Exempting medical care provided by a midwife from being considered as neglect of a child

Texas House Bill 5531, introduced in March 2025 by Representative Donna Howard, aimed to clarify that medical care provided by licensed midwives should not be considered child neglect under Texas law. The bill proposed defining 'medical provider' to include licensed midwives, ensuring that parents choosing midwife-led care are not accused of neglect solely based on that choice. The bill was referred to the House Public Health Committee in April 2025 but did not progress further.

Supporters of HB 5531 viewed it as a necessary clarification to protect parents who opt for midwife-led care from unwarranted accusations of child neglect. They argued that recognizing licensed midwives as legitimate medical providers would uphold parental rights and support diverse birthing options, particularly benefiting communities that prefer or have better access to midwifery services.

Critics of the bill expressed concerns that exempting midwife-provided care from being considered as potential neglect might limit the ability of child protective services to intervene in cases where midwifery care is substandard. They worried that this could inadvertently reduce oversight and potentially compromise child safety in situations where midwifery care does not meet established medical standards.