The bill, H.B. No. 4910, proposes an expansion of Medicaid eligibility in Texas under the federal Patient Protection and Affordable Care Act. It 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. The executive commissioner is tasked with adopting necessary rules to facilitate this provision. Additionally, the bill requires an annual report to be submitted to state leadership detailing the impacts of this expanded eligibility, including effects on uninsured individuals, state and local healthcare costs, and charity care expenses.

The bill specifies that the new eligibility criteria will apply only to initial determinations or recertifications made after the section is implemented, regardless of when the application was submitted. It also outlines that the executive commissioner must take necessary actions to implement the expanded eligibility, including seeking any required federal waivers. The act is set to take effect on January 1, 2026.

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