Relating to fraud prevention and verifying eligibility for benefits under Medicaid.

HB 4273 requires Texas Medicaid officials to conduct regular electronic data checks to verify recipient eligibility, directly affecting Medicaid beneficiaries and the Texas Health and Human Services Commission. Key provisions include monthly verification of lottery winnings, death records, and out-of-state transactions, plus quarterly checks of voter registration status to identify potential eligibility changes. The bill prohibits accepting self-reported income, residency, citizenship, or household composition for Medicaid eligibility, replacing it with mandatory data matching. These changes aim to strengthen verification processes for Medicaid benefits under Texas law.