A Texas bill would expand Medicaid coverage for federally eligible applicants beginning Sept. 1, 2027, if enacted. For Comal County residents, the proposal would open Medicaid coverage to applicants who meet the bill's federal matching-fund eligibility test.
HB 102 was filed Nov. 9, 2026, and its legislative history lists filing as its current action. That means it is a proposal: Texas has not changed Medicaid eligibility through this bill.
What the two bills propose
Rep. John Bucy's HB 102 would direct the Texas Health and Human Services Commission to provide Medicaid to applicants eligible for federal matching funds under the Affordable Care Act. The commission would have to adopt implementing rules, report annually on the expansion's effects and seek federal authorization if needed. The bill proposes a Sept. 1, 2027, effective date if enacted.
Bucy filed a separate proposal, HB 101, that would make its Medicaid expansion conditional on voters approving a constitutional amendment. That bill specifies a Jan. 1, 2028, effective date if the condition is met. The two bills offer different routes; neither filing by itself changes anyone's coverage.
The Comal County connection
Comal County's House representative is Carrie Isaac of District 73. State Sen. Donna Campbell represents District 25. Their official member pages identify the local delegation; the filed bills and HB 102's history establish the proposals' text and filing status, without establishing a position by either local legislator.