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Read. Follow. Verify.Texas proposes constitutional amendment to expand Medicaid eligibility under federal law
Last action · September 3, 2025: FiledSponsor: Ron Reynolds
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What This Bill Proposed
Texas would be required to provide medical assistance to all individuals who apply and qualify for under the Patient Protection and Affordable Care Act, pending voter approval on November 4, 2025.
The measure changes state constitutional requirements for public health coverage, potentially broadening health care access for low-income residents depending on federal funding availability.
- Medicaid expansion under the federal Patient Protection and Affordable Care Act provides health coverage to low-income adults, with the federal government funding the vast majority of the cost. context
Who It Would Have Affected
Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.
Texas residents applying for medical assistance
Applicants may gain eligibility for state-provided medical assistance if federal matching funds are available under the Affordable Care Act.
State of Texas
The state is constitutionally required to provide medical assistance to all individuals for whom federal matching funds are available.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
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Votes, people, money & the original sourceWhere This Stands
This bill did not become law - Died at adjournment · introduced in the House.
Procedural history
1 action- Sep 3, 2025HouseIntroducedFiled
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Connected Entities
Sources
capitol.texas.gov
Analysis Score
0–100- Significance20Lowered because this bill did not pass (its text scored 85)
- Controversy75Intensity of disagreement among stakeholders
- Entertainment10Compellingness for a non-policy-wonk reader
- Buzz60Current news / social attention level
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