The "Live Well Texas Program" bill aims to expand Medicaid eligibility in Texas by introducing two new chapters to the Government Code, specifically chapters 537A and 537B. It establishes a health benefit coverage program that includes definitions for terms like "Basic plan," "Plus plan," and "Eligible individual," and mandates the creation of health savings accounts (HSAs) for participants. The executive commissioner is required to seek a federal waiver to implement the program, which will not create an entitlement to health benefits and will terminate if federal funding falls below 90 percent. The bill outlines eligibility requirements, ensures continuous coverage for 12 months, and emphasizes a competitive procurement process for selecting health benefit plan providers.

Additionally, the bill enhances the enrollment and eligibility processes by making application forms available in multiple languages and allowing applications via various methods. It establishes a redetermination process for eligibility, with notifications sent 90 days prior to coverage expiration. Special provisions for pregnant participants include the option to remain in the program without cost-sharing until two months post-pregnancy and access to Medicaid wrap-around benefits. The bill also introduces guidelines for HSAs, including participant contributions based on income and a rewards program for healthy behaviors. It expands Medicaid eligibility under the Affordable Care Act and ensures continuity of care for participants transitioning to private health coverage after disenrollment.

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