Relating to seeking a waiver under Medicaid to provide a continuous period of eligibility under the program for certain children.

HB 1539 requires Texas to seek a federal Medicaid waiver to provide continuous health coverage for children under age 5 who are already eligible for Medicaid medical assistance. The bill directs the Health and Human Services Commission to apply for this waiver under federal law, ensuring these children maintain coverage without re-evaluation for income or resource changes until their sixth birthday. It specifically targets children already enrolled in Medicaid, eliminating the need for periodic re-verification during this continuous eligibility period. The waiver application must be pursued after the bill's effective date (September 1, 2025), with implementation pending federal approval.