Impact on Texas if Medicaid is Eliminated

House Bill 497, passed by the 81st Texas Legislature, directs that the Texas Health and Human Services Commission (HHSC) and the Texas Department of Insurance (TDI) conduct a study “to determine the effect on the health care infrastructure in this state if the state Medicaid program is abolished or a severe reduction in federal matching money under the program occurs.” This report also analyzes the implications of a Medicaid termination in light of the recent federal legislation, the Patient Protection and Affordable Care Act (ACA).