What this is
Texas Legislature proposes expanding Medicaid to more people using federal funds.
HJR 40 is a proposal from the Texas Legislature to expand health insurance coverage in our state. It would change the Texas Constitution to require Medicaid eligibility for all individuals who qualify under federal law. The Patient Protection and Affordable Care Act (also called the ACA) already provides federal matching funds for this expansion—money our state could use right now.
Currently, Texas has stricter limits on who can get Medicaid than federal law allows. This proposal would align our state rules with federal standards. If approved by voters, the new rule would take effect January 1, 2026. The change would mean more low-income Texans could access health insurance without state budget increases, since federal dollars already cover the cost.
The proposal was introduced by State Representative Ron Reynolds. Texas voters will make the final decision on November 4, 2025. The ballot question will ask voters whether to approve expanding Medicaid eligibility to all individuals for whom federal matching funds are available under the Affordable Care Act.
Read full text
This is a chance for our community to decide whether to bring available federal resources into Texas healthcare. Expanding Medicaid would help more people afford medical care, preventive services, and prescription medications.
Key details
- Proposal Number: HJR 40
- Voter Decision Date: November 4, 2025
- Effective Date: January 1, 2026
- Sponsored By: Ron Reynolds
About Texas Legislature
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 stat…
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- Phone
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Why it matters
This is part of Our Health — health, wellness, and caring for each other.
How this affects households
Under $30,000
Many families in this bracket would qualify for free Medicaid coverage, giving them access to doctor visits, prescriptions, and preventive care they might not afford otherwise.
$30,000-$60,000
Some families just above the poverty line could gain Medicaid eligibility, helping with medical costs that strain tight budgets.
$60,000-$100,000
Most families at this level already have employer insurance or can buy coverage, so this change wouldn't directly affect their healthcare options.
Over $100,000
Families at this income level typically have good insurance already, so Medicaid expansion wouldn't change their healthcare access.
How to get involved
- 1Start with the snapshot above to know what this is in a glance.
- 2Read why it matters so you can speak to it in your own words.
- 3Weigh in using the button above.
When you call, you can say: “Hi, I saw "Texas Constitutional Amendment on Medicaid Expansion" on Community Exchange and want to know how to take part.”
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