HB 1881 mandates Texas Southern University to conduct a feasibility study for establishing a public medical school as a professional school of the university. The study must assess the need for such an institution, propose a financial plan, evaluate accreditation feasibility, and analyze how the university could uniquely address urban healthcare challenges, including maternal mortality and health disparities. A report summarizing the findings, recommendations, and challenges must be submitted to the Texas Higher Education Coordinating Board by September 1, 2026. The legislation provides for funding from legislative appropriations or other sources and sets an expiration date for the act of December 1, 2026​.