All Roll Calls
Yes: 348 • No: 10
TexasSB 3189th Legislature Regular SessionSenate
Relating to exceptions to otherwise prohibited abortions based on a physician's reasonable medical judgment.
Sponsored By: Charlie Geren, Donna Howard, Bryan Hughes (Republican), Lacey Hull, Ann Johnson, Angelia Orr
Signed by Governor
AbortionCivil Remedies & LiabilitiesHealth Care ProvidersHealth--GeneralMalpractice--ProfessionalsWomenLIFE OF THE MOTHER ACTCONTINUING EDUCATIONPHYSICIANSPREGNANCY & CHILDBIRTHMEDICAL BOARD, TEXASSTATE BAR OF TEXAS
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 2 benefits, 0 costs, 3 mixed.
Emergency abortion access expands with limits
Texas allows licensed doctors to provide abortions when reasonable medical judgment finds a pregnancy-related physical condition threatens the patient's life or risks substantial harm to a major body function. The condition must be caused or worsened by pregnancy, or arise from it. The danger need not be imminent, and physical harm need not have started. Emergency exceptions cover specified delays, restrictions at 20 or more weeks, method limits, and physician-discipline rules. The listed emergency actions are not allowed when the emergency rests on a claim or diagnosis that the patient will engage in conduct risking death or serious, lasting harm to a major body function.
Patients protected from covered abortion offenses
A pregnant patient who gets or tries to get an abortion for herself is not guilty of a covered offense. She cannot be treated as the offender or as someone who helped commit that offense. This rule governs interpretation of civil-statute chapters amended by this law.
Emergency doctors must balance survival risks
In covered emergencies, doctors must choose treatment giving the unborn child the best survival chance, using reasonable medical judgment. This duty does not apply when that treatment raises the patient's risk of death or substantial harm to a major body function. The law does not require delaying, changing, or withholding care when doing so creates either risk. Reasonable medical judgment includes removing an ectopic pregnancy or a dead unborn child after miscarriage. Accidental or unintended death or injury of the unborn child during covered treatment falls within the abortion exception.
Texas lawyers get free abortion-law training
The State Bar of Texas must offer free online abortion-law training to Texas-licensed attorneys by January 1, 2026. Training must cover abortion restrictions and exceptions, medical emergencies, doctors' judgment, and treatment affecting unborn-child survival. The State Bar must develop the program with its Health Law Section, medical groups, and other qualified stakeholders. It must promote the training to attorneys, relevant professional groups, and health care institutions.
Some abortion lawsuits follow medical-claim rules
Some civil lawsuits against doctors and health care providers over Texas abortion laws must follow health care liability rules. This applies to alleged violations of Health and Safety Code Chapters 170, 170A, or 171 that are subject to a legal exception. Those claims face the same requirements as other health care liability claims. The law does not change claims based on other grounds.
Sponsors & Cosponsors
Sponsors
Charlie Geren
House
Donna Howard
House
Bryan Hughes
Republican • Senate
Lacey Hull
House
Ann Johnson
House
Angelia Orr
House
Cosponsors
Alma A. Allen
House
Carol Alvarado
Democratic • Senate
Keith Bell
House
Diego M. Bernal
House
Paul Bettencourt
Republican • Senate
Salman Bhojani
House
Brian Birdwell
Republican • Senate
César Blanco
Democratic • Senate
Rhetta Andrews Bowers
House
John Bryant
House
Brad Buckley
House
John H. Bucy lll
House
Donna Campbell
Republican • Senate
Elizabeth "Liz" Campos
House
Sheryl Cole
House
David Cook
House
Philip Cortez
House
Brandon Creighton
Republican • Senate
Drew Darby
House
Aicha Davis
House
Pete Flores
Republican • Senate
Cassandra Garcia Hernandez
House
Linda Garcia
House
Stan Gerdes
House
Vikki Goodwin
House
R.D. "Bobby" Guerra
House
Erin Gámez
House
Brent Hagenbuch
Republican • Senate
Bob Hall
Republican • Senate
Caroline Harris Davila
House
Cole Hefner
House
Ana Hernandez
House
Adam Hinojosa
Republican • Senate
Joan Huffman
Republican • Senate
Venton Jones
House
Helen Kerwin
House
Phil King
Republican • Senate
Lois Kolkhorst
Republican • Senate
Marc LaHood
House
Suleman Lalani
House
Stan Lambert
House
Jeff Leach
House
Janie Lopez
House
John McQueeney
House
Morgan Meyer
House
Terry Meza
House
Mayes Middleton
Republican • Senate
Joe Moody
House
Penny Morales Shaw
House
Eddie Morales
House
Candy Noble
House
Claudia Ordaz
House
Tan Parker
Republican • Senate
Jared Patterson
House
Angela Paxton
Republican • Senate
Mary Ann Perez
House
Vincent Perez
House
Charles Perry
Republican • Senate
Mihaela Plesa
House
Ron Reynolds
House
Toni Rose
House
Jon E. Rosenthal
House
Charles Schwertner
Republican • Senate
Lauren Ashley Simmons
House
Kevin Sparks
Republican • Senate
David Spiller
House
James Talarico
House
Carl H. Tepper
House
Ellen Troxclair
House
Chris Turner
House
VanDeaver
Affiliation unavailable
Hubert Vo
House
Charlene Ward Johnson
House
Terry M. Wilson
House
Gene Wu
House
Judith Zaffirini
Democratic • Senate
Erin Zwiener
House
Roll Call Votes
House vote • 5/22/2025
Record vote
Yes: 134 • No: 4
House vote • 5/21/2025
Record vote
Yes: 129 • No: 6
Senate vote • 4/29/2025
Record vote
Yes: 31 • No: 0
Senate vote • 4/29/2025
Record vote
Yes: 31 • No: 0
House vote • Unknown
Committee vote: Public Health
Yes: 12 • No: 0
Senate vote • Unknown
Committee vote: State Affairs
Yes: 11 • No: 0
Actions Timeline
Effective immediately
6/20/2025HouseSigned by the Governor
6/20/2025HouseSent to the Governor
5/27/2025HouseSigned in the House
5/26/2025HouseSigned in the Senate
5/26/2025SenateReported enrolled
5/23/2025SenateHouse passage reported
5/23/2025SenateAdditional sponsor(s) authorized
5/23/2025HouseRules suspended
5/23/2025HouseReason for vote recorded in Journal
5/22/2025HouseStatement(s) of vote recorded in Journal
5/22/2025HouseRecord vote (RV#3194)
5/22/2025HousePassed
5/22/2025HouseRead 3rd time
5/22/2025HouseAdditional sponsor(s) authorized
5/22/2025HouseRules suspended
5/22/2025HouseReason for vote recorded in Journal
5/21/2025HouseStatement(s) of vote recorded in Journal
5/21/2025HouseRecord vote (RV#3163)
5/21/2025HousePassed to 3rd reading
5/21/2025HouseRead 2nd time
5/21/2025HousePlaced on Major State Calendar
5/21/2025HouseConsidered in Calendars
5/19/2025HouseCommittee report sent to Calendars
5/12/2025HouseCommittee report distributed
5/12/2025House
Bill Text
Engrossed
Enrolled
House Committee Report
Introduced
Senate Committee Report
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