Bill Text: TX HB814 | 2025-2026 | 89th Legislature | Introduced
Bill Title: Relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced) 2024-11-12 - Filed [HB814 Detail]
Download: Texas-2025-HB814-Introduced.html
| 89R1092 MM-F | ||
| By: Bernal | H.B. No. 814 | |
|
|
||
|
|
||
| relating to the expansion of eligibility for Medicaid to certain | ||
| individuals under the federal Patient Protection and Affordable | ||
| Care Act. | ||
| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
| SECTION 1. Chapter 32, Human Resources Code, is amended by | ||
| adding Subchapter H to read as follows: | ||
| SUBCHAPTER H. EXPANSION OF ELIGIBILITY FOR MEDICAL ASSISTANCE | ||
| Sec. 32.351. EXPANDED ELIGIBILITY FOR MEDICAL ASSISTANCE | ||
| UNDER PATIENT PROTECTION AND AFFORDABLE CARE ACT. (a) | ||
| Notwithstanding any other law, the commission shall provide medical | ||
| assistance to all individuals who apply for that assistance and for | ||
| whom federal matching funds are available under the Patient | ||
| Protection and Affordable Care Act (Pub. L. No. 111-148), as | ||
| amended by the Health Care and Education Reconciliation Act of 2010 | ||
| (Pub. L. No. 111-152), to provide that assistance. | ||
| (b) The executive commissioner shall adopt rules regarding | ||
| the provision of medical assistance as required by this section. | ||
| Sec. 32.352. ANNUAL REPORT ON EXPANDED ELIGIBILITY FOR | ||
| MEDICAL ASSISTANCE. Not later than December 1 of each year, the | ||
| commission shall report to the governor, the lieutenant governor, | ||
| the speaker of the house of representatives, and the standing | ||
| committees of the senate and the house of representatives having | ||
| primary jurisdiction over the medical assistance program on the | ||
| effects of expanding eligibility for medical assistance under | ||
| Section 32.351, including the effects on: | ||
| (1) the number of individuals in this state who do not | ||
| have health benefits coverage; | ||
| (2) state health care costs, including costs relating | ||
| to programs funded with money appropriated out of the general | ||
| revenue fund; | ||
| (3) local health care costs; and | ||
| (4) charity care and uncompensated care costs for | ||
| hospitals. | ||
| SECTION 2. Section 32.351, Human Resources Code, as added | ||
| by this Act, applies only to an initial determination or | ||
| recertification of eligibility of an individual for medical | ||
| assistance under Chapter 32, Human Resources Code, made on or after | ||
| the date the section is implemented, regardless of the date the | ||
| individual applied for that assistance. | ||
| SECTION 3. As soon as possible after the effective date of | ||
| this Act, the executive commissioner of the Health and Human | ||
| Services Commission shall take all necessary actions to expand | ||
| eligibility for medical assistance under Chapter 32, Human | ||
| Resources Code, in accordance with Section 32.351, Human Resources | ||
| Code, as added by this Act, including notifying appropriate federal | ||
| agencies of that expanded eligibility. If before implementing any | ||
| provision of this Act a state agency determines that any other | ||
| waiver or authorization from a federal agency is necessary for | ||
| implementation of that provision, the agency affected by the | ||
| provision shall request the waiver or authorization and may delay | ||
| implementing that provision until the waiver or authorization is | ||
| granted. | ||
| SECTION 4. This Act takes effect September 1, 2025. | ||
