The resolution, proposed by Representative Reynolds as H.J.R. No. 40, seeks to amend the Texas Constitution to mandate 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 adds Section 74 to Article XVI of the Texas Constitution, ensuring that all applicants for medical assistance who meet the federal criteria will receive support from the state.

Additionally, the resolution includes a temporary provision that outlines the implementation timeline for this amendment. It states that the new section will take effect on January 1, 2026, and will remain in effect until January 1, 2027. The proposed amendment will be presented to Texas voters in an election scheduled for November 4, 2025, allowing them to decide whether to support the expansion of Medicaid eligibility as outlined in the resolution.