Austin, TX
At five hour hearing, no one is happy with Texas Medical Board’s proposed abortion guidance
:focal(0x0:3200x2134)/static.texastribune.org/media/files/b1abda7fd3f2165bfa494788586c92c3/0322%20TMB%20MC%20TT%2020.jpg?ssl=1 "At five hour hearing, no one is happy with Texas Medical Board’s proposed abortion guidance")
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When Sarah Harrison addressed the Texas Medical Board at a virtual hearing Monday, she added her name to the growing list of Texas women who have shared stories of being denied medically necessary abortions.
Her testimony provided a timely example of exactly how confusing the state’s abortion laws can be in action, even to those tasked with enforcing them.
Harrison, an Austin attorney, learned late last year that one of her twins was not going to survive outside the womb. Her doctors advised her to travel out of state for a selective reduction to terminate the nonviable fetus.
On Monday, Harrison asked the medical board to more explicitly inform doctors they can perform selective reductions if continuing the pregnancy threatens the other fetus’ life. She pointed to the part of the law that says it is not an abortion if it is intended to “save the life or preserve the health of an unborn child.”
Stephen “Brint” Carlton, the board’s executive director, corrected her, saying that line applies to things like fetal surgeries and other interventions aimed at saving single pregnancies, not selective reductions of multiples. But then board chair Dr. Sherif Zaafran chimed in, saying that, in general, if a doctor feels a selective reduction is the standard of care and other expert physicians agree, it could potentially be allowed.
Harrison pushed back, saying her doctors did believe a selective reduction to be the standard of care.
“Under threat of criminal prosecution and losing their license, they were not going to provide a reduction because they couldn’t prove that I was at serious risk of losing my life or serious bodily function,” she said.
Later in the hearing, a retired OB/GYN said he didn’t believe Harrison would have qualified for an abortion in Texas. Then, a health lawyer weighed in to say she agreed with Harrison’s interpretation of the law.
“I thought that exception applied until I heard you today,” Louise Joy, an attorney who advises Texas hospitals, said to Carlton. “But that’s the very confusion we have.”
This is but one example of the ongoing confusion among doctors and lawyers about how to interpret the new abortion laws. The medical board has proposed guidance to clarify some of that uncertainty, but five hours of testimony and hundreds of written comments later, it’s clear no one is particularly pleased with their first attempt including, it seems, the medical board itself.
Zaafran said repeatedly that they would consider revisiting aspects of the proposal where doctors’ interpretations of the guidance was at odds with the boards’ intent.
“If the board was perfect, which we’re certainly not, then that would be it,” Zaafran said. “But having 1,000 sets of eyes [helps with] highlighting things that we may have overlooked and blind spots that we may not have been able to highlight.”
Guidance pushback
The Texas Medical Board initially resisted calls to issue guidance to doctors on how to interpret the state’s new abortion laws. Even after the Texas Supreme Court called on the licensing agency to “assess various hypothetical circumstances, provide best practices, identify red lines, and the like,” the board averred.
But after Steve and Amy Bresnen, Austin attorneys and health lobbyists, filed an official petition, the board conceded, issuing this first proposal in March. At Monday’s stakeholder hearing, doctors, lawyers and advocates across the political spectrum testified that the guidance did not clarify when doctors can act and, in fact, adds additional confusion.
In addition to gathering all the definitions from different abortion statutes in one place, the guidance primarily lists out what doctors are expected to document when deciding whether to perform an abortion.
“Unfortunately, the increased requirements for documentation are truly unworkable,” testified Dr. Richard Todd Ivey, a Houston OB/GYN. “The need for literature searches, attempts to transfer patients by any means available, documentation of how we determined a woman’s danger of death or serious risks, the need for consultations or opinions of medical ethics committees, attempts at alternative treatments and determination of a woman’s risk to support a particular method of termination. These are all incredibly cumbersome and time consuming.”
Several people raised concerns that the documentation could delay care in an emergency situation.
“A cesarean hysterectomy can lead to five liters of blood loss in three minutes,” said Dr. Joseph Valenti, an OB/GYN who serves on the Texas Medical Association’s Board of Trustees. “We don’t want to be documenting while we’re having blood loss or a baby is dropping heart tones.”
Zaafran said it wasn’t the board’s intent to require a doctor to document all of these things, or to document anything before acting in an emergency situation. He said the board would work to clarify that language.
Several speakers criticized the aspect of the guidance that tells doctors to document whether there was time to transfer a patient to another facility to avoid terminating the pregnancy. This provision sparked alarm among doctors and lawyers who felt it was adding an additional requirement that wasn’t in the law.
“The requirement to determine when there was an adequate time to transfer the patient by any means available is so vague as to be unworkable,” testified Molly Duane, senior staff attorney at the Center for Reproductive Rights. “Physicians need guidance on when they can provide abortions, not more reasons why they shouldn’t.”
Duane said the board had an important role to play, and while some aspects of the guidance were useful, others were “very confusing and will inevitably chill physicians’ reliance on the medical exemption.”
Dr. Ingrid Skopp, a leading anti-abortion OB/GYN based in San Antonio, testified that she has seen firsthand what happens when doctors hesitate to act. Last week, she said, she treated a woman in the emergency room who was hemorrhaging from a miscarriage that had been diagnosed two weeks earlier. Her doctor required her to have a follow-up ultrasound before he would surgically remove the fetal tissue, she said.
“He could have intervened and spared the woman the emotionally and physically traumatic experience that she had in my emergency room,” Skopp testified. “Stories like this abound in Texas not because of the laws but because of the failure of hospitals and medical industry organizations to provide guidance to physicians.”
Skopp said her fellow doctors’ fears were “irrational,” but called on the medical board to clearly reassure them that they can rely on their reasonable medical judgment to decide when to perform an abortion.
But with a potential for up to life in prison, a $100,000 fine and the loss of medical license for performing a prohibited abortion, some doctors testified that their fears are anything but irrational.
“These decisions should be made by a patient in consultation with their physicians, because that is the practice of medicine,” Ivey testified. “We as physicians want to work within the confines of the law, but we cannot do so if our hands are tied.”
Weighing imminence
In addition to Harrison, several women who say they were denied medically necessary abortions testified at the hearing. Kate Cox, a 31-year-old Dallas mom who sued to terminate her pregnancy after a lethal fetal anomaly diagnosis, testified that this guidance would not have helped her doctors, who agreed that she needed an abortion.
“We should not force pregnant Texans to get sicker or to wait for an inevitable miscarriage and go through childbirth to deliver a baby that has died or will certainly die,” Cox testified. “It is medically reasonable to give mothers and families the best chance at building their families which may include terminating a non-viable pregnancy so they can have a chance at a viable one. I needed that chance.”
The Texas Supreme Court ruled that Cox did not qualify for an abortion, even as it clarified in that ruling that a medical emergency need not be imminent to justify performing the procedure. Several groups, including the anti-abortion Texas Alliance for Life, called on the board to add this language to the guidance, which Zaafran said they would consider.
Zaafran said while it was clear doctors could act if there was an emergency situation, when “there’s a little bit more time to make a methodical judgment as to what should be done,” it might require a doctor to take the additional steps listed in the guidance.
“Let me clarify here that this is not just like any other typical medical procedure,” he said. “We’re talking about termination of a life here, and whether it is okay to do that.”
The board is considering testimony and written comments ahead of its June meeting, and will either put forward the existing guidance for a vote, or start the public comment process over again with revised guidance.
Disclosure: Texas Medical Association has been a financial supporter of The Texas Tribune, a nonprofit, nonpartisan news organization that is funded in part by donations from members, foundations and corporate sponsors. Financial supporters play no role in the Tribune’s journalism. Find a complete list of them here.
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A possible state takeover continues to loom over the Austin Independent School District after the Texas Education Agency denied the district’s request for an accountability pause for three middle schools.
The denial also affects money that would have gone toward Burnet, Dobie and Webb middle schools, which have each received “F” ratings four times since 2019. A fifth “F” rating would open the district up to a state takeover.
Austin ISD schools expect to see their accountability scores, or grades, later this summer. If Burnet, Dobie, and Webb middle schools receive a fifth “F” each — all in the last seven years — the district could face a state takeover.
Houston ISD was taken over by the state in the 2023-2024 school year, and it has been reported as a rocky ride for teachers and families.
Toni Templeton, a senior research scientist at the University of Houston Education Research Center, said, “Generally, what we’re seeing is a large exodus of both teachers and students from the district.” Templeton and two colleagues released the first part of an ongoing study into the Houston takeover in January. Templeton said, “What that signals to us is that parents are choosing to put students in a different schooling option,” including a neighboring district or charter schools.
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Austin ISD has not been taken over, and the district’s future hinges on the next set of ratings. Asked whether Austin ISD is in a vulnerable place and how likely a takeover is, a district spokesperson provided a statement released by Superintendent Matias Segura on Thursday, saying in part, “Over the last two years, student outcomes have continued to improve across Austin ISD.”
Ken Zarifis, president of Education Austin, also pointed to improvement while raising concerns about the state’s authority. “I think the state will take over a school district if it wants to, and I think that’s a problem, but what we’ve got here is we’ve got some information that I think that is hopeful that we’ve got to produce as far as test scores,” Zarifis said.
He added, “Yeah, I think it’s really important to see what they’re doing now? Not, what are they doing in 2022? What are they doing today? What have they been doing the last few years? And there’s been an improvement, and they’re very hopeful for at least two of the schools.”
A Texas Education Agency spokesperson said that because accountability ratings come out in August, it is too soon to speculate.
AUSTIN, Texas (KXAN) – The City of Austin is considering replacing the Barton Springs Bridge, citing concerns about the structure’s condition and long-term safety. However, preservation advocates are urging city leaders to fully explore alternatives before moving forward.
This week, Preservation Texas named Barton Springs Bridge one of the most endangered places for 2026.
“It’s a major road and a lot of stuff happening around here all the time, you know, public safety access, all these things are huge concerns, too. But we think that the historic nature of the bridge is really important,” said Meghan Namour, Policy and Outreach Planner at Preservation Austin.
According to city officials, the 100-year-old bridge has deteriorated over time, with cracking concrete, missing sections of concrete and other issues that have raised concerns about its future.
In 2024, the city received a $32 million bridge improvement grant from the Federal Highway Administration to help fund the project.
For longtime Austin resident Bethani Ragland, the bridge represents a piece of the city’s history.
“I’ve been here so long, since my childhood,” said Bethani Ragland, Austin resident.
She said she was disappointed to learn the bridge could eventually be replaced.
“It was built well because I haven’t noticed anything, no cracking no nothing. There’s no reason to take the bridge down. It’s just more construction in Austin,” said Ragland.
City of Austin officials say the project must still go through the National Environmental Policy Act, or NEPA, review process.
In a statement to KXAN, the city said:
“The Barton Springs Bridge project is currently at the 90% design milestone. The project received a $32M bridge improvement program grant from the Federal Highway Administration, and will go through a National Environmental Policy Act (NEPA) review and approval process which includes assessment of environmental assets and review of bridge alternatives. The NEPA document will review and evaluate the historic, environmental and archeological significance of the bridge. There will be an analysis of both replacement and rehabilitation alternatives included. The NEPA process is expected to be completed in 2027.”
Preservation advocates say they hope that process includes meaningful consideration of ways to preserve the bridge.
“In our own city, we have examples of historic bridges that have been repurposed for new or different uses. There’s the Pfluger Pedestrian and Bike Bridge that was added next to the Lamar Bridge. Not every case is the same but we would love for those options to at least be meaningfully considered,” said Namour.
The road to Omaha starts now for the No. 6 national seed Texas Longhorns. For the 39th time in the program’s storied history, the Longhorns will host the NCAA Regional with the opportunity to host a super regional if they can get out of a talent grouping.
This year’s Austin Regional is paired up with the Eugene Regional, hosted by the No. 11 Oregon Ducks. Last season, Texas had its best season since 2010 in its first year in the Southeastern Conference, but everything came crashing down when the Longhorns lost twice to the UTSA Roadrunners.
While last year’s result served as a lesson for the returners, most of the 2026 squad was either at other places or in high school, marking a new beginning for many.
“It’s always the most fun time of year, and certainly when you need the opportunity to play at home,” head coach Jim Schlossnagle said. “Welcome to Holy Cross, Tarleton State, and UCSB. Looking forward to great three or four days of baseball.”
Here are some keys for the Longhorns to make it out of the regional round of the NCAA Tournament for the first time since 2023.
1 – Aiden Robbins Must Produce
At one point in the season, Texas junior outfielder Aiden Robbins was one of the most dangerous hitters in the nation. For a hitter who has never batted under .300 dating back to high school, he maintained his production in a much more competitive SEC slate.
But in the final couple of games in the season, Robbins has not been the same imposing bat that won him the SEC Newcomer of the Year honors. Dating back to the Tennessee series, Robbins has gone 4-for-21 at the plate while striking out nine times.
The Longhorns’ top-of-the-order bat is also riding a three-game hitless streak heading into postseason play.
Robbins is battling back from a stomach bug that took him out early in the second game of the Missouri series and the entirety of the regular season finale.
If Texas wants to get out of its regional, its best bat for the entirety of the season must get back to his original form. A possible tuneup game against Holy Cross may be the switch to get him back. If not, he’ll have to move down in the order to allow catcher Carson Tinney and SEC Freshman of the Year, Anthony Pack Jr., to be the brunt of the offensive load.
2 – Texas Can’t Get Into The Loser’s Bracket
Playing two games in one day is almost a death sentence for any team with hopes of making it out of the regional.
Texas learned this the hard way: after beating Houston Christian in the first game of last season’s regional, the Longhorns fell in the second game to UTSA, forcing them to battle in the losers’ bracket with Kansas State.
Despite beating Kansas State on Sunday, Texas only had around an hour’s break before the regional final game, and a rematch with UTSA, ultimately in the regional defining loss.
“The biggest thing we learned is that everything up to this point just doesn’t, doesn’t matter. It’s all out the window – it’s a new season,” Luke Harrison said. “We’ve got to find a way to get better as a team and play better than we have all year.”
Texas is rolling out Harrison for game one against Holy Cross, saving Dylan Volantis for a big-time game on Saturday for either a rematch with Tarleton State or against a talented UC-Santa Brarba team.
While Texas does have the arms to win out of the losers’ bracket, it’s a task that will cause more pressure on the entire team.
3 – Starters and Bullpen Must Play Their A-Game
It has been well documented that the bullpen has seen its fair share of woes this season, and one of the keys to beating Texas is to retire the starter early to force them to tap into the bullpen early.
The starting trio of Harrison, Dylan Volantis and Ruger Riojas must eat up as many innings as possible, something they’ve done for the most part the entire season. Then it’s up to the bullpen to not allow the opposition to gain momentum down the stretch.
For Schlossnagle, there will not be much experimentation in the regional, and the arms that have proven their worth will get the nod.
“The guys who have pitched the best all season, they’re going to pitch the most,” Schlossnagle said. “If that means a reliever who maybe hasn’t pitched before the seventh inning has to come in a different part of the game, that’s what’s going to happen.”
While the SEC Tournament was disappointing on the hitting front, Texas was able to get looks from multiple pitchers in different parts of the game. Freshman pitchers, Sam Cozart and Brett Crossland, will be primary options while Thomas Burns and Haiden Leffew cannot struggle in the late-inning situations
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