Texas House Bill HB135

Texas 2021 - 87th 2nd C.S.

Caption

Relating to expanding eligibility for medical assistance to certain persons under the federal Patient Protection and Affordable Care Act.

Impact

If enacted, HB 135 will amend the existing state laws that govern medical assistance eligibility by allowing more individuals to qualify for healthcare benefits. The bill mandates that medical assistance should be provided to all eligible applicants as long as federal matching funds are available. This change could significantly enhance the number of residents receiving medical support, helping to alleviate some healthcare disparities faced by low-income individuals and families in Texas.

Summary

House Bill 135 proposes to expand eligibility for medical assistance under the Texas Human Resources Code by adopting provisions associated with the federal Patient Protection and Affordable Care Act (ACA). This bill aims to provide access to medical assistance for those who were not eligible under the previous criteria effective at the end of 2021. By doing so, the bill seeks to create a 'medical assistance expansion group' which will benefit from federal matching funds, potentially increasing healthcare access for low-income Texans.

Contention

One point of contention surrounding HB 135 relates to its reliance on federal funding, as the medical assistance benefits for the expansion group would cease if federal funds are terminated. Critics argue that this dependency on fluctuating federal support may jeopardize the stability of healthcare access for many vulnerable populations. Additionally, some lawmakers may be concerned about the implications of expanding state Medicaid programs in the context of ongoing discussions about healthcare financing and reform within the state.

Implementation

The bill requires that the executive commissioner of the Health and Human Services Commission implement the changes necessary to expand eligibility as defined in the new provisions. This involves determining whether any waivers or authorizations from federal agencies are needed prior to enforcement. The impact of this bill, therefore, entails not only changes to state law but also coordination with federal entities to ensure practical application within the healthcare system.