HB 321 Texas House · 89th Legislature (2025)

Relating to implementing an express lane option under Medicaid and the child health plan program.

HB 321 creates an "express lane" to streamline eligibility for child health coverage by connecting Texas SNAP (Supplemental Nutrition Assistance Program) applications with the child health plan program. It requires the state health agency to automatically check SNAP application data to determine if a child qualifies for health coverage, avoiding delays by opening a new case for health enrollment. The bill mandates parental consent before enrolling children and provides notice via the parent’s preferred contact method. This directly affects children whose families apply for SNAP benefits and may qualify for child health coverage.
Bill status passed 3 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Apr 2025
House Passage
May 2025
Senate Passage
Governor
Introduced Feb 28, 2025 Last action May 12, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Introduced Engrossed · 6 edits · May 10, 2025
MODERATE
This bill (HB 321) establishes an 'express lane' option for Medicaid eligibility determinations by cross-referencing Supplemental Nutrition Assistance Program (SNAP) data to speed up enrollment for children. It also updates income verification procedures and allows recertification reviews to be conducted remotely via telephone or mail. The changes aim to reduce administrative burdens and accelerate benefit delivery for eligible children.
Scope change
The bill expands eligibility determination procedures by creating a new express lane option that uses existing SNAP data to determine child Medicaid eligibility, and modifies existing verification and recertification processes to allow remote interactions.
ELIGIBILITY

Added a new express lane option that allows the Medicaid commission to use SNAP applicant data to determine child eligibility for the child health plan program, reducing processing time.

REQUIREMENT

Modified income verification procedures to allow greater flexibility in how the commission verifies applicant income, including using verification processes described in Section 62.1012.

Modified recertification review procedures to permit telephone or mail reviews instead of requiring personal appearances, unless verification cannot be done remotely.

Modified notice delivery requirements to allow oral, telephone, written, or electronic methods for communicating eligibility determinations to parents or guardians.

TIMELINE

Added an effective date of September 1, 2025, for the implementation of the Act's provisions.

TECHNICAL

Added a provision allowing state agencies to request federal waivers if necessary for implementing the new provisions.

Floor votes · House May 10, 2025

How they voted

8250
Passed · 14 other
Total votes 146
May 10, 2025
D Democratic60
48 Yea 1 Nay 11
80% Yea
R Republican86
34 Yea 49 Nay 3
56% Nay
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
29
Key actions
9
Committee
8
May 12, 2025
Introduced
Received from the House
upper
May 10, 2025
Lower · Passed
Passed
lower
May 9, 2025
Lower · Passed
Passed to engrossment
lower
Apr 25, 2025
Lower · Passed
Committee report sent to Calendars
lower
Apr 24, 2025
Lower · Passed
Committee report distributed
lower
Apr 14, 2025
Lower · Passed
Reported favorably as substituted
lower
Apr 14, 2025
Lower · Passed
Recalled from subcommittee
lower
Apr 3, 2025
Lower · Passed
Left pending in subcommittee
lower
Mar 27, 2025
Lower · Passed
Left pending in subcommittee
lower
Mar 27, 2025
Lower · Passed
Testimony taken/registration(s) recorded in subcommittee
lower
Feb 28, 2025
Committee
Referred to s/c on Dis Prev & Women's & Children's Health by Speaker
lower
Feb 28, 2025
Introduced
Read first time
lower
5 primary · 8 co-sponsors

Sponsors