TX SB638

Bill

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

Introduced
12/18/2024

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 seeks to expand Medicaid eligibility in Texas by requiring the state's health 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 adds a new subchapter to the Human Resources Code mandating that the executive commissioner adopt rules for providing this expanded medical assistance. The bill also requires an annual report to be submitted to state leadership by December 1st each year, detailing the effects of the Medicaid expansion, including its impact on the number of uninsured individuals, state and local healthcare costs, and charity and uncompensated care expenses for hospitals. The expanded eligibility will apply to new initial determinations and recertifications of medical assistance starting on the implementation date, with the bill set to take effect on September 1, 2025. Furthermore, the bill allows state agencies to seek federal waivers or authorizations if needed and permits delaying implementation until such approvals are granted.

Committee Categories

Health and Social Services

Sponsors (1)

Nathan Johnson (D)*,

Last Action

Referred to Health & Human Services (on 02/03/2025)

Official Document

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=SB638

(9 Companion Bills)

Version:

Document Type	Source Location
State Bill Page	https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=SB638
BillText	https://capitol.texas.gov/tlodocs/89R/billtext/html/SB00638I.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	Similar To
HB197	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	Same As
HB2939	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
HB4910	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	Similar To
HB807	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
HB814	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

Bill > SB638

TX SB638

summary

Introduced Session

Bill Summary

AI Summary

Committee Categories

Sponsors (1)

Last Action

Official Document

bill text

bill summary

bill summary

bill summary