Relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.

HB 2939 would expand Texas Medicaid eligibility to cover low-income adults who qualify under the federal Affordable Care Act (ACA), directly affecting approximately 500,000 Texans currently excluded from Medicaid due to income limits. The bill requires the state to provide medical assistance to all eligible applicants when federal matching funds are available, overriding existing state restrictions. It mandates annual reports tracking impacts on uninsured rates, state/hospital costs, and charity care. The expansion applies to new applications or recertifications starting September 1, 2025, and requires state agencies to coordinate with federal authorities for implementation.