I 

118TH CONGRESS 

2D SESSION H. R. 10317 

To amend title XIX of the Social Security Act to establish a community 

engagement requirement for certain individuals under the Medicaid program. 

IN THE HOUSE OF REPRESENTATIVES 

DECEMBER 6, 2024 

Mr. BEAN of Florida (for himself and Ms. HAGEMAN) introduced the following 

bill; which was referred to the Committee on Energy and Commerce 

A BILL 

To amend title XIX of the Social Security Act to establish 

a community engagement requirement for certain individuals under the Medicaid program. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. COMMUNITY ENGAGEMENT REQUIREMENT 

4 FOR APPLICABLE INDIVIDUALS. 

5 (a) IN GENERAL.—Section 1903(i) of the Social Se6 curity Act (42 U.S.C. 1396b(i)) is amended— 

7 (1) in paragraph (26), by striking ‘‘; or’’ and 

8 inserting a semicolon; 

9 (2) in paragraph (27), by striking the period at 

10 the end and inserting ‘‘; or’’; 


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1 (3) by inserting after paragraph (27) the fol2 lowing new paragraph: 

3 ‘‘(28) with respect to any amount expended for 

4 medical assistance for an applicable individual for a 

5 month in a calendar year if such individual did not 

6 meet the community engagement requirement under 

7 section 1905(jj) for 3 or more preceding months 

8 during such calendar year while such individual was 

9 an applicable individual and was enrolled in a State 

10 plan (or waiver of such plan) under this title.’’; and 

11 (4) in the flush left matter at the end, by strik12 ing ‘‘and (18),’’ and inserting ‘‘(18), and (28)’’. 

13 (b) COMMUNITY ENGAGEMENT REQUIREMENT.— 

14 Section 1905 of the Social Security Act (42 U.S.C. 1396d) 

15 is amended by adding at the end the following new sub16 section: 

17 ‘‘(jj) COMMUNITY ENGAGEMENT REQUIREMENT FOR

18 APPLICABLE INDIVIDUALS.— 

19 ‘‘(1) COMMUNITY ENGAGEMENT REQUIREMENT

20 DESCRIBED.—For purposes of section 1903(i)(28), 

21 the community engagement requirement described in 

22 this subsection with respect to an applicable indi23 vidual and a month is that such individual satisfies 

24 at least one of the following with respect to such 

25 month: 


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1 ‘‘(A) The individual works 80 hours or 

2 more per month, or has a monthly income that 

3 is at least equal to the Federal minimum wage 

4 under section 6 of the Fair Labor Standards 

5 Act of 1938, multiplied by 80 hours. 

6 ‘‘(B) The individual completes 80 hours or 

7 more of community service per month. 

8 ‘‘(C) The individual participates in a work 

9 program for at least 80 hours per month. 

10 ‘‘(D) The individual participates in a com11 bination of work, including community service, 

12 and a work program for a total of at least 80 

13 hours per month. 

14 ‘‘(2) VERIFICATION.—For purposes of verifying 

15 the compliance of an applicable individual with the 

16 community engagement requirement under para17 graph (1), a State Medicaid agency shall, whenever 

18 possible, prioritize the utilization of existing data19 bases or other verification measures, including the 

20 National Change of Address Database Maintained 

21 by the United States Postal Service, State health 

22 and human services agencies, payroll databases, or 

23 other reliable sources of information, prior to seek24 ing additional verification from such individual. 

25 ‘‘(3) DEFINITIONS.—In this subsection: 


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1 ‘‘(A) APPLICABLE INDIVIDUAL.—The term 

2 ‘applicable individual’ means any individual who 

3 is not— 

4 ‘‘(i) under 18 years of age or over 65 

5 years of age; 

6 ‘‘(ii) physically or mentally unfit for 

7 employment, as determined by a physician 

8 or other medical professional; 

9 ‘‘(iii) pregnant; 

10 ‘‘(iv) the parent or caretaker of a de11 pendent child; 

12 ‘‘(v) the parent or caretaker of an in13 capacitated person; 

14 ‘‘(vi) complying with work require15 ments under a different program under 

16 Federal law; 

17 ‘‘(vii) participating in a drug or alco18 hol treatment and rehabilitation program 

19 (as defined in section 3(h) of the Food and 

20 Nutrition Act of 2008); or 

21 ‘‘(viii) enrolled in an educational pro22 gram at least half time. 

23 ‘‘(B) EDUCATIONAL PROGRAM.—The term 

24 ‘educational program’ means— 


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1 ‘‘(i) an institution of higher education 

2 (as defined in section 101(a) of the Higher 

3 Education Act of 1965); 

4 ‘‘(ii) a program of career and tech5 nical education (as defined in section 3 of 

6 the Carl D. Perkins Career and Technical 

7 Education Act of 2006); or 

8 ‘‘(iii) any other educational program 

9 approved by the Secretary. 

10 ‘‘(C) STATE MEDICAID AGENCY.—The 

11 term ‘State Medicaid agency’ means the State 

12 agency responsible for administering the State 

13 Medicaid plan. 

14 ‘‘(D) WORK PROGRAM.—The term ‘work 

15 program’ has the meaning given such term in 

16 section 6(o)(1) of the Food and Nutrition Act 

17 of 2008.’’. 

18 (c) STATE OPTION TO DISENROLL CERTAIN INDI19 VIDUALS.—Section 1902(a) of the Social Security Act (42 

20 U.S.C. 1396a(a)) is amended by adding at the end of the 

21 flush left text following paragraph (87) the following: 

22 ‘‘Notwithstanding any of the preceding provisions of this 

23 subsection, at the option of a State, such State may elect 

24 to disenroll an applicable individual for a month if, with 

25 respect to medical assistance furnished to such individual 


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1 for such month, no Federal financial participation would 

2 be available, pursuant to section 1903(i)(28).’’. 

Æ 


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