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 and qualify for federal matching funds under the Patient Protection and Affordable Care Act. The executive commissioner is tasked with adopting necessary rules to facilitate this expanded eligibility.

The provisions of this bill will apply to initial determinations or recertifications of eligibility for medical assistance made on or after the implementation date, regardless of when the application was submitted. Additionally, the executive commissioner must take prompt action to notify federal agencies about the expanded eligibility. The bill is set to take effect on September 1, 2025, and includes a provision allowing state agencies to delay implementation if federal waivers or authorizations are required.

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