I 
119TH CONGRESS 
1ST SESSION H. R. 1452 
To amend the Food and Nutrition Act of 2008 relating to work requirements; 
to amend title XIX of the Social Security Act to establish work require-
ments under the Medicaid program. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 21, 2025 
Mr. BURLISON (for himself, Mr. BRECHEEN, and Mr. ONDER) introduced the 
following bill; which was referred to the Committee on Energy and Com-
merce, and in addition to the Committee on Agriculture, for a period to 
be subsequently determined by the Speaker, in each case for consider-
ation of such provisions as fall within the jurisdiction of the committee 
concerned 
A BILL 
To amend the Food and Nutrition Act of 2008 relating 
to work requirements; to amend title XIX of the Social 
Security Act to establish work requirements under the 
Medicaid program. 
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 ‘‘Ending the Cycle of 
Dependency Act of 2025’’. 
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(1) in paragraph (26), by striking ‘‘; or’’ and 
inserting a semicolon; 
(2) in paragraph (27), by striking the period at 
the end and inserting ‘‘; or’’; 
(3) by inserting after paragraph (27) the fol-
lowing new paragraph: 
‘‘(28) with respect to any amount expended for 
medical assistance for an applicable individual for a 
month in a calendar year if such individual did not 
meet the work requirement under section 1905(kk) 
for 3 or more preceding months during such cal-
endar year while such individual was an applicable 
individual and was enrolled in a State plan (or waiv-
er of such plan) under this title.’’; and 
(4) in the flush left matter at the end, by strik-
ing ‘‘and (18)’’ and inserting ‘‘(18), and (28)’’. 
(b) WORK REQUIREMENT.—Section 1905 of the So-
cial Security Act (42 U.S.C. 1396d) is amended by adding 
at the end the following new subsection: 
‘‘(kk) WORK REQUIREMENT FOR APPLICABLE INDI-
VIDUALS.— 
‘‘(1) WORK
REQUIREMENT
DESCRIBED.—For 
purposes of section 1903(i)(28), the work require-
ment described in this subsection with respect to an 
applicable individual and a month is that such indi-
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vidual satisfies at least one of the following with re-
spect to such month: 
‘‘(A) The individual works 80 hours or 
more per month, or has a monthly income that 
is at least equal to the Federal minimum wage 
under section 6 of the Fair Labor Standards 
Act of 1938, multiplied by 80 hours. 
‘‘(B) The individual completes 80 hours or 
more of community service per month. 
‘‘(C) The individual participates in a work 
program for at least 80 hours per month. 
‘‘(D) The individual participates in a com-
bination of work, including community service, 
and a work program for a total of at least 80 
hours per month. 
‘‘(2) DEFINITIONS.—In this subsection: 
‘‘(A) APPLICABLE INDIVIDUAL.—The term 
‘applicable individual’ means any individual who 
is not— 
‘‘(i) under 19 years of age or age 60 
or older; 
‘‘(ii) physically or mentally unfit for 
employment, as determined and verified by 
a physician or other medical professional; 
‘‘(iii) pregnant; 
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‘‘(iv) the parent or caretaker of a de-
pendent child under the age of 6; 
‘‘(v) the parent or caretaker of an in-
capacitated person; 
‘‘(vi) complying with work require-
ments under a different program under 
Federal law; 
‘‘(vii) participating in a drug or alco-
hol treatment and rehabilitation program 
(as defined in section 3(h) of the Food and 
Nutrition Act of 2008); or 
‘‘(viii) enrolled in an educational pro-
gram at least half time. 
‘‘(B) EDUCATIONAL PROGRAM.—The term 
‘educational program’ means— 
‘‘(i) an institution of higher education 
(as defined in section 101(a) of the Higher 
Education Act of 1965); 
‘‘(ii) a program of career and tech-
nical education (as defined in section 3 of 
the Carl D. Perkins Career and Technical 
Education Act of 2006); or 
‘‘(iii) any other educational program 
approved by the Secretary. 
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‘‘(C) 
STATE
MEDICAID
AGENCY.—The 
term ‘State Medicaid agency’ means the State 
agency responsible for administering the State 
Medicaid plan. 
‘‘(D) WORK
PROGRAM.—The term ‘work 
program’ has the meaning given such term in 
section 6(o)(1) of the Food and Nutrition Act 
of 2008.’’. 
(c) STATE OPTION TO DISENROLL CERTAIN INDI-
VIDUALS.—Section 1902(a) of the Social Security Act (42 
U.S.C. 1396a(a)) is amended by adding at the end of the 
flush left text following paragraph (87) the following: 
‘‘Notwithstanding any of the preceding provisions of this 
subsection, at the option of a State, such State may elect 
to disenroll an applicable individual for a month if, with 
respect to medical assistance furnished to such individual 
for such month, no Federal financial participation would 
be available, pursuant to section 1903(i)(28).’’. 
Æ 
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