Texas 2025 - 89th Regular

Texas House Bill HB1355 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	By: Bryant H.B. No. 1355
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6	6	A BILL TO BE ENTITLED
7	7	AN ACT
8	8	relating to the expansion of eligibility for Medicaid to certain
9	9	individuals under the federal Patient Protection and Affordable
10	10	Care Act.
11	11	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
12	12	SECTION 1. Chapter 32, Human Resources Code, is amended by
13	13	adding Subchapter H to read as follows:
14	14	SUBCHAPTER H. EXPANSION OF ELIGIBILITY FOR MEDICAL ASSISTANCE
15	15	Sec. 32.351. EXPANDED ELIGIBILITY FOR MEDICAL ASSISTANCE
16	16	UNDER PATIENT PROTECTION AND AFFORDABLE CARE ACT. (a)
17	17	Notwithstanding any other law, the commission shall provide medical
18	18	assistance to all individuals who apply for that assistance and for
19	19	whom federal matching funds are available under the Patient
20	20	Protection and Affordable Care Act (Pub. L. No. 111-148), as
21	21	amended by the Health Care and Education Reconciliation Act of 2010
22	22	(Pub. L. No. 111-152), to provide that assistance.
23	23	(b) The executive commissioner shall adopt rules regarding
24	24	the provision of medical assistance as required by this section.
25	25	Sec. 32.352. ANNUAL REPORT ON EXPANDED ELIGIBILITY FOR
26	26	MEDICAL ASSISTANCE. Not later than December 1 of each year, the
27	27	commission shall report to the governor, the lieutenant governor,
28	28	the speaker of the house of representatives, and the standing
29	29	committees of the senate and the house of representatives having
30	30	primary jurisdiction over the medical assistance program on the
31	31	effects of expanding eligibility for medical assistance under
32	32	Section 32.351, including the effects on:
33	33	(1) the number of individuals in this state who do not
34	34	have health benefits coverage;
35	35	(2) state health care costs, including costs relating
36	36	to programs funded with money appropriated out of the general
37	37	revenue fund;
38	38	(3) local health care costs; and
39	39	(4) charity care and uncompensated care costs for
40	40	hospitals.
41	41	SECTION 2. Section 32.351, Human Resources Code, as added
42	42	by this Act, applies only to an initial determination or
43	43	recertification of eligibility of an individual for medical
44	44	assistance under Chapter 32, Human Resources Code, made on or after
45	45	January 1, 2026, regardless of the date the individual applied for
46	46	that assistance.
47	47	SECTION 3. As soon as possible after the effective date of
48	48	this Act, the executive commissioner of the Health and Human
49	49	Services Commission shall take all necessary actions to expand
50	50	eligibility for medical assistance under Chapter 32, Human
51	51	Resources Code, in accordance with Section 32.351, Human Resources
52	52	Code, as added by this Act, including notifying appropriate federal
53	53	agencies of that expanded eligibility. If before implementing any
54	54	provision of this Act a state agency determines that any other
55	55	waiver or authorization from a federal agency is necessary for
56	56	implementation of that provision, the agency affected by the
57	57	provision shall request the waiver or authorization and may delay
58	58	implementing that provision until the waiver or authorization is
59	59	granted.
60	60	SECTION 4. This Act takes effect January 1, 2026.