Bill > SB289

This bill proposes a comprehensive reform of Texas' Medicaid program that aims to create a more flexible, market-driven approach to providing healthcare coverage for low-income residents. The bill establishes two primary mechanisms: a block grant funding system for Medicaid and a program to connect low-income individuals with private health insurance plans. Under the proposed system, individuals with household incomes at or below 100% of the federal poverty level would be eligible for acute care benefits, with a focus on using managed care models and private market solutions. The bill introduces sliding scale subsidies to help individuals purchase health benefit plans, including options for health savings accounts, and emphasizes personal responsibility through cost-sharing requirements and wellness initiatives. Additionally, the legislation creates a Medicaid Reform Task Force to advise on program design and includes provisions for reforming long-term services and supports, such as developing customized benefits packages and exploring housing assistance for recipients. The bill requires federal authorization and is designed to be cost-neutral, with goals of reducing local tax burdens, minimizing the impact of federal healthcare laws on businesses, and creating a Texas-specific healthcare solution that meets the unique needs of the state's population.

Health and Social Services

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=SB289