Bill > HB72

This bill proposes to expand Medicaid eligibility in Texas to include all individuals who qualify for federal matching funds under the Patient Protection and Affordable Care Act (ACA). Under the proposed legislation, the Texas Health and Human Services Commission would be required to provide medical assistance to these individuals, beginning January 1, 2026. The bill mandates that the executive commissioner develop 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 and uncompensated care expenses for hospitals. Importantly, the bill's implementation is contingent on a constitutional amendment being approved by voters in 2025 that specifically authorizes this Medicaid expansion. If the constitutional amendment fails, the bill will have no effect. The legislation allows for potential delays in implementation if additional federal waivers or authorizations are needed, ensuring a careful and compliant approach to expanding healthcare coverage.

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=891&Bill=HB72