Monitoring the SessionSB 255
Died in committee
Initial review · graded Oct 19, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade
relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.
Caption from analyzed text · version I.
Everyone who qualifies for federal matching money gets covered.
This bill orders the state health commission to cover under Medicaid everyone who applies and qualifies for federal matching money under the Affordable Care Act. It touches low-income Texas adults who are not covered today, plus the commission, which must write rules and notify federal agencies. Starting September 1, 2025, the state would expand Medicaid eligibility as soon as possible, though it may wait if a federal waiver turns out to be needed.
Labels: ZOMBIE BILL. Died 2 times: 88R SB 125 (Died in committee) and this bill (Died in committee). Checked against 88R only.BACK FROM THE DEAD. Same text as a bill filed before that died: 88R SB 125 (Died in committee). Filed in 2 sessions, counting this one. Checked against 88R only.TRY NO. 2. Filed in 2 sessions: 88R and 89R. Checked against 88R only.NEVER GOT A HEARING. Filed Nov 12, 2024 and referred to the Senate Health & Human Services committee. No public hearing. The bill died.
89R-SB255 · 2024-11-12
+ 4 more authors
relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.
Everyone who qualifies for federal matching money gets covered.
This bill orders the state health commission to cover under Medicaid everyone who applies and qualifies for federal matching money under the Affordable Care Act. It touches low-income Texas adults who are not covered today, plus the commission, which must write rules and notify federal agencies. Starting September 1, 2025, the state would expand Medicaid eligibility as soon as possible, though it may wait if a federal waiver turns out to be needed.
[ ] NONE FOUND
No fiscal note in the loaded record.
Beats not yet reviewed.
THANK YOU FOR CHECKING THE RECEIPT
CAMPAIGN PAID FOR BY
Not tied to this bill.
The author's campaign account only. Own money and internal transfers are separate on the member page.
Derived itemized flow · Oct 30, 2024 to Jun 19, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
$25,000.00
Also funds 121 other sitting lawmakers.
Derived recipient stock · Jul 3, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamDerived itemized flow · Dec 6, 2024 to Mar 16, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101012403, 101030499, 101059972.
$20,000.00
Also funds 140 other sitting lawmakers.
Derived recipient stock · Jul 2, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamDerived itemized flow · Jun 23, 2025 to Dec 8, 2025. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101007246, 101030499.
$20,000.00
Also funds 137 other sitting lawmakers.
Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamDerived itemized flow · Oct 30, 2024 to Dec 9, 2025. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101012403, 101030499.
Missing data does not establish zero giving. Display amounts are rounded.
$25,000.00
Also funds 121 other sitting lawmakers.
Derived recipient stock · Jul 3, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamDerived itemized flow · Dec 6, 2024 to Mar 16, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101012403, 101030499, 101059972.
$20,000.00
Also funds 140 other sitting lawmakers.
Derived recipient stock · Jul 2, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamDerived itemized flow · Jun 23, 2025 to Dec 8, 2025. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101007246, 101030499.
$20,000.00
Also funds 137 other sitting lawmakers.
Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamDerived itemized flow · Oct 30, 2024 to Dec 9, 2025. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101012403, 101030499.
No floor vote loaded for this bill.
No fiscal note in the loaded record.
Analysis of text version I by claude-opus-5-5, Oct 19, 2026, against the published rubric.
Filed 2 times: 88R and 89R. Checked against 88R only.
by Sen. Alvarado, same lead author · Died in committee · same text
Introduced textLast action, Feb 15, 2023: Referred to Health & Human Services
Relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.
Caption, 88R bill history
Texas Senate · Filed Nov 12, 2024
02/03/2025 S Referred to Health & Human Services
Texas Legislature Online · Introduced
Data snapshot Oct 26, 2026 at 4:20 AM CDT. Grades, charges, quotes and corrections follow the published record.
Senate committee · Health & Human Services · Final status: Died in committee
HB 1355 by Bryant (similar)
Human Services--Medical Assistance
MEDICAID
HEALTH & HUMAN SERVICES COMMISSION
The text as introduced · 338 words
89R2215 MM-D By: Alvarado, et al. S.B. No. 255 A BILL TO BE ENTITLED AN ACT relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter B, Chapter 32, Human Resources Code, is amended by adding Section 32.02473 to read as follows: Sec. 32.02473. EXPANDED ELIGIBILITY FOR MEDICAL ASSISTANCE UNDER PATIENT PROTECTION AND AFFORDABLE CARE ACT. (a) Notwithstanding any other law, the commission shall provide medical assistance to all individuals who apply for that assistance and for whom federal matching money is available under the Patient Protection and Affordable Care Act (Pub. L. No. 111-148), as amended by the Health Care and Education Reconciliation Act of 2010 (Pub. L. No. 111-152), to provide that assistance. (b) The executive commissioner shall adopt rules regarding the provision of medical assistance as required by this section. SECTION 2. Section 32.02473, Human Resources Code, as added by this Act, applies only to an initial determination or recertification of eligibility of an individual for medical assistance under Chapter 32, Human Resources Code, made on or after the date the section is implemented, regardless of the date the individual applied for that assistance. SECTION 3. As soon as possible after the effective date of this Act, the executive commissioner of the Health and Human Services Commission shall take all necessary actions to expand eligibility for medical assistance under Chapter 32, Human Resources Code, in accordance with Section 32.02473, Human Resources Code, as added by this Act, including notifying appropriate federal agencies of that expanded eligibility. SECTION 4. If before implementing any provision of this Act a state agency determines that any other waiver or authorization from a federal agency is necessary for implementation of that provision, the agency affected by the provision shall request the waiver or authorization and may delay implementing that provision until the waiver or authorization is granted. SECTION 5. This Act takes effect September 1, 2025.
