HB 2019

relating to the expansion of eligibility for Medicaid to certain
individuals who are younger than 26 years of age.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1.  Subchapter B, Chapter 32, Human Resources Code,
is amended by adding Section 32.02473 to read as follows:
Sec. 32.02473.  EXPANDED ELIGIBILITY FOR MEDICAL
ASSISTANCE.  (a)  Notwithstanding any other law, the commission
shall provide medical assistance to each individual:
(1)  younger than 26 years of age who applies for that
(2)  for whom federal matching funds are available.
(b)  The executive commissioner shall adopt rules necessary
SECTION 2.  Section 32.02473, Human Resources Code, as added
by this Act, applies only to an initial determination or
recertification of eligibility of an individual for medical
assistance under Chapter 32, Human Resources Code, made on or after
the date the section is implemented, regardless of the date the
individual applied for that assistance.
SECTION 3.  As soon as possible after the effective date of
this Act, the executive commissioner of the Health and Human
Services Commission shall take all necessary actions to expand
eligibility for medical assistance under Chapter 32, Human
Resources Code, in accordance with Section 32.02473, Human
Resources Code, as added by this Act, including notifying
appropriate federal agencies of that expanded eligibility.
SECTION 4.  If before implementing any provision of this Act
a state agency determines that any other waiver or authorization
from a federal agency is necessary for implementation of that
provision, the agency affected by the provision shall request the
waiver or authorization and may delay implementing that provision
until the waiver or authorization is granted.
SECTION 5.  This Act takes effect September 1, 2025.