SB 1233 Texas Senate · 89th Legislature (2025)

Relating to information regarding perinatal palliative care; creating an administrative penalty.

SB 1233, the Perinatal Palliative Care Act, requires healthcare providers to inform pregnant women diagnosed with a life-threatening or life-limiting fetal condition about available perinatal palliative care. This applies to approximately 2% of pregnancies where the unborn child has a severe medical condition. The law mandates providers to explain comprehensive supportive care options - including medical, social, and mental health services - to reduce suffering for the mother, unborn child, and family during the perinatal period. It creates administrative penalties for noncompliance and defines perinatal palliative care to exclude actions intended to hasten death. The bill became effective September 1, 2025, after being signed by the governor.
Bill status signed all 5 stages cleared
Introduction
Feb 2025
Committee Review
May 2025
Senate Passage
May 2025
House Passage
Jun 2025
Signed into Law
Jun 2025
Introduced Feb 11, 2025 Signed Jun 20, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Enrolled · 5 edits · Jun 20, 2025
MODERATE
The bill was converted from an internal legislative draft to an official enrolled version, with minor formatting adjustments and the addition of certification of passage by both legislative chambers and the Governor. The substantive policy content regarding perinatal palliative care requirements remains unchanged.
TECHNICAL

Added official enrolled version header and bill number formatting

Added certification statements confirming passage by Senate and House with vote counts

Added Governor's approval signature line and date field

Adjusted line numbering and spacing from draft format to final enrolled format

Removed draft bill number (SB A No A1233) and replaced with official number (SB 1233)

Floor votes · Senate Apr 15, 2025 · House May 28, 2025

How they voted

255
Passed
Total votes 30
Apr 15, 2025
D Democratic10
5 Yea 5 Nay
50% Nay
R Republican20
20 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
55
Key actions
16
Committee
10
Amendments
4
Jun 20, 2025
Signed into law
Signed by the Governor
executive
Jun 1, 2025
Lower · Passed
Signed in the House
lower
May 30, 2025
Upper · Passed
Signed in the Senate
upper
May 28, 2025
Upper · Passed
House passage reported
upper
May 28, 2025
Lower · Passed
Passed
lower
May 27, 2025
Amended
Amendment fails of adoption
lower
May 15, 2025
Lower · Passed
Committee report sent to Calendars
lower
May 15, 2025
Lower · Passed
Committee report distributed
lower
May 8, 2025
Lower · Passed
Reported favorably w/o amendment(s)
lower
Apr 17, 2025
Committee
Referred to Public Health
lower
Apr 17, 2025
Introduced
Read first time
lower
Apr 16, 2025
Introduced
Received from the Senate
lower
Apr 15, 2025
Upper · Passed
Passed
upper
Apr 15, 2025
Upper · Passed
Passed to engrossment as amended
upper
Apr 15, 2025
Upper · Passed
Amended
upper
Apr 15, 2025
Introduced
Amendment(s) offered
upper
Apr 7, 2025
Upper · Passed
Committee report printed and distributed
upper
Apr 7, 2025
Upper · Passed
Reported favorably as substituted
upper
Apr 3, 2025
Upper · Passed
Vote taken in committee
upper
Mar 26, 2025
Upper · Passed
Left pending in committee
upper
Mar 26, 2025
Upper · Passed
Testimony taken in committee
upper
Feb 28, 2025
Committee
Referred to Health & Human Services
upper
Feb 28, 2025
Introduced
Read first time
upper
6 primary · 47 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Gary VanDeaver
Gary VanDeaver
RRepublican
TX
1
P
Photo of Greg Bonnen
Greg Bonnen
RRepublican
TX
24
P
Photo of Jeff Leach
Jeff Leach
RRepublican
TX
67
P
KH
Kelly Hancock
RRepublican
TX
9
P
Photo of Tom Oliverson
Tom Oliverson
RRepublican
TX
130
P
Photo of Valoree Swanson
Valoree Swanson
RRepublican
TX
150
Co
Photo of A.J. Louderback
A.J. Louderback
RRepublican
TX
30
Co
Photo of Andy Hopper
Andy Hopper
RRepublican
TX
64
Co
Photo of Brad Buckley
Brad Buckley
RRepublican
TX
54
Co
Photo of Brian Harrison
Brian Harrison
RRepublican
TX
10
Co
Photo of Briscoe Cain
Briscoe Cain
RRepublican
TX
128
Co
Photo of Candy Noble
Candy Noble
RRepublican
TX
89
Co
Photo of Caroline Harris Davila
Caroline Harris Davila
RRepublican
TX
52
Co
Photo of Carrie Isaac
Carrie Isaac
RRepublican
TX
73
Co
Photo of Cody Harris
Cody Harris
RRepublican
TX
8
Co
Photo of Cody Vasut
Cody Vasut
RRepublican
TX
25