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 34 proposes a constitutional amendment requiring Texas to expand Medicaid eligibility to all individuals who apply and qualify under federal matching funds provided by the Affordable Care Act. If approved by voters, the state would be obligated to cover these individuals starting January 1, 2026, using available federal funds. The amendment includes a temporary provision making it effective for one year (through January 1, 2027) and requires voter approval in the November 2025 election. This would directly affect low-income Texans currently excluded from Medicaid due to Texas's existing eligibility limits.