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," which encompasses various roles related to abortion services, and "network contractor," referring to those who contract with the commission to provide services. It also establishes that service providers must not be associated with abortion services and must certify their compliance with the program's life-affirming mission. Additionally, the bill expands the types of services offered, including housing assistance and various support programs for women facing unexpected pregnancies.

The legislation also specifies that no funding from the program can be used for abortion-related services, and it outlines eligibility criteria for organizations seeking funding, disqualifying those affiliated with abortion services providers. To facilitate participation from smaller service providers, the bill mandates the commission to simplify application processes and provide technical assistance. The act is set to take effect on September 1, 2025, following the adoption of necessary rules by the executive commissioner of the Health and Human Services Commission.