortions, so less legal access after 24 weeks.
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.
✓ Quote verified word for word in the bill text
AbortionotherAI label
↔Mixed abortion accessmodel confidence 70%
Repeals Chapter 6-1/2, Title 71, Revised Statutes (the pre-Roe abortion ban) and adds rules for supportive palliative care for infants with lethal anomalies, changing the overall regulatory framework without a clear net expansion or restriction of abortion access.
Chapter 6-1/2, Title 71, Revised Statutes, is repealed.
✓ Quote verified word for word in the bill text
Filed
Committee
Passed one chamber
Passed both
Governor
Law
Stage: Filed · step 1 of 6
Last action
2026-11-09: Filed
Filed
2026-11-09
Sponsor
Molly Cook D, Carol Alvarado D, Roland Gutierrez D, Jose Menendez D
Why the model tagged it this way: The bill expands abortion access by creating a new exception for lethal fetal anomalies (with physician certification) and exempting those from heartbeat-act rules, while restricting later abortions via mandatory ethics-committee review after 24 weeks; it also repeals the old criminal ban and adds palliative-care standards, producing mixed effects overall on abortion access.
Related bills
HB438Relating to wrongful death actions arising from the death of an unborn child resulting from an abortion.↓Restricts abortion access↓Restricts abortion access Filed
HB575Relating to the protection of an unborn child's rights and criminal liability and justification for prohibited conduct.↓Restricts abortion access↓Restricts abortion access Filed
HJR24Proposing a constitutional amendment establishing an individual's right to personal reproductive autonomy.↑Expands abortion access↑Expands abortion access Filed
SB231Relating to exceptions to and the repeal of certain laws prohibiting abortion.↑Expands abortion access↑Expands abortion access Filed