The resolution proposes a constitutional amendment to the Texas Constitution that mandates the state to expand Medicaid eligibility to individuals who qualify for federal matching funds under the Patient Protection and Affordable Care Act (ACA). Specifically, it seeks to add Section 74 to Article XVI, ensuring that all applicants for medical assistance are provided coverage if they meet the criteria for federal funding. This amendment aims to enhance access to healthcare for more residents of Texas.

Additionally, the resolution includes a temporary provision that outlines the effective date of the amendment, which is set for January 1, 2026, and specifies that this provision will expire on January 1, 2027. The proposed amendment will be presented to voters in a referendum scheduled for November 4, 2025, allowing the public to decide on the expansion of Medicaid eligibility in accordance with the ACA.