89R8558 AB-F

By: Cook S.B. No. 2256

A BILL TO BE ENTITLED

AN ACT

relating to the definition of ectopic pregnancy.

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

SECTION 1. Section 245.002(4-a), Health and Safety Code, is amended to read as follows:

(4-a) "Ectopic pregnancy" means the implantation of a fertilized egg or embryo in any location except the healthy endometrial lining of the main uterine cavity, including:

(A) outside of the uterus;

(B) in an intrauterine location at which the fertilized egg or embryo becomes nonviable, such as a cervical, cornual, heterotopic, or intramyometrial implantation site; or

(C) in a scarred portion of the uterus.

SECTION 2. Section 171.063(c), Health and Safety Code, is amended to read as follows:

(c) Before the physician provides an abortion-inducing drug, the physician must:

(1) examine the pregnant woman in person;

(2) independently verify that a pregnancy exists;

(3) document, in the woman's medical record, the gestational age and [intrauterine] location of the pregnancy to determine whether an ectopic pregnancy exists;

(4) determine the pregnant woman's blood type, and for a woman who is Rh negative, offer to administer Rh immunoglobulin (RhoGAM) at the time the abortion-inducing drug is administered or used or the abortion is performed or induced to prevent Rh incompatibility, complications, or miscarriage in future pregnancies;

(5) document whether the pregnant woman received treatment for Rh negativity, as diagnosed by the most accurate standard of medical care; and

(6) ensure the physician does not provide an abortion-inducing drug for a pregnant woman whose pregnancy is more than 49 days of gestational age.

SECTION 3. This Act takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If this Act does not receive the vote necessary for immediate effect, this Act takes effect September 1, 2025.