TX HB807

Expands Medicaid eligibility in Texas to all individuals who qualify for federal matching funds under the Affordable Care Act (ACA), requiring the Health and Human Services Commission to provide medical assistance to these applicants

Requires the executive commissioner to adopt rules for implementing the expanded Medicaid coverage

Mandates an annual report due December 1 to the governor, lieutenant governor, speaker of the house, and relevant legislative committees on expansion effects, including impacts on uninsured rates, state and local health care costs, and hospital charity/uncompensated care costs

Takes effect January 1, 2026, contingent upon voter approval of a related constitutional amendment proposed by the 89th Legislature requiring Medicaid expansion

Directs state agencies to seek any necessary federal waivers or authorizations for implementation, allowing delays until such approvals are granted