Texas has not expanded Medicaid under the Affordable Care Act. That fact is unrelated to long-term-care Medicaid for seniors, which uses a completely separate non-MAGI aged/blind/disabled eligibility pathway that predates the ACA by decades.
Two different populations, two different rules
ACA expansion, where states adopt it, covers working-age adults under 65 evaluated using MAGI (modified adjusted gross income) rules. Long-term-care Medicaid for seniors uses non-MAGI aged/blind/ disabled eligibility rules that exist in every state regardless of an expansion decision.
Texas's 2026 nursing facility Medicaid limits
Special income limit: $2,901/month (income above this generally requires a Miller Trust). Asset limit: $2,000 for a single applicant. Personal needs allowance: $75/month. These figures adjust annually -- confirm current numbers with HHSC or an elder law attorney before relying on them.
