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HB 2627

Relating to the development and implementation of the Live Well Texas program and the expansion of Medicaid eligibility to provide health benefit coverage to certain individuals; imposing penalties.

89th Legislature (2025) Introduced by Cas Garcia Hernandez

HB 2627 creates a Live Well Texas program expanding Medicaid eligibility to cover currently uninsured Texans while establishing related penalties, addressing the state's high uninsured rate.

Referred to s/c on Dis Prev & Women's & Children's Health by Speaker
#health&humanservicescommission(v0177) #humanservices--medicalassistance(i0905) #insurance #texasdepartmentof(v0006) #insurance--health&accident(i0422) #medicaid(s4885) #tobaccoproducts(i0818) #workforcecommission #texas(v0470)
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Bill Summary · HB 2627

Legislative bill overview

HB 2627 proposes the creation of a "Live Well Texas" program and expands Medicaid eligibility in Texas to cover certain additional populations. The bill also includes penalty provisions, though specific eligibility parameters and penalty details are not provided in the available information. This represents a significant expansion of Texas's current Medicaid program, which has some of the most restrictive eligibility requirements in the nation.

Why is this important

Texas has the second-highest uninsured rate in the nation, with roughly 18% of the population lacking health coverage. Medicaid expansion could affect hundreds of thousands of Texans' access to preventive care, emergency services, and chronic disease management. The bill's fate will significantly impact state healthcare spending, federal funding implications, and the political debate over healthcare policy in Texas.

Potential points of contention

  • Federal funding vs. state costs: While the federal government covers a high percentage of Medicaid expansion costs initially, Texas would eventually bear increasing financial responsibility
  • Political ideology: Texas has resisted Medicaid expansion since the ACA's passage; expansion represents a fundamental policy shift opposed by many Republican lawmakers
  • Coverage scope and eligibility thresholds: The specific income limits and population groups covered will determine program cost, effectiveness, and political viability
  • Implementation and administrative burden: Creating a new program structure requires significant state infrastructure investment and ongoing management

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

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