Proposing a constitutional amendment requiring the state to expand eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.

HJR 61 proposes a constitutional amendment requiring Texas to expand Medicaid eligibility to all individuals who apply and qualify under the federal Affordable Care Act (ACA), using available federal matching funds. If approved by voters, the state would be mandated to provide Medicaid coverage to these applicants starting January 1, 2026, with the requirement temporarily expiring January 1, 2027. The amendment must be submitted to voters in the November 4, 2025 election, with the ballot asking whether Texas should adopt this Medicaid expansion mandate.