Relating to a pilot program to provide Medicaid coverage of doula services.
HB 1201 creates a two-year Medicaid pilot program in Texas to cover doula services for eligible pregnant individuals. The program, launching in 2026 in the most populous county and the county with the highest maternal health needs, provides nonmedical childbirth support like emotional and physical coaching during pregnancy, labor, delivery, and postpartum. The Health and Human Services Commission must report annually on costs and birth outcomes, and submit a final evaluation by 2030 to determine if the program should continue or expand. The pilot expires September 1, 2031, after which coverage would not automatically continue.
Bill status
passed
3 of 5 stages cleared
Introduction
Mar 2025
Committee Review
May 2025
House Passage
May 2025
Senate Passage
Governor
Introduced Mar 10, 2025
Last action May 21, 2025
Maddy AI version diff · 1 comparison
What changed between versions
Introduced
→
Engrossed
·
3 edits
·
May 2, 2025
MINOR
The bill text was reformatted from a draft version to an engrossed version with improved readability and consistent spacing. The substantive policy content regarding the doula services pilot program remains unchanged, including the program's purpose, eligibility criteria, reporting requirements, and expiration date.
TECHNICAL
Formatting and spacing were standardized throughout the document, converting irregular line breaks and spacing into consistent paragraph formatting for the engrossed version.
Header information was updated to reflect the bill's current status as an engrossed version rather than a draft introduction.
Line number references and page markers were removed as they are not part of the final bill text.
Floor votes · House May 1, 2025
How they voted
97–42
Passed · 4 other
Total votes 143
May 1, 2025
D
Democratic57
98% Yea
R
Republican86
47% Nay
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
30
Key actions
9
Committee
7
Amendments
2
May 21, 2025
Committee
Referred to Health & Human Services
upper
May 21, 2025
Introduced
Read first time
upper
May 5, 2025
Introduced
Received from the House
upper
May 2, 2025
Lower · Passed
Passed
lower
May 1, 2025
Lower · Passed
Passed to engrossment as amended
lower
May 1, 2025
Lower · Passed
Amended
lower
May 1, 2025
House · Passed
House Vote: pass (97-42-4)
house
Apr 8, 2025
Lower · Passed
Committee report sent to Calendars
lower
Apr 7, 2025
Lower · Passed
Committee report distributed
lower
Apr 1, 2025
Lower · Passed
Reported favorably w/o amendment(s)
lower
Mar 25, 2025
Lower · Passed
Left pending in committee
lower
Mar 25, 2025
Lower · Passed
Testimony taken/registration(s) recorded in committee
lower
Mar 10, 2025
Committee
Referred to Human Services
lower
Mar 10, 2025
Introduced
Read first time
lower
5 primary · 9 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Armando Walle
DDemocratic
P
Christian Manuel
DDemocratic
P
Lacey Hull
RRepublican
P
Lauren Simmons
DDemocratic
P
Valoree Swanson
RRepublican
Co
Aicha Davis
DDemocratic
Co
Charlene Ward Johnson
DDemocratic
Co
Josey Garcia
DDemocratic
Co
Marc LaHood
RRepublican
Co
Mihaela Pleșa
DDemocratic
Co
Penny Morales Shaw
DDemocratic
Co
Salman Bhojani
DDemocratic
Co
Trey Martinez Fischer
DDemocratic
Co
Venton Jones
DDemocratic
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