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

HB 807 would require Texas to provide Medicaid coverage to all individuals who apply for it and qualify for federal matching funds under the Affordable Care Act (ACA), directly affecting low-income adults who currently fall in the Medicaid coverage gap. The bill mandates that the Health and Human Services Commission expand eligibility for Medicaid starting January 1, 2026, contingent on voter approval of a 2025 constitutional amendment. It requires the Commission to report annually on impacts, including changes in uninsured rates, state/local health costs, and hospital charity care. The bill does not change existing Medicaid rules but aligns Texas policy with federal ACA requirements for eligible applicants.