Texas Again Declines Medicaid Expansion — Eligibility-Simplification Bills Also Died (89th Lege)
SB 232 (Medicaid expansion) got no committee hearing and a budget-day expansion amendment was defeated; enrollment-simplification efforts (HB 321 SNAP-to-Medicaid, 'express lane' eligibility) also failed. The one win: HB 3940 requires annual reminders that newborns of Medicaid-enrolled parents are auto-eligible.
The defining structural fact for Texas FQHCs — the uninsured remain the largest payer slice, and high eligibility friction keeps enrollment-navigation staff mission-critical (the inverse of California).
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Cover Texas Now (coalition recap)Source packet
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FQHC Talent. (2025, June 2). Texas Again Declines Medicaid Expansion — Eligibility-Simplification Bills Also Died (89th Lege). Primary source: Cover Texas Now (coalition recap). Retrieved July 21, 2026, from https://www.fqhctalent.com/intel/tx-medicaid-expansion-died-2025
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