Bill > HB792

This bill establishes a mechanism for counties in Texas to seek a federal waiver to expand Medicaid eligibility under the Affordable Care Act (ACA). Specifically, the bill allows individual counties to request that the state's executive commissioner seek a Section 1115 waiver to provide Medicaid benefits to county residents who are currently ineligible for Medicaid but would qualify under the ACA's expanded coverage guidelines. The waiver request must include details about how the county will implement and operate the expanded Medicaid program, identify funding sources, establish residency qualifications, and potentially modify the state's eligibility determination process. The bill requires the executive commissioner to adopt rules for implementing these county-level Medicaid expansion requests by December 1, 2025, and allows the bill to take effect immediately if it receives a two-thirds vote in the Texas legislature, or otherwise on September 1, 2025. This legislation provides a pathway for counties to potentially extend healthcare coverage to uninsured residents who do not currently qualify for existing Medicaid programs.

Health and Social Services

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB792