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HB 3891

Relating to prohibiting the use of certain criteria to determine certain individuals' eligibility for benefits under a Medicaid waiver program.

89th Legislature (2025) Introduced by Liz Campos

Texas bill prohibiting unspecified eligibility criteria for Medicaid waiver benefits, potentially expanding or restricting access to home and community-based services for vulnerable populations.

Referred to Human Services
#disabilities #personswith(i0380) #health&humanservicescommission(v0177) #health--otherdiseases&medicalconditions(i0383) #humanservices--medicalassistance(i0905) #medicaid(s4885)
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Bill Summary · HB 3891

Legislative bill overview

HB 3891 prohibits the use of unspecified "certain criteria" when determining eligibility for benefits under Medicaid waiver programs in Texas. The bill was filed in early March 2025 and referred to the Human Services Committee after its first reading. The specific criteria being prohibited are not detailed in the available bill summary.

Why is this important

Medicaid waiver programs serve vulnerable populations—including elderly, disabled, and developmentally disabled individuals—by providing home and community-based services as alternatives to institutional care. Changes to eligibility criteria directly affect who can access these critical services and the state's healthcare budget, potentially impacting thousands of Texans and state spending.

Potential points of contention

  • Lack of clarity: The bill's reference to "certain criteria" without specification makes it difficult to assess the actual scope and intent, raising questions about whether sponsors are targeting specific discriminatory practices or making broader eligibility changes
  • Budget implications: Expanding waiver program eligibility could significantly increase state Medicaid costs, while restricting it could deny services to currently qualifying individuals
  • Disability rights vs. program sustainability: Advocates may argue the bill protects vulnerable populations from unfair exclusions, while fiscal conservatives may worry about unsustainable program growth or unintended consequences

Compiled from official sources — confirm details with the bill’s official record.

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