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

HB 814 would expand Texas Medicaid eligibility to low-income adults under 65 who qualify under the federal Affordable Care Act (ACA), directly affecting approximately 1.5 million Texans currently ineligible for Medicaid. The bill requires the state health agency to automatically provide Medicaid coverage to all eligible applicants when federal matching funds are available, without additional state eligibility screenings. It mandates an annual report to lawmakers tracking impacts on uninsured rates, state/local health costs, and hospitals' unpaid care expenses. The law would take effect September 1, 2025, pending final legislative approval.