The bill, H.B. No. 262, proposes an expansion of Medicaid eligibility in Texas under the federal Patient Protection and Affordable Care Act. It introduces a new Subchapter H to Chapter 32 of the Human Resources Code, which mandates that the commission provide medical assistance to all individuals who apply and qualify for federal matching funds as specified in the Affordable Care Act. Additionally, the executive commissioner is tasked with adopting rules to facilitate this provision.

Furthermore, the bill requires an annual report to be submitted by December 1 each year to key state officials, detailing the impacts of the expanded eligibility on various factors, including the number of uninsured individuals, state and local healthcare costs, and charity care expenses for hospitals. The provisions of this bill will apply only to new eligibility determinations made after its implementation date, and the act is set to take effect on September 1, 2025.

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