The resolution, introduced by Bucy as H.J.R. No. 34, proposes a constitutional amendment to the Texas Constitution that mandates the state to expand Medicaid eligibility to individuals who qualify for federal matching funds under the Patient Protection and Affordable Care Act (ACA). Specifically, it seeks to add Section 74 to Article XVI of the Texas Constitution, ensuring that all applicants for medical assistance who meet the federal criteria will receive support. This amendment is intended to enhance access to healthcare for eligible Texans.

Additionally, the resolution includes a temporary provision that outlines the effective date of the amendment, which is set to take effect on January 1, 2026, and will expire on January 1, 2027. The proposed amendment will be presented to voters during an election scheduled for November 4, 2025, allowing the public to decide whether to support the expansion of Medicaid eligibility as outlined in the resolution.