Proposing a constitutional amendment requiring the state to expand eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.

This bill proposes a constitutional amendment requiring Texas to expand Medicaid eligibility to all applicants who meet federal criteria under the Affordable Care Act (ACA), specifically those for whom federal matching funds are available. It would directly affect low-income Texans currently excluded from Medicaid under current state law but eligible under federal standards. The amendment would take effect January 1, 2026, but requires voter approval in November 2025, with a temporary provision expiring January 1, 2027. The change would mandate state coverage for eligible applicants without requiring new state funding.