H.B. No. 807 proposes an expansion of Medicaid eligibility in Texas, aligning with the federal Patient Protection and Affordable Care Act. The bill 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 under the Affordable Care Act. Additionally, the executive commissioner is tasked with adopting rules to facilitate this provision. An annual report is also required, detailing the impacts of this expanded eligibility on uninsured individuals, state and local healthcare costs, and charity care expenses.

The bill stipulates that the new eligibility criteria will only apply to initial determinations or recertifications made on or after January 1, 2026. Furthermore, the implementation of this act is contingent upon the approval of a constitutional amendment proposed by the 89th Legislature, which must be voted on by the public. If the amendment is not approved, the act will have no effect.

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