Relating to the expansion of eligibility for Medicaid to certain working parents for whom federal matching money is available.

HB 3216 would expand Texas Medicaid eligibility to working parents of dependent children who apply for assistance, provided federal matching funds are available. The bill adds a new eligibility category requiring the Health and Human Services Commission to provide medical assistance to qualifying parents meeting all three criteria: (1) working parent of a dependent child, (2) having applied for assistance, and (3) federal funding availability. It applies to initial eligibility determinations or recertifications made on or after September 1, 2025, and requires the commission to notify federal agencies of the expanded eligibility. The bill does not guarantee coverage if federal matching funds are unavailable, and implementation may be delayed pending federal authorization.