The bill, S.B. No. 921, introduces a prohibition on conducting ex parte renewals of Medicaid eligibility for recipients in Texas. It amends the Government Code by adding Section 532.0456, which defines "ex parte renewal" as an automatic redetermination of Medicaid eligibility that does not require information from the recipient but relies on verifiable electronic data sources available to the commission. The bill stipulates that, except as required by federal law, the Health and Human Services Commission or any state agency administering Medicaid cannot perform these automatic renewals.

Additionally, the bill mandates that the Health and Human Services Commission must seek any necessary waivers or authorizations from federal agencies to implement this new prohibition within 180 days of the bill's effective date. The implementation of this section may be delayed until such waivers or authorizations are granted. The bill is set to take effect immediately upon receiving a two-thirds vote from both houses of the legislature or on September 1, 2025, if that vote is not achieved.