Texas House Bill HB891

Texas 2025 - 89th Regular

• Filed: 11/12/24

Caption

Relating to a "Texas solution" to reforming and addressing issues related to the Medicaid program, including the creation of an alternative program designed to ensure health benefit plan coverage to certain low-income individuals through the private marketplace; requiring a fee.

Impact

The bill introduces significant changes to the existing Medicaid structure by allowing the Health and Human Services Commission to negotiate with federal agencies regarding waivers or authorizations for implementing a new program under a block grant system. This legislation aims to provide a risk-based managed care model for delivering Medicaid benefits, potentially streamlining access to healthcare for targeted populations. Additionally, it proposes a sliding scale subsidy system to assist eligible individuals in purchasing health benefit plans, which is intended to minimize the local tax burden and reliance on general revenue.

Summary

House Bill 891 seeks to implement a 'Texas solution' to reform the state's Medicaid program. It proposes the creation of an alternative program aimed at providing health benefit plan coverage to certain low-income individuals through private market solutions. The bill suggests a block grant funding system for the state Medicaid program, allowing for flexibility in how healthcare services are provided to eligible residents. The approach emphasizes cost neutrality for the state by leveraging premium tax revenues and achieving cost savings through various measures.

Contention

There are notable points of contention regarding the bill. While supporters advocate for the flexibility and potential to create a more efficient system tailored to Texas's unique needs, critics may argue that the privatization of Medicaid services could undermine the safety nets for vulnerable populations. Some concerns focus on whether the proposed market-based approach will adequately cover all necessary health services, particularly for individuals who are already marginalized in accessing care. As the bill progresses, the balance between reform and protection of low-income individuals' healthcare access will be a key issue.

Texas Constitutional Statutes Affected

Government Code

• Chapter 532. Medicaid Administration And Operation In General
  • Section: New Section

• Chapter 545. Certain Public Assistance Benefits
  • Section: New Section

• Chapter 546. Long-term Care And Support Options For Individuals With Disabilities And Elderly Individuals
  • Section: New Section

Human Resources Code

• Chapter 32. Medical Assistance Program
  • Section: New Section