TX HB4639

Establishes a Veterans Health Care Coverage Program requiring the Health and Human Services Commission to seek a federal Section 1115 waiver to obtain funding for financial assistance to help eligible veterans purchase health care coverage, including mental health services

Eligible participants must be Texas residents, ages 19-64, who are veterans not eligible for Medicaid under December 31, 2024 criteria, with enrollment contingent on available federal funding

Provides sliding scale subsidies based on average market premiums and participants' ability to pay, with enhanced subsidies for those choosing high-deductible health plans with health savings accounts

Requires additional sliding scale subsidies for cost-sharing expenses including copayments, coinsurance, and deductibles, with counselors available to help participants select appropriate coverage

Program implementation is contingent on federal waiver approval, with eligibility redeterminations required every 12 months and applications processed within 30 days of submission