House Bill No. 2994 mandates the Health and Human Services Commission (HHSC) to compile a comprehensive report on Medicaid eligibility determinations for each state fiscal year starting from the fiscal year ending August 31, 2018. The report will include detailed statistics on the total number of Medicaid applications submitted, approved, and denied, along with the reasons for denials and the time frames for these determinations as outlined in 1 T.A.C. Section 358.530(a). Additionally, the report will provide information on pending applications and the longest time taken for approvals or denials.

The bill requires the HHSC to submit this report to key state officials, including the governor and legislative leaders, by December 1, 2026. The act is set to expire on December 31, 2026, and will take effect on September 1, 2025.