HB 891 seeks to implement a "Texas solution" to Medicaid reform by creating an alternative program utilizing private marketplace solutions for health benefit plan coverage for certain low-income individuals. It allows for the administration of Medicaid under a block grant system if federally authorized and establishes sliding scale subsidies and reinsurance mechanisms. Additionally, it includes reforms for acute care and long-term services delivery. The bill also provides for immediate reforms to connect low-income residents to private health benefit plans under a state-managed program​.