S.B. No. 232 seeks to establish the Live Well Texas program, which aims to expand Medicaid eligibility and provide health benefit coverage to certain individuals. The bill introduces new chapters to the Government Code, specifically Chapters 537A and 537B, detailing the program's definitions, objectives, and administrative structure. It mandates the development of a federal waiver to implement the program, outlining conditions for the waiver, including health benefit coverage options and incentives for participants to transition to stable employment. The bill also sets eligibility requirements for enrollment, ensuring individuals maintain coverage for 12 months and establishing a consolidated application process for both the program and Medicaid.

Additionally, the bill enhances eligibility screening and enrollment processes, requiring application forms to be available in multiple languages and allowing applications via various methods. It outlines the eligibility redetermination process, mandates timely notifications, and specifies coverage requirements for health plans, including essential health benefits. The legislation also introduces provisions for pregnant participants and parents, ensuring they receive necessary benefits without cost-sharing for a specified period. Furthermore, it establishes guidelines for Health Savings Accounts (HSAs) and a "Gateway to Work" program, emphasizing continuity of care and access to job training for participants. Overall, the bill aims to improve health care access and outcomes for Texans in need.

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