Relating to a "Texas solution" to reforming and addressing issues related to the Medicaid program, including the creation of an alternative program designed to ensure health benefit plan coverage to certain low-income individuals through the private marketplace; requiring a fee.

HB 891 proposes an alternative Medicaid program for low-income Texans, shifting coverage to private health insurance plans through a state-run marketplace. It would cover individuals with household incomes at or below 100% of the federal poverty level, children in foster care or receiving SSI, and those meeting pre-2025 eligibility rules. The bill establishes a "risk-based Medicaid managed care model" administered by the state and requires a fee (details unspecified), though it notes federal approval is needed first. This would replace traditional Medicaid benefits with private insurance options for eligible residents.