TX HB1423

Bill

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

Introduced
11/20/2024

In Committee
03/11/2025

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 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 adopt rules for implementing this expanded coverage and requires an annual report to state leadership detailing the impact of the expansion, including its effects on the number of uninsured individuals, state and local healthcare costs, and charity care expenses. The expansion would take effect on January 1, 2026, but is contingent upon Texas voters approving a constitutional amendment in 2025 that explicitly allows for Medicaid expansion. If the constitutional amendment fails, the bill will not go into effect. The legislation is designed to increase healthcare access for low-income individuals by utilizing available federal funding, with provisions for careful monitoring and reporting on the program's broader healthcare and economic implications.

Committee Categories

Budget and Finance

Sponsors (5)

Vikki Goodwin (D)*, John Bryant (D), Terry Meza (D), Ana-Maria Rodriguez Ramos (D), Gene Wu (D),

Last Action

Referred to Appropriations (on 03/11/2025)

Official Document

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB1423

(7 Companion Bills)

Version:

Document Type	Source Location
State Bill Page	https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB1423
BillText	https://capitol.texas.gov/tlodocs/89R/billtext/html/HB01423I.htm

Bill	Bill Name	Last Action	Type
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
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
HJR100	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 > HB1423

summary

Introduced Session

Bill Summary

AI Summary

Committee Categories

Sponsors (5)

Last Action

Official Document

bill text

bill summary

bill summary

bill summary