TX SB45

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
02/03/2025

Crossed Over

Passed

Dead

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 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). Specifically, the bill mandates that the commission offer medical assistance to anyone who applies and meets the ACA's eligibility requirements, with the executive commissioner responsible for adopting implementation rules. The bill requires an annual report to state leadership detailing the impact of this expansion, including its effects on the number of uninsured individuals, state and local healthcare costs, and charity care expenses for hospitals. The expansion would take effect on January 1, 2026, but is contingent upon voters approving a constitutional amendment specifically authorizing Medicaid expansion. If the constitutional amendment is not approved by voters, the bill will have no effect. The legislation also allows state agencies to seek necessary federal waivers and provides flexibility to delay implementation if additional authorizations are required.

Committee Categories

Health and Social Services

Sponsors (3)

Molly Cook (D)*, Judith Zaffirini (D)*, César Blanco (D),

Last Action

Co-author authorized (on 02/11/2025)

Official Document

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=SB45

(11 Companion Bills)

Version:

Document Type	Source Location
State Bill Page	https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=SB45
BillText	https://capitol.texas.gov/tlodocs/89R/billtext/html/SB00045I.htm

Bill	Bill Name	Last Action	Type
HB1355	Relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.	Referred to Appropriations	Similar To
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
HB197	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
HB2604	Relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.	Referred to Appropriations	Similar To
HB262	Relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.	Referred to Appropriations	Similar To
HB2939	Relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.	Referred to Appropriations	Similar To
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
HB814	Relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.	Referred to Appropriations	Similar To
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
SJR6	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 Health & Human Services	Enabling for

Bill > SB45

TX SB45

summary

Introduced Session

Bill Summary

AI Summary

Committee Categories

Sponsors (3)

Last Action

Official Document

bill text

bill summary

bill summary

bill summary