Texas Senate Bill SB45

Texas 2025 - 89th Regular

• Filed: 11/12/24

Caption

Relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.

Impact

If passed, SB45 would significantly increase the number of Texans eligible for Medicaid, potentially lowering the number of uninsured individuals in the state. It requires an annual report to assess the impact of the expanded eligibility on healthcare coverage, state and local healthcare costs, and uncompensated care provided by hospitals. This could alleviate some financial burdens on hospitals that provide charity care, reflecting a broader commitment to improving healthcare accessibility in Texas.

Summary

Senate Bill 45 aims to expand Medicaid eligibility for certain individuals in Texas by leveraging the federal Patient Protection and Affordable Care Act (ACA). This bill mandates that the state's Health and Human Services Commission provide medical assistance to all individuals eligible under the ACA where federal matching funds are available. The bill proposes that this expansion takes effect on January 1, 2026, conditioned on the approval of a related constitutional amendment by Texas voters.

Contention

Discussions surrounding SB45 are expected to revolve around its implications for state budget and healthcare funding. Supporters view the expansion as a necessary step to improve public health and provide essential services to vulnerable populations. However, critics may raise concerns about the sustainability of funding these services through federal matching funds and the overall impact on state finances. The requirement for voter approval of the associated constitutional amendment adds another layer of complexity, as it invites public debate and scrutiny.

Texas Constitutional Statutes Affected

Human Resources Code

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