What happened with Medicaid expansion in Texas?

Texas opted not to expand Medicaid under the Affordable Care Act, which has had significant implications for healthcare access in the state. As a result, millions of low-income Texans remain uninsured, lacking access to essential medical services and preventive care. This decision stems from concerns about the long-term financial implications of expansion and a desire for greater state control over healthcare programs. The refusal to expand Medicaid has contributed to ongoing debates regarding healthcare policy and the welfare of vulnerable populations in Texas.

The other options can be distinguished by highlighting that Texas did not execute a complete removal of Medicaid, nor does it offer full Medicaid benefits to all residents. This clarifies the distinction between the state's current framework of Medicaid services and the comprehensive coverage typically envisioned within an expanded program.