A 2027 ballot measure would require Texas to cover everyone who qualifies for federal matching funds
What it does
HJR 21 proposes a constitutional amendment that says the state shall provide medical assistance to all individuals who apply for it and for whom federal matching funds are available under the federal Patient Protection and Affordable Care Act. Because it changes the Texas Constitution, lawmakers cannot make it law on their own. It would go to voters at an election on November 2, 2027. If voters approve it, the new constitutional section would take effect January 1, 2028.
What it means for your community
If the amendment passes, the state would have to provide medical assistance to every person who applies and qualifies for the federal matching money, starting January 1, 2028. The resolution does not spell out the cost or which programs change. Texas voters would make the call in the November 2, 2027 election.
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