By: Parker S.B. No. 2826 A BILL TO BE ENTITLED AN ACT relating to the establishment of an education-based program to prevent medical child abuse through standardized training for medical students, healthcare professionals, and child protective services caseworkers. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Chapter 531, Government Code, is amended by adding Subchapter X to read as follows: SUBCHAPTER X. MEDICAL CHILD ABUSE EDUCATION PROGRAM Sec. 531.981. SHORT TITLE. This subchapter may be cited as "Alyssa's Law." Sec. 531.982. DEFINITIONS. In this subchapter: (1) "Medical child abuse" means the intentional misrepresentation, fabrication, exaggeration, or induction of illness or medical symptoms in a child by a parent or caregiver, leading to unnecessary medical treatment, interventions, or harm. (2) "Medical child abuse prevention training" means standardized education designed to help medical professionals and child protective services workers identify, report, and prevent medical child abuse while ensuring due process in investigations. Sec. 531.983. ESTABLISHMENT OF MEDICAL CHILD ABUSE EDUCATION PROGRAM. (a) Not later than September 1, 2027, the commission, in collaboration with the Texas Medical Board, the Department of Family and Protective Services, and accredited healthcare institutions, using existing resources, grants, and programs to the extent possible, shall establish and administer a program to: (1) define and identify medical child abuse based on clinical, behavioral, and legal standards; (2) train medical students, licensed healthcare professionals, and child protective services (CPS) caseworkers to recognize and respond to medical child abuse cases; (3) implement standardized training protocols for medical schools, hospitals, and social services agencies; (4) develop continuing education modules for medical professionals and child welfare personnel; (5) ensure that training programs incorporate best practices for thorough case evaluation before CPS intervention; and (6) promote collaboration between CPS caseworkers and medical professionals to improve accuracy in identifying medical child abuse. (b) The program must ensure that all training modules reflect: (1) the clinical indicators of medical child abuse; (2) the distinction between legitimate medical conditions and fabricated illness claims; (3) the ethical and legal considerations in child abuse reporting; (4) best practices for peer review and medical consultation before CPS intervention; and (5) procedures for multidisciplinary case review to ensure investigative accuracy. Sec. 531.984. INTEGRATION INTO MEDICAL AND PROFESSIONAL TRAINING. (a) Texas medical schools shall integrate medical child abuse education into their curricula as part of students' professional training. (b) The Texas Medical Board, in consultation with the commission and the Department of Family and Protective Services, shall require continuing medical education requirements that include: (1) identifying and preventing medical child abuse; (2) recognizing patterns of falsified symptoms and unnecessary medical procedures; (3) distinguishing true medical concerns from fabricated abuse allegations; and (4) legal responsibilities for reporting suspected cases. (c) The Department of Family and Protective Services shall ensure that CPS investigators and caseworkers receive annual training on: (1) investigative protocols for suspected medical child abuse; (2) how to collaborate with medical professionals before taking legal action; and (3) the role of peer-reviewed medical assessments in child abuse cases. Sec. 531.985. IMPLEMENTATION AND OVERSIGHT. (a) The commission, in collaboration with the Texas Medical Board and the Department of Family and Protective Services, shall oversee the development and implementation of the medical child abuse education program under this subchapter. (b) The program must be made accessible to all medical students, healthcare professionals, and child protective services caseworkers as part of their required training and continuing education. SECTION 2. This Act takes effect September 1, 2025.