The bill, S.B. No. 255, aims to expand eligibility for Medicaid in Texas by adding Section 32.02473 to the Human Resources Code. This new section mandates that the commission provide medical assistance to all individuals who apply for it, provided that federal matching funds are available under the Patient Protection and Affordable Care Act. The executive commissioner is also required to adopt rules for the implementation of this expanded eligibility.

The provisions of this bill will apply only to initial determinations or recertifications of eligibility for medical assistance made after the section is implemented, regardless of when the application was submitted. Additionally, the executive commissioner must take necessary actions to notify federal agencies about this expanded eligibility as soon as possible after the bill's effective date of September 1, 2025. If any waivers or authorizations from federal agencies are needed before implementation, the relevant state agency may delay the implementation until those are granted.

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