Texas Right to Life, alongside other anti-abortion groups, stated that the newly passed Senate Bill 31 could allow doctors to intervene earlier in life-threatening conditions, thereby endorsing a measure aimed at reducing maternal deaths while reinforcing a restrictive framework on reproductive rights.

Following the Texas Senate's passage of Senate Bill 31, officials representing Texas Right to Life—as part of a coalition of anti-abortion groups—stated that the revised law would allow doctors to intervene in life-threatening cases. This endorsement, given in the context of ongoing legislative debates over abortion access, highlights the organization's continued political involvement in shaping reproductive health policy in Texas.

Texas Right to Life, alongside other anti-abortion advocates, has expressed support for state legislation aimed at clarifying abortion exception language. Critics argue that the bills risk resurrecting repressive, century-old abortion bans that could criminalize women seeking care.

Texas Right to Life has outlined an agenda for the 89th Texas Legislative Session, promoting measures to restrict abortion access, block taxpayer-funded abortion services, and target the distribution of abortion pills. The organization’s policy recommendations include bills aimed at empowering legal actions against abortion pill distributors and limiting state funding for abortion-related expenses, reflecting a concerted effort to influence public policy in a manner consistent with a conservative, authoritarian agenda.

Texas Right to Life released its Pro-Life Scorecard, evaluating Texas lawmakers on their support for pro-life priority bills during the 88th Legislature session, and actively petitioning legislators to back these measures.

Texas Right to Life lobbied Texas lawmakers to secure a portion of a record $225 million funding package for the Alternatives to Abortion program, directing $200 million for 2024-2025 and an additional $25 million for the remainder of 2023, illustrating its active political influence on policy making.

Texas Right to Life has set up an online reporting operation aimed at enforcing a new vigilante law that bans abortions after six weeks. The initiative, detailed in a HuffPost article, is notable for its connection to far‐right extremism and the encouragement of state-sanctioned or vigilante monitoring of abortion practices.