Bill > HB814

This bill expands Medicaid eligibility in Texas by requiring the state's Health and Human Services Commission to provide medical assistance to all individuals who qualify for federal matching funds under the Patient Protection and Affordable Care Act (ACA). The bill mandates that the executive commissioner develop rules for implementing this expanded coverage and requires an annual report to state leadership detailing the impact of the expansion, specifically focusing on the number of uninsured individuals, state and local healthcare costs, and charity and uncompensated care expenses for hospitals. The expansion will apply to new initial determinations and recertifications of medical assistance starting September 1, 2025, and the commission is instructed to notify federal agencies and obtain any necessary waivers to implement the changes. If federal authorization is required for any provision, the agency can delay implementation until such authorization is granted. The bill aims to increase healthcare access by broadening Medicaid eligibility through ACA provisions, with a commitment to tracking and reporting the program's effects on the state's healthcare landscape.

Budget and Finance

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB814