Staying Well
Texas Bill Expands Medicaid Health Coverage to More People
Texas is considering a new law to help more Texans get Medicaid health coverage using federal funds.
By Texas Legislature -- Apr 12, 2026
Overview
HB 316 is a state bill that would give more Texans access to Medicaid health coverage. The bill uses federal money already available under the Affordable Care Act, which means the federal government pays a share of the costs. Right now, Texas has strict limits on who can get Medicaid. This bill would expand eligibility so more people who earn low wages or no income can get health coverage.
The bill says Texas can provide medical help to anyone who qualifies and for whom federal money is available. Starting January 1, 2026, new applicants and people renewing their Medicaid would be checked under these new, wider rules. The Health and Human Services Commission would manage the expansion and make necessary rules to put the bill into action.
The state would have to report every December about how the expansion affects Texas. These reports would show how many more people have health coverage, what it costs the state and local governments, and how much hospitals save by not giving uncompensated care. This tracking helps lawmakers understand if the expansion is working well.
The bill has one important condition: it only takes effect if Texas voters approve a constitutional amendment about Medicaid expansion. This means Texans will have a direct say in whether this change happens. If voters approve, more families in our community would have access to the health care they need.
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About the source
The Texas Legislature is the state legislature of Texas, consisting of the House of Representatives with 150 members and the Senate with 31 members. Meeting in regular session every two years, the legislature passes state laws, sets the budget, and shapes policies affecting all 30 million Texans.
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