Proposing a constitutional amendment requiring the state to expand eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.

Texas Senate Joint Resolution 6 (SJR6) proposes a constitutional amendment to expand Medicaid eligibility in Texas. This amendment would require the state to provide medical assistance to all individuals who apply and qualify for federal matching funds under the Patient Protection and Affordable Care Act (ACA). If passed, the amendment would take effect on January 1, 2026, and be presented to voters in the November 4, 2025, election.

Supporters of SJR6 argue that expanding Medicaid would provide health coverage to a larger segment of low-income Texans, improving access to healthcare services and reducing the number of uninsured individuals. They contend that accepting federal funds available under the ACA would alleviate financial burdens on hospitals and healthcare providers who currently offer uncompensated care to uninsured patients. Proponents also suggest that Medicaid expansion could stimulate the state's economy by creating jobs in the healthcare sector and bringing in additional federal dollars.

Opponents of SJR6 express concerns about the long-term financial implications of Medicaid expansion for the state budget. They argue that while federal funds may cover a significant portion of the costs initially, the state could face increased financial obligations in the future. Critics also worry that expanding Medicaid might lead to increased dependency on government assistance programs and could strain existing healthcare resources, potentially resulting in longer wait times and reduced quality of care for current Medicaid recipients.