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 who meet the federal criteria will receive support. This amendment aims to enhance healthcare access for eligible Texans by leveraging available federal resources.

Additionally, the resolution includes a temporary provision stating that the new section will take effect on January 1, 2026, and 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 whether to support the expansion of Medicaid eligibility as outlined in the resolution.