Texas 2025 - 89th Regular

Texas House Bill HB807 Compare Versions

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

Old	New	Differences
1	1	89R151 MM-F
2	2	By: Bernal H.B. No. 807
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7	7	A BILL TO BE ENTITLED
8	8	AN ACT
9	9	relating to the expansion of eligibility for Medicaid to certain
10	10	individuals under the federal Patient Protection and Affordable
11	11	Care Act.
12	12	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
13	13	SECTION 1. Chapter 32, Human Resources Code, is amended by
14	14	adding Subchapter H to read as follows:
15	15	SUBCHAPTER H. EXPANSION OF ELIGIBILITY FOR MEDICAL ASSISTANCE
16	16	Sec. 32.351. EXPANDED ELIGIBILITY FOR MEDICAL ASSISTANCE
17	17	UNDER PATIENT PROTECTION AND AFFORDABLE CARE ACT. (a)
18	18	Notwithstanding any other law, the commission shall provide medical
19	19	assistance to all individuals who apply for that assistance and for
20	20	whom federal matching funds are available under the Patient
21	21	Protection and Affordable Care Act (Pub. L. No. 111-148), as
22	22	amended by the Health Care and Education Reconciliation Act of 2010
23	23	(Pub. L. No. 111-152), to provide that assistance.
24	24	(b) The executive commissioner shall adopt rules regarding
25	25	the provision of medical assistance as required by this section.
26	26	Sec. 32.352. ANNUAL REPORT ON EXPANDED ELIGIBILITY FOR
27	27	MEDICAL ASSISTANCE. Not later than December 1 of each year, the
28	28	commission shall report to the governor, the lieutenant governor,
29	29	the speaker of the house of representatives, and the standing
30	30	committees of the senate and the house of representatives having
31	31	primary jurisdiction over the medical assistance program on the
32	32	effects of expanding eligibility for medical assistance under
33	33	Section 32.351, including the effects on:
34	34	(1) the number of individuals in this state who do not
35	35	have health benefits coverage;
36	36	(2) state health care costs, including costs relating
37	37	to programs funded with money appropriated out of the general
38	38	revenue fund;
39	39	(3) local health care costs; and
40	40	(4) charity care and uncompensated care costs for
41	41	hospitals.
42	42	SECTION 2. Section 32.351, Human Resources Code, as added
43	43	by this Act, applies only to an initial determination or
44	44	recertification of eligibility of an individual for medical
45	45	assistance under Chapter 32, Human Resources Code, made on or after
46	46	January 1, 2026, regardless of the date the individual applied for
47	47	that assistance.
48	48	SECTION 3. As soon as possible after the effective date of
49	49	this Act, the executive commissioner of the Health and Human
50	50	Services Commission shall take all necessary actions to expand
51	51	eligibility for medical assistance under Chapter 32, Human
52	52	Resources Code, in accordance with Section 32.351, Human Resources
53	53	Code, as added by this Act, including notifying appropriate federal
54	54	agencies of that expanded eligibility. If before implementing any
55	55	provision of this Act a state agency determines that any other
56	56	waiver or authorization from a federal agency is necessary for
57	57	implementation of that provision, the agency affected by the
58	58	provision shall request the waiver or authorization and may delay
59	59	implementing that provision until the waiver or authorization is
60	60	granted.
61	61	SECTION 4. This Act takes effect January 1, 2026, but only
62	62	if the constitutional amendment proposed by the 89th Legislature,
63	63	Regular Session, 2025, requiring the state to expand eligibility
64	64	for Medicaid to all individuals for whom federal matching funds are
65	65	available under the federal Patient Protection and Affordable Care
66	66	Act is approved by the voters. If that amendment is not approved by
67	67	the voters, this Act has no effect.