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 6 proposes a constitutional amendment requiring Texas to expand Medicaid eligibility to all individuals who apply and qualify for federal matching funds under the federal Affordable Care Act (ACA). If approved by voters, the amendment would take effect January 1, 2026, mandating the state to cover eligible Texans for whom federal funds are available. The bill directly affects low-income Texans who currently fall into the Medicaid coverage gap under Texas law. A temporary provision ensures the amendment's implementation window (2026-2027) and requires voter approval on the November 2025 ballot.