The resolution proposes a constitutional amendment to the Texas Constitution that mandates the state to expand Medicaid eligibility to individuals who qualify for federal matching funds under the Patient Protection and Affordable Care Act (ACA). Specifically, it seeks to add Section 74 to Article XVI, ensuring that all applicants for medical assistance are provided coverage if they meet the criteria for federal funding. This amendment aims to enhance access to healthcare for more residents of Texas.

Additionally, the resolution includes a temporary provision that states the new section will take effect on January 1, 2026, and will remain in effect until January 1, 2027. The proposed amendment will be presented to voters during the election on November 4, 2025, allowing the public to decide whether to support the expansion of Medicaid eligibility as outlined in the resolution.