88R3180 BDP-D
 
  By: Johnson S.B. No. 343
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the expansion of eligibility for Medicaid to all
  individuals for whom federal matching money is available.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter B, Chapter 531, Government Code, is
  amended by adding Section 531.02121 to read as follows:
         Sec. 531.02121.  EXPANDED ELIGIBILITY FOR MEDICAID. The
  executive commissioner shall prepare and seek a waiver to the state
  Medicaid plan under Section 1115 of the Social Security Act (42
  U.S.C. Section 1315) or other applicable federal law to expand to
  the maximum extent permitted by federal law the categories of
  individuals eligible for Medicaid benefits to include all
  individuals for whom federal matching funds are available. The
  waiver must be designed to:
               (1)  maximize the reduction in the number of uninsured
  residents of this state;
               (2)  promote personal responsibility with respect to
  health care;
               (3)  increase the efficiency of the delivery of health
  care services;
               (4)  increase the accessibility of health care
  services; and
               (5)  reduce health care costs.
         SECTION 2.  As soon as practicable after the effective date
  of this Act, the executive commissioner of the Health and Human
  Services Commission shall apply for and actively pursue the waiver
  required by Section 531.02121, Government Code, as added by this
  Act, from the Centers for Medicare and Medicaid Services or any
  other federal agency. The commission may delay implementing Section
  531.02121, Government Code, as added by this Act, until the waiver
  applied for under this section is granted.
         SECTION 3.  This Act takes effect immediately if it receives
  a vote of two-thirds of all the members elected to each house, as
  provided by Section 39, Article III, Texas Constitution.  If this
  Act does not receive the vote necessary for immediate effect, this
  Act takes effect September 1, 2023.