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Texas proposes constitutional amendment to expand Medicaid eligibility under federal law

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

Last action · September 3, 2025: FiledSponsor: Ron Reynolds

Introduced
Committee
Floor Vote
Passed
Law

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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.

Why it matters

The measure changes state constitutional requirements for public health coverage, potentially broadening health care access for low-income residents depending on federal funding availability.

Background
  • 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.

Directly affected

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.

Directly affected

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.

Frequently Asked Questions

What does this resolution do?
It proposes a requiring Texas to expand Medicaid eligibility to all individuals who apply and for whom are available under the federal Patient Protection and Affordable Care Act.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

This bill did not become law - Died at adjournment · introduced in the House.

Procedural history

1 action
  1. Sep 3, 2025HouseIntroduced
    Filed

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

Health Care and Education Reconciliation Act of 2010, Ron Reynolds, Patient Protection and Affordable Care Act and 1 more
otherHealth Care and Education Reconciliation Act of 2010“Federal law amending the Affordable Care Act”Map →
PersonRon Reynolds“Bill author/sponsor in the Texas House”Map →
otherPatient Protection and Affordable Care Act“Federal law governing federal matching funds for medical assistance”Map →
OrganizationTexas Constitution“Amended by adding Section 74 to Article XVI”Map →

Sources

Open source document

capitol.texas.gov

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 85)
  • Controversy75
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz60
    Current news / social attention level

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