•HCON 117 RH 
coveries that have improved and prolonged human 
health and life for countless people in America and 
around the world. 
(4) The United States has led the way in early 
discovery because of visionary and determined 
innovators throughout the private and public sectors, 
including industry, academic medical centers, and 
Federally-funded activities. 
(5) The United States has led the way in the 
commercialization and delivery of cures and thera-
pies to patients because of the Nation’s commitment 
to the power of market forces. 
(6) Federal policies should foster investment in 
health care innovation. America should maintain its 
world leadership in medical science by encouraging 
free market competition in the development and de-
livery of cures and therapies to patients. 
(7) The Nation’s leadership in medical innova-
tion is critical to maintaining our national security. 
(b) POLICY ON MEDICAL INNOVATION.—It is the pol-
icy of this concurrent resolution that Congress should— 
(1) foster investment in health care innovation 
and maintain the Nation’s world leadership status in 
medical science by encouraging competition; 
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(2) continue to support the critical work of 
medical innovators throughout the country through 
preserving free market incentives to conduct life-sav-
ing research and development; and 
(3) unleash the power of private-sector medical 
innovation by removing regulatory obstacles and re-
jecting centralized government price controls for in-
novative cures and therapies that impede the devel-
opment and adoption of new medical technology and 
pharmaceuticals and increase costs for patients. 
SEC. 409. POLICY STATEMENT ON MEDICAID WORK RE-
QUIREMENTS. 
(a) FINDINGS.—The House finds the following: 
(1) Medicaid is a Federal-State program that 
provides health care coverage for impoverished 
Americans. 
(2) Medicaid serves four major population cat-
egories: the elderly, the blind and disabled, children, 
and adults. 
(3) The percentage of the United States popu-
lation enrolled in Medicaid has grown from 9.3 per-
cent in 1975 to 24.3 percent in 2022. 
(4) The Congressional Budget Office projected 
the average monthly enrollment in Medicaid for fis-
cal year 2023 would be 94 million people. 
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(5) The Congressional Budget Office projected 
at least 19 million able-bodied adults without de-
pendents would be enrolled in Medicaid in 2023. 
(6) 
Medicaid 
continues 
to 
grow 
at 
an 
unsustainable rate; within the decade, the program 
stands to cost over one trillion dollars per year, be-
tween Federal and State spending. 
(7) According to data provided to the Office of 
Management and Budget, the Federal Government 
made over $50 billion in improper payments through 
the Medicaid program in 2023. 
(8) Work requirements are strongly supported 
by the American people. In April 2022, 79.5 percent 
of Wisconsin voters supported work requirements for 
welfare programs in a statewide referendum. Like-
wise, nationwide polls consistently demonstrate 70 to 
75 percent support for work requirement policies. 
(9) Congress has a responsibility to preserve 
limited Medicaid resources and taxpayers’ dollars for 
America’s most vulnerable, including those who can-
not provide for themselves. 
(10) Work is a valuable source of human dig-
nity, and work requirements help lift Americans out 
of poverty by incentivizing self-reliance. 
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(b) POLICY ON MEDICAID WORK REQUIREMENTS.— 
It is the policy of this concurrent resolution that— 
(1) Congress should enact legislation, similar to 
the provisions in the House-passed Limit, Save, 
Grow Act of 2023 (H.R. 2811), that encourages 
able-bodied adults without dependents to work, ac-
tively seek work, participate in a job-training pro-
gram, or do community service in order to receive 
Medicaid benefits; 
(2) legislation implementing work requirements 
into the Medicaid program could require able-bodied 
adults without dependents to work, engage in com-
munity service, or participate in a work training pro-
gram for at least 80 hours per month to remain eli-
gible for Medicaid; 
(3) States should be given flexibility to deter-
mine the specific parameters of qualifying program 
participation and work-equivalent experience; 
(4) States should perform regular case checks 
to ensure taxpayer dollars are appropriately spent; 
and 
(5) the Government Accountability Office or the 
U.S. Department of Health and Human Services In-
spector General should conduct annual audits of 
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State Medicaid programs to ensure proper reporting 
and prevent waste, fraud, and abuse. 
SEC. 410. POLICY STATEMENT ON COMBATING THE OPIOID 
EPIDEMIC. 
(a) FINDINGS.—The House finds the following: 
(1) According to the Centers for Disease Con-
trol and Prevention (CDC), more than 564,000 died 
as a result of opioid overdoses between 1999 and 
2020. 
(2) Drug overdose deaths involving opioids 
spiked over the course of the COVID–19 pandemic, 
increasing from approximately 50,000 in 2019 to 
68,630 in 2020 and 80,411 in 2021. 
(3) In 2021, opioids were involved in over 75 
percent of all drug overdose deaths. Synthetic 
opioids, including fentanyl and fentanyl analogues 
accounted for over 88 percent of all opioid-related 
deaths in 2021. 
(4) In fiscal year 2023 alone, United States 
Customs and Border Protection, including Air and 
Marine 
Operations, 
seized 
27,000 
pounds 
of 
fentanyl, coming across the Southwest Border – 
enough to kill over 6.1 billion people. 
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