The bill, H.B. No. 3216, proposes an expansion of Medicaid eligibility for certain working parents in Texas. It introduces a new section, 32.02473, to the Human Resources Code, which mandates that the Health and Human Services Commission provide medical assistance to all individuals who are working parents of dependent children, who 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 provision.

The bill specifies that the new eligibility criteria 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 outlines that the executive commissioner must take prompt action to notify federal agencies about the expanded eligibility and may delay implementation if a federal waiver or authorization is required. The act is set to take effect on September 1, 2025.

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