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 (ACA). The executive commissioner is also tasked with adopting rules to facilitate this provision of medical assistance.

The bill specifies that the new eligibility criteria will apply only to initial determinations or recertifications of eligibility made after the section is implemented, regardless of when the application was submitted. Additionally, it outlines that the executive commissioner must take necessary actions to notify federal agencies about the expanded eligibility and may delay implementation if a federal waiver or authorization is required. The act is set to take effect on September 1, 2025.

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