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 criteria set forth by the ACA will receive support from the state.

Additionally, the resolution includes a temporary provision that states this amendment will take effect on January 1, 2026, and will expire on January 1, 2027. The proposed amendment will be presented to voters in an election scheduled for November 4, 2025, allowing them to decide whether to support the expansion of Medicaid eligibility as outlined in the resolution.