Proposing a constitutional amendment requiring the state to expand eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.

SJR 32 proposes a constitutional amendment requiring Texas to expand Medicaid eligibility to all individuals who apply and qualify under the federal Patient Protection and Affordable Care Act (PPACA), specifically those for whom federal matching funds are available. If approved by voters in November 2025, this amendment would mandate the state to provide medical assistance to these individuals starting January 1, 2026, without requiring additional state funding. The bill directly affects low-income adults who meet federal Medicaid expansion criteria under PPACA but currently lack coverage in Texas due to the state's refusal to expand Medicaid. The amendment would take effect as a permanent constitutional change after voter approval, with a temporary provision ensuring it applies from 2026 to 2027.