A Texas Senate committee has advanced Senate Bill 31, a measure designed to clarify the state’s abortion laws amid growing concern from doctors, legal experts, and advocacy groups about vague medical exceptions that have led to confusion in emergency care.
Texas law currently prohibits abortion in nearly all cases, permitting it only when necessary to save the life of the pregnant patient. However, medical professionals say the lack of legal clarity has created hesitation and delays in treating patients with serious conditions—fueled by fear of criminal prosecution, financial penalties, or the loss of medical licenses.
SB 31, now amended and approved in committee, aims to streamline and unify the language across Texas’ three abortion bans. It removes the requirement that a medical emergency must be “imminent” before physicians can intervene and introduces mandatory training for both doctors and attorneys on how to interpret and comply with abortion-related statutes, as reported by The Texas Tribune.
Addressing Historical Legal Tensions
One key point of contention is the status of pre-Roe v. Wade statutes—laws dating back to the 19th century that criminalize not just abortion itself, but also any action that “furnishes the means” for an abortion, according to the Texas State Law Library. These outdated laws have been cited by some conservative lawmakers seeking to pursue legal action against abortion funds and support organizations, despite a federal ruling suggesting they may have been “repealed by implication.”
To avoid reviving these statutes unintentionally, the updated version of SB 31 states that it is neutral on the issue of whether the pre-Roe laws remain in effect. The bill’s language emphasizes that it exists solely to clarify current statutory text and to support medical decision-making, without influencing ongoing legal battles.
This bill makes it clear when an abortion is allowed under Texas law, even though abortion is mostly banned. The key focus is protecting the life or health of the pregnant person in extreme situations.
Key Points of the SB 31:
- Life-Threatening Conditions Exception:
- If a pregnant person has a life-threatening condition caused by the pregnancy — or one that could seriously damage a major part of their body — a doctor is allowed to perform an abortion to save their life or prevent serious harm.
- This is only allowed if the doctor, using reasonable medical judgment, believes abortion is necessary.
- If a pregnant person has a life-threatening condition caused by the pregnancy — or one that could seriously damage a major part of their body — a doctor is allowed to perform an abortion to save their life or prevent serious harm.
- Doctor Must Try to Save the Baby Too:
- The doctor must try to perform the abortion in a way that gives the unborn baby the best chance of survival — unless doing so would put the pregnant person at more risk.
- The doctor must try to perform the abortion in a way that gives the unborn baby the best chance of survival — unless doing so would put the pregnant person at more risk.
- Special Cases That Are NOT Considered Abortion:
- Removing a pregnancy that’s not in the uterus (like an ectopic pregnancy).
- Removing a baby that already died inside the womb (miscarriage).
- Removing a pregnancy that’s not in the uterus (like an ectopic pregnancy).
- Unintentional Fetal Death:
- If the death of the unborn baby is accidental or unintentional while treating the mother’s medical condition, that’s not considered an illegal abortion.
- If the death of the unborn baby is accidental or unintentional while treating the mother’s medical condition, that’s not considered an illegal abortion.
- Medical Emergencies:
- If there is a medical emergency (meaning the mother’s life is at risk), a doctor can:
- Do the abortion immediately without delay.
- Use a different method if needed — even if the pregnancy is further along.
- Do the abortion immediately without delay.
- If there is a medical emergency (meaning the mother’s life is at risk), a doctor can:
- Mental Health Is Not a Justification:
- A doctor cannot justify an abortion based only on the idea that the woman might harm herself (mentally or physically) in the future.
- A doctor cannot justify an abortion based only on the idea that the woman might harm herself (mentally or physically) in the future.
- Rules for Abortion Pills:
- Doctors must do several medical checks before giving abortion pills:
- Confirm pregnancy.
- Check how far along it is.
- Make sure it’s not an ectopic pregnancy.
- Offer medicine to protect future pregnancies if needed.
- Pills are not allowed if the pregnancy is more than 49 days.
- Confirm pregnancy.
- Doctors must do several medical checks before giving abortion pills:
- Communicating About Medical Exceptions Is Legal:
- Doctors, lawyers, and others can talk with patients or other doctors to help decide if the abortion exception applies. That won’t count as helping with an illegal abortion.
This bill doesn’t legalize abortion generally, but it clearly allows exceptions when the mother’s life or major bodily functions are in serious danger. It also protects doctors who act in good faith during those situations, and gives guidelines for how to handle medical emergencies, miscarriages, and ectopic pregnancies. It also explicitly states that pregnant patients themselves cannot be prosecuted for undergoing an abortion—addressing concerns about legal protections for those seeking care.
The bill continues to hold the support of both anti-abortion groups and the medical associations that helped shape it. All amendments were made with consensus among stakeholders, preserving the broad coalition behind the effort.
SB31 now moves to the Senate floor for debate and a vote. A companion bill is also progressing through the Texas House, suggesting momentum toward a legislative resolution that may reshape the practical application of abortion laws in Texas.
