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HB 757

Relating to the Medicaid eligibility of certain women following a pregnancy.

89th Legislature (2025) Introduced by Armando Walle

HB 757 would extend Medicaid coverage to women following pregnancy in Texas, reducing postpartum coverage gaps and improving access to maternal healthcare.

Referred to s/c on Dis Prev & Women's & Children's Health by Speaker
#health&humanservicescommission(v0177) #humanservices--medicalassistance(i0905) #medicaid(s4885) #pregnancy&childbirth(s0294) #women(i0925)
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WeVote Research Nonpartisan
Bill Summary · HB 757

Legislative bill overview

HB 757 would extend Medicaid eligibility to certain women for a period following pregnancy in Texas. The bill addresses coverage gaps that currently exist when pregnant women lose Medicaid eligibility postpartum. This represents an expansion of the existing postpartum coverage window that Texas currently provides.

Why is this important

Postpartum coverage gaps create significant barriers to maternal healthcare, including contraception access, mental health treatment, and routine medical care during a critical recovery period. Research indicates that extended postpartum Medicaid coverage reduces maternal mortality and morbidity rates, particularly among low-income women who rely on Medicaid. Texas currently has one of the shortest postpartum Medicaid eligibility periods in the nation, making this a relevant policy issue for maternal health outcomes.

Potential points of contention

  • Medicaid expansion costs: The bill would increase state Medicaid expenditures, which creates budget implications and debate over whether funding should come from general revenue or reallocation
  • Federal matching rates: The bill's feasibility depends on federal Medicaid matching funds; changes to federal policy could affect implementation costs
  • Duration of coverage: Stakeholders may disagree on how long postpartum coverage should extend (current proposals range from 60 days to 12 months nationally)

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

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