The bill, H.B. No. 814, 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 Health and Human Services Commission provide medical assistance to all individuals who apply and qualify for federal matching funds under the Affordable Care Act. The executive commissioner is tasked with adopting necessary rules for the implementation of this expanded eligibility.

Additionally, the bill requires the commission to submit an annual report 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 the bill will apply only to new eligibility determinations made after its implementation date, which is set for September 1, 2025. The executive commissioner is also instructed to take necessary actions to ensure compliance with federal requirements for the expansion.

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