H.B. No. 3072 proposes to expand Medicaid eligibility for certain women of reproductive age in Texas by adding a new section to the Human Resources Code. Specifically, the bill stipulates that the Health and Human Services Commission must provide medical assistance to women who are at least 19 but younger than 50 years old, have a household income at or below 133 percent of the federal poverty level, apply for assistance, and for whom federal matching funds are available. The executive commissioner is tasked with adopting necessary rules to implement this new eligibility criterion.

The bill outlines that the new eligibility provisions will apply only to initial determinations or recertifications of medical assistance eligibility made after the section is implemented, regardless of when the application was submitted. Additionally, it mandates that the executive commissioner take prompt action to notify federal agencies about the expanded eligibility and seek any necessary waivers or authorizations before implementation. The act is set to take effect on September 1, 2025.

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