89R5865 MPF-D By: Cook S.B. No. 2257 A BILL TO BE ENTITLED AN ACT relating to the definition and provision of an abortion-inducing drug. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 171.061(2), Health and Safety Code, is amended to read as follows: (2) "Abortion-inducing drug" means a drug, a medicine, or any other substance, including a regimen of two or more drugs, medicines, or substances, prescribed, dispensed, or administered with the intent of terminating a clinically diagnosable pregnancy of a woman and with knowledge that the termination will, with reasonable likelihood, cause the death of the woman's unborn child. The term includes off-label use of drugs, medicines, or other substances known to have abortion-inducing properties that are prescribed, dispensed, or administered with the intent of causing an abortion, including the Mifeprex regimen, and misoprostol (Cytotec)[, and methotrexate]. The term does not include a drug, medicine, or other substance that may be known to cause an abortion but is prescribed, dispensed, or administered for other medical reasons. 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; (4) [(5)] document whether the pregnant woman received treatment for Rh negativity, as diagnosed by the most accurate standard of medical care; and (5) [(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. (a) The changes in law made by this Act apply only to an offense committed on or after the effective date of this Act. An offense committed before the effective date of this Act is governed by the law in effect on the date the offense was committed, and the former law is continued in effect for that purpose. For purposes of this section, an offense was committed before the effective date of this Act if any element of the offense occurred before that date. (b) The changes in law made by this Act apply only to the imposition of an administrative penalty for a violation that occurs on or after the effective date of this Act. The imposition of an administrative penalty for a violation that occurs before the effective date of this Act is governed by the law in effect on the date the violation occurred, and the former law is continued in effect for that purpose. SECTION 4. This Act takes effect September 1, 2025.