Relating to the expansion of eligibility for Medicaid to certain individuals who are younger than 26 years of age.

HB 2019 would expand Texas Medicaid eligibility to individuals under 26 years old who apply for coverage, provided federal matching funds are available. The bill requires the Health and Human Services Commission to implement this change for new applications or recertifications starting September 1, 2025, and to notify federal agencies of the expanded eligibility. It directly affects young adults aged 18-25 who seek Medicaid assistance but were previously ineligible under Texas law. The policy change applies only to initial applications or renewals processed on or after the effective date, regardless of when the applicant originally applied.