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  89R2215 MM-D     By: Alvarado, et al. S.B. No. 255       A BILL TO BE ENTITLED   AN ACT   relating to the expansion of eligibility for Medicaid to certain   individuals under the federal Patient Protection and Affordable   Care Act.          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   UNDER PATIENT PROTECTION AND AFFORDABLE CARE ACT.   (a)       Notwithstanding any other law, the commission shall provide medical   assistance to all individuals who apply for that assistance and for   whom federal matching money is available under the Patient   Protection and Affordable Care Act (Pub. L. No. 111-148), as   amended by the Health Care and Education Reconciliation Act of 2010   (Pub. L. No. 111-152), to provide that assistance.           (b)     The executive commissioner shall adopt rules regarding   the provision of medical assistance as required by this section.          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.