HB 1989, also known as "Tomara’s Bill," proposes changes to the confidentiality and reporting of maternal mortality data to the Texas Department of State Health Services. The bill expands definitions related to maternal mortality and establishes the Texas Maternal Mortality and Morbidity Review Committee as the official entity for oversight. It provides exemptions for healthcare providers from certain reporting requirements, allows voluntary and confidential reporting of pregnancy-related deaths, and permits reimbursement of travel expenses for committee members. Additionally, the bill mandates the creation of a workgroup to explore the establishment of a maternal mortality and morbidity data registry to collect and analyze data to improve maternal health outcomes.