Relating to conducting an ex parte renewal of a recipient's Medicaid eligibility.

HB 2865 prohibits Texas Medicaid agencies from automatically renewing a recipient's eligibility using electronic data without requiring the recipient to provide updated information. The bill bans "ex parte renewals" (automatic renewals without recipient input) and requires the state to seek a federal waiver to implement this change, with possible delay until the waiver is approved. This directly affects Medicaid recipients, who will now need to proactively submit updated information to maintain coverage, and state agencies managing Medicaid. The prohibition does not apply if federal law requires automatic renewals.