TX HB197

Bill

Relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.

Introduced
11/12/2024

In Committee
02/27/2025

Crossed Over

Passed

Dead
06/02/2025

Introduced Session

89th Legislature Regular Session

Bill Summary

AN ACT relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.

AI Summary

This bill proposes to expand Medicaid eligibility in Texas to all individuals who qualify for federal matching funds under the Patient Protection and Affordable Care Act (ACA), beginning January 1, 2026. The expansion is contingent upon voters approving a constitutional amendment in 2025. Under the proposed law, the Texas Health and Human Services Commission would be required to provide medical assistance to eligible individuals and adopt rules for implementing the expansion. The bill also mandates an annual report to state leadership detailing the effects of the Medicaid expansion, including its impact on the number of uninsured individuals, state and local health care costs, and charity and uncompensated care costs for hospitals. If federal agencies require additional waivers or authorizations for implementation, the state agency can request those and delay implementation until approved. The bill would only take effect if the related constitutional amendment is voter-approved; otherwise, it will have no effect.

Committee Categories

Budget and Finance

Sponsors (1)

John Bucy (D)*,

Last Action

Referred to Appropriations (on 02/27/2025)

Official Document

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB197

(7 Companion Bills)

Version:

Document Type	Source Location
State Bill Page	https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB197
BillText	https://capitol.texas.gov/tlodocs/89R/billtext/html/HB00197I.htm

Bill	Bill Name	Last Action	Type
HB1423	Relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.	Referred to Appropriations	Same As
HB726	Relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.	Referred to Appropriations	Same As
HB807	Relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.	Referred to Appropriations	Same As
HJR21	Proposing a constitutional amendment requiring the state to expand eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.	Referred to Appropriations	Enabling for
SB45	Relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.	Co-author authorized	Same As
SB637	Relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.	Referred to Health & Human Services	Same As
SB638	Relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.	Referred to Health & Human Services	Similar To

Bill > HB197

summary

Introduced Session

Bill Summary

AI Summary

Committee Categories

Sponsors (1)

Last Action

Official Document

bill text

bill summary

bill summary

bill summary