Medicaid Work Requirements Act

Subjects: Health

Summary:  <p><b>Medicaid Work Requirements Act</b></p> <p>This bill establishes work requirements under Medicaid for able-bodied adults. </p> <p>Specifically, the bill requires individuals who are between the ages of 18 and 65 and who are not otherwise unable to work due to a medical condition, family situation, or other listed reason to work at least 120 hours per month, participate in a work program or volunteer at least 80 hours per month, or some combination of these at least 80 hours per month, based on a monthly average, in order to qualify for Medicaid.</p>

<html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1079 Introduced in House (IH)]

&lt;DOC&gt;






118th CONGRESS
  1st Session
                                H. R. 1079

 To amend title XIX of the Social Security Act to implement a minimum 
  work requirement for able-bodied adults enrolled in State Medicaid 
                               programs.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           February 17, 2023

  Mr. Gaetz 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 implement a minimum 
  work requirement for able-bodied adults enrolled in State Medicaid 
                               programs.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medicaid Work Requirements Act''.

SEC. 2. WORK REQUIREMENTS FOR ABLE-BODIED ADULTS.

    Section 1902 of the Social Security Act (42 U.S.C. 1396a) is 
amended--
            (1) in subsection (a)--
                    (A) by striking ``and'' at the end of paragraph 
                (86);
                    (B) by striking the period at the end of paragraph 
                (87) and inserting ``; and''; and
                    (C) by inserting after paragraph (87) the following 
                new paragraph:
            ``(88) beginning October 1, 2023, not provide medical 
        assistance with respect to a month to an able-bodied adult (as 
        defined in subsection (uu)(2)) that has not met the work 
        requirement described in subsection (uu)(1) for such month.''; 
        and
            (2) by adding at the end the following new subsection:
    ``(uu) Work Requirement for Able-Bodied Adults.--
            ``(1) Work requirement described.--For purposes of 
        subsection (a)(88), the work requirement described in this 
        subsection with respect to an able-bodied adult and a month is 
        that such adult satisfies at least one of the following with 
        respect to such month:
                    ``(A) The adult works 120 hours or more per month, 
                or has a month income that is at least equal to the 
                federal minimum wage, multiplied by 120 hours.
                    ``(B) The adult volunteers for 80 hours or more per 
                month.
                    ``(C) The adult participates in a work program for 
                at least 80 hours a month.
                    ``(D) The adult participates in a combination of 
                work, including volunteer work, and a work program for 
                a total of at least 80 hours per month.
            ``(2) Definitions.--In this subsection:
                    ``(A) Able-bodied adult.--The term `able-bodied 
                adult' means any individual who is not--
                            ``(i) under 18 years of age or over 65 
                        years of age;
                            ``(ii) physically or mentally unfit for 
                        employment, as determined by a physician or 
                        other medical professional;
                            ``(iii) pregnant;
                            ``(iv) the parent or caretaker of a 
                        dependent child under 6 years of age;
                            ``(v) the parent or caretaker of an 
                        incapacitated person;
                            ``(vi) complying with work requirements 
                        under a different program under State or 
                        Federal law;
                            ``(vii) participating in a drug or alcohol 
                        treatment and rehabilitation program (as 
                        defined in section 3(h) of the Food and 
                        Nutrition Act of 2008); or
                            ``(viii) enrolled in a college or 
                        university, or a training program, at least 
                        half time.
                    ``(B) Incapacitated person.--The term 
                `incapacitated person' means an individual who is 
                incapable of making decisions concerning the provision, 
                withholding, or withdrawal of foods, liquid, or medical 
                treatment under applicable law.
                    ``(C) Work program.--The term `work program' 
                means--
                            ``(i) a program approved by the Secretary 
                        of Labor pursuant to section 236(a) of the 
                        Trade Act of 1974; or
                            ``(ii) an employment or training program 
                        operated by a State or a political subdivision 
                        of a State.''.
                                 &lt;all&gt;
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