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HB 5531

Relating to exempting medical care provided by a midwife from being considered as neglect of a child.

89th Legislature (2025) Introduced by Donna Howard

Texas bill exempts licensed midwife-provided care from child neglect classification, clarifying legal status of midwife-attended births and protecting families using this service.

Referred to Public Health
#family--childprotection(i0351) #healthcareproviders(i0387) #midwives&midwifery(s0762)
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Bill Summary · HB 5531

Legislative bill overview

HB 5531 would amend Texas law to explicitly exempt medical care provided by licensed midwives from being classified as child neglect. Currently, Texas child welfare statutes do not clearly distinguish between legitimate midwifery care and actual medical neglect, creating legal ambiguity for families choosing midwife-attended births.

Why is this important

This bill addresses a gap in Texas law that could expose families using midwifery services to child protective services investigations. It would provide legal clarity and protection for families exercising a reproductive choice that is legal and regulated in Texas, while potentially affecting how the state defines adequate medical care for children.

Potential points of contention

  • Definition of "medical care": Disagreement over what constitutes safe midwifery practices versus situations requiring physician intervention; disputes about which midwife credentials qualify for the exemption
  • Child safety concerns: Advocates may worry the exemption could shield genuine medical neglect cases if a child needs emergency intervention that midwives cannot provide
  • Scope and conditions: Debate over whether the exemption should be absolute or conditional (e.g., requiring midwife licensing, parental consent, or specific training standards)

Compiled from official sources — confirm details with the bill’s official record.

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