H.B. No. 4910 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 necessary rules for the implementation of this expanded eligibility.

The bill also requires an annual report to be submitted by the commission to key state officials, 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 this act will apply to new eligibility determinations made after its implementation date, which is set for January 1, 2026. The executive commissioner is instructed to take necessary actions to facilitate this expansion, including seeking any required federal waivers or authorizations.

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