S.B. No. 1388 amends the Health and Safety Code to enhance family support services under the Thriving Texas Families Program, which is a continuation of the alternatives to abortion program. The bill introduces new definitions, including "abortion services provider," "affiliate," "governmental entity," "network contractor," and "program," which clarify the roles and relationships of various entities involved in providing support services. The bill mandates that the commission establish a statewide support network that offers community outreach, care coordination for women with unexpected pregnancies, and life-affirming alternatives to abortion, such as parenting and adoption services.

Additionally, the bill stipulates that service providers must not be associated with abortion services and outlines specific criteria for eligibility to receive funding. It emphasizes that no funds from the program can be used for abortion-related services and requires network contractors to certify their compliance with the program's objectives. The bill also includes provisions to facilitate participation by smaller service providers with annual revenues under $2 million, aiming to simplify their application and reporting processes. The changes are set to take effect on September 1, 2025.