I 
118TH CONGRESS 
1ST SESSION H. R. 1551 
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 
MARCH 10, 2023 
Mr. LATURNER (for himself and Mrs. MILLER of Illinois) 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 en-
rolled in State Medicaid programs. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Jobs and Opportunities 
for Medicaid 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)— 
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(A) by striking ‘‘and’’ at the end of para-
graph (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 January 1, 2024, 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 sub-
section: 
‘‘(uu) WORK
REQUIREMENT
FOR
ABLE-BODIED 
ADULTS.— 
‘‘(1) WORK
REQUIREMENT
DESCRIBED.—For 
purposes of subsection (a)(88), the work require-
ment 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 20 hours or more 
per week, based on a monthly average. 
‘‘(B) The adult volunteers for 20 hours or 
more per week, based on a monthly average. 
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‘‘(2) ABLE-BODIED ADULT DEFINED.—In this 
subsection the term ‘able-bodied adult’ means any 
individual who is not— 
‘‘(A) under 18 years of age or over 65 
years of age; 
‘‘(B) medically certified as physically or 
mentally unfit for employment; 
‘‘(C) pregnant; 
‘‘(D) the primary parent or caretaker of a 
dependent child under 6 years of age; 
‘‘(E) the primary parent or caretaker of a 
dependent child with a serious medical condi-
tion or disability, as determined by the State 
agency established or designated to administer 
or supervise the administration of the State 
plan; 
‘‘(F) receiving unemployment compensa-
tion under State or Federal law and, as applica-
ble, complying with work requirements under 
such State or Federal law; or 
‘‘(G) participating in a drug or alcohol 
treatment and rehabilitation program (as de-
fined in section 3(h) of the Food and Nutrition 
Act of 2008).’’. 
Æ 
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