Relating to allowing Medicaid managed care organizations to engage in marketing about the availability of certain private health benefit plan coverage.

Texas Senate Bill 963 allows Medicaid managed care organizations (MCOs) to inform Medicaid recipients about federally qualified health plans available through state or federal health insurance marketplaces. The bill amends state law to explicitly prohibit marketing guidelines from blocking MCOs from sharing this information with recipients. It directly affects Medicaid recipients, who may receive clearer information about private health plan options, and MCOs, which gain new marketing flexibility. The change takes effect September 1, 2025, and aligns with federal definitions of "exchange" and "qualified health plan" under 45 C.F.R. Section 155.20.