HB 1578

relating to exceptions to and the repeal of certain laws
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1.  Section 170A.002, Health and Safety Code, is
amended by adding Subsections (b-1) and (e) and amending Subsection
(b-1)  It is an exception to the application of Subsection
(1)  the person performing, inducing, or attempting the
abortion is a licensed physician and, in the physician's exercise
of reasonable medical judgment, the physician determines the
abortion is necessary to prevent a risk of serious harm to the
pregnant patient's health or well-being; or
(2)  the pregnancy resulted from sexual assault in
violation of Section 22.011, Penal Code, aggravated sexual assault
in violation of Section 22.021, Penal Code, or conduct constituting
an offense under Section 25.02, Penal Code.
(c)  A physician may not take an action authorized under
Subsection (b-1) [(b)] if, at the time the abortion was performed,
induced, or attempted, the person knew the risk of serious harm
[death or a substantial impairment of a major bodily function]
described by Subsection (b-1)(1) [(b)(2)] arose from a claim or
diagnosis that the pregnant patient [female] would engage in
conduct that might result in serious harm to the patient's health or
well-being [the female's death or in substantial impairment of a
(e)  The Texas Medical Board shall publish on the board's
Internet website and annually update a list of medical conditions
the board identifies as posing a risk of serious harm to a pregnant
patient's health or well-being under Subsection (b-1)(1).
SECTION 2.  The heading to Section 171.205, Health and
Safety Code, is amended to read as follows:
Sec. 171.205.  EXCEPTIONS [EXCEPTION FOR MEDICAL
SECTION 3.  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 person in accordance with an
exception provided by Section 170A.002.
SECTION 4.  Section 171.206(b), Health and Safety Code, is
(b)  This subchapter may not be construed to:
(1)  authorize the initiation of a cause of action
against or the prosecution of a pregnant patient [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
SECTION 5.  Section 171.207(b), Health and Safety Code, is
(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
SECTION 6.  The following provisions are repealed:
(1)  Section 170A.002(b), Health and Safety Code; and
(2)  Chapter 6-1/2, Title 71, Revised Statutes.
SECTION 7.  As soon as practicable after the effective date
of this Act, the Texas Medical Board shall publish the list of
medical conditions the board identifies as posing a risk of serious
harm to a pregnant patient's health or well-being as required by
Section 170A.002(e), Health and Safety Code, as added by this Act.
SECTION 8.  This Act takes effect September 1, 2025.