Texas House Bill HB895

Texas 2025 - 89th Regular

• Filed: 11/12/24

Caption

Relating to the development and implementation of the Live Well Texas program and the expansion of Medicaid eligibility to provide health benefit coverage to certain individuals; imposing penalties.

Impact

The introduction of HB895 is set to create significant changes to state healthcare laws by establishing the Live Well Texas program under new chapters in the Government Code. The program aims to provide Medicaid-like benefits through a combination of a 'basic plan' and a 'plus plan' tailored to the income levels and health needs of Texans. This expansion targets individuals who previously did not qualify for Medicaid, making it easier for low-income residents to access essential health services without the burdens of excessive cost-sharing or complicated eligibility frameworks.

Summary

House Bill 895, entitled the Live Well Texas program, proposes the development and implementation of a state-wide health initiative focused on expanding Medicaid eligibility and providing comprehensive health benefit coverage for eligible individuals. The bill emphasizes preventative care and includes a range of health services that aim to improve overall health outcomes while minimizing out-of-pocket expenses. It introduces flexible plans with varying degrees of coverage based on income and health needs, creating pathways for participants to achieve better health and financial stability through health benefits.

Contention

Notably, the bill faces potential contention, particularly surrounding the mechanisms of funding and the transition of individuals from traditional Medicaid to the new program. Critics might argue that the shift could undermine existing benefits or fail to adequately support those with complex healthcare needs. Furthermore, the inclusion of conditions such as mandatory contributions to personal wellness accounts, based on income, could be seen as a barrier for some participants, raising concerns about the efficacy and fairness of the proposed access to healthcare services.

Texas Constitutional Statutes Affected

Government Code

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

Human Resources Code

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