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. Additionally, the executive commissioner is required to adopt rules for the provision of this medical assistance.

Furthermore, the bill establishes an annual reporting requirement for the commission to assess the impact 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 to new eligibility determinations made after its implementation date, which is set for September 1, 2025. The executive commissioner is tasked with taking necessary actions to implement the expansion, including seeking any required federal waivers or authorizations.

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