TX SB232

Establishes the "Live Well Texas" program to expand Medicaid eligibility to adults ages 19-64 who are not currently eligible for Medicaid, funded through enhanced federal matching funds under the Affordable Care Act (minimum 90% federal funding required or program terminates)

Creates two health benefit plan tiers: a "Basic Plan" for individuals at or below 100% of the federal poverty level, and a "Plus Plan" with enhanced benefits (dental, vision, bariatric surgery) for those above 100% FPL, with Plus Plan participants required to make Health Savings Account contributions up to 5% of household income

Requires the Health and Human Services Commission to seek a Section 1115 waiver and establishes Health Savings Accounts for participants, with rewards programs allowing contributions for healthy behaviors like smoking cessation and completing health risk assessments

Implements a "Gateway to Work" program requiring referral of unemployed participants or those working under 20 hours weekly to job training and job search programs through the Texas Workforce Commission

Provides 12-month continuous eligibility for enrolled participants and creates "bridge accounts" funded at $1,000 to help participants transitioning off the program pay for private health insurance premiums and cost-sharing when their income exceeds eligibility limits