Relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.

SB 637 would require Texas to expand Medicaid eligibility to all individuals who qualify under the federal Affordable Care Act (ACA), using available federal matching funds. It mandates the state health commission to provide medical assistance to these applicants and issue annual reports on impacts like uninsured rates, state health costs, and hospital charity care. The bill would take effect January 1, 2026, but only if Texas voters approve a related constitutional amendment in 2025. This expansion would directly affect low-income residents who currently fall outside Medicaid eligibility in Texas.