H.B. No. 2939 proposes an expansion of Medicaid eligibility in Texas, aligning with the federal Patient Protection and Affordable Care Act. The bill introduces a new Subchapter H to Chapter 32 of the Human Resources Code, which mandates that the Health and Human Services Commission provide medical assistance to all individuals who apply and qualify for federal matching funds under the Affordable Care Act. Additionally, the executive commissioner is tasked with adopting rules to facilitate this provision.

The bill also requires an annual report by December 1 each year, detailing the impacts of the expanded eligibility on various factors, including the number of uninsured individuals, state and local healthcare costs, and charity care expenses for hospitals. The provisions of the bill will apply to new eligibility determinations made after its implementation date, which is set for September 1, 2025. The executive commissioner is instructed to take necessary actions to implement the expansion, including seeking any required federal waivers.

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