•HCON 128 RH 
SEC. 506. 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 Congressional Budget Office projects 
the average monthly enrollment in Medicaid for fis-
cal year 2018 to be 76 million people. 
(4) Of this 76 million people, 27 million - more 
than one third of the enrollees - are non-elderly, 
non-disabled adults. 
(5) 
Medicaid 
continues 
to 
grow 
at 
an 
unsustainable rate, and will cost approximately one 
trillion dollars per year within the decade, between 
Federal and State spending. 
(6) Congress has a responsibility to preserve 
limited Medicaid resources for America’s most vul-
nerable - those who cannot provide for themselves. 
(7) In 2016, the Foundation for Government 
Accountability conducted a first-of-its-kind study on 
the power of work. It analyzed data from the State 
of Kansas, which demonstrates that work require-
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•HCON 128 RH 
ments have led to greater employment, higher in-
comes, and less poverty. 
(8) The State of Maine implemented work re-
quirements in 2014, and saw incomes rise for able- 
bodied welfare recipients by an average of 114 per-
cent within a year. 
(9) Work is a valuable source of human dignity, 
and work requirements help lift Americans out of 
poverty by incentivizing self-reliance. 
(b) POLICY ON MEDICAID WORK REQUIREMENTS.— 
It is the policy of this concurrent resolution that— 
(1) Congress should enact legislation that en-
courages 
able-bodied, 
non-elderly, 
non-pregnant 
adults without dependents to work, actively seek 
work, participate in a job-training program, or do 
community service, in order to receive Medicaid; 
(2) Medicaid work requirements legislation 
could include 30 hours per week of work, of which 
20 of those hours should be spent in the core activi-
ties of: public or private sector employment, work 
experience, on-the-job training, job-search or job- 
readiness assistance program participation, commu-
nity service, or vocational training and education; 
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•HCON 128 RH 
(3) States should be given flexibility to deter-
mine the parameters of qualifying program partici-
pation 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 
Department of Health and Human Services Inspec-
tor General should conduct annual audits of State 
Medicaid programs to ensure proper reporting and 
prevent waste, fraud, and abuse. 
SEC. 507. POLICY STATEMENT ON MEDICARE. 
(a) FINDINGS.—The House finds the following: 
(1) More than 58 million Americans depend on 
Medicare for their health security. 
(2) The Medicare Trustees Report has repeat-
edly recommended that Congress address Medicare’s 
long-term financial challenges. Each year without re-
form, the financial condition of Medicare becomes 
more precarious and the threat to those in or near 
retirement more pronounced. The current challenges 
that Congress will need to address include— 
(A) the Hospital Insurance Trust Fund 
will be exhausted in 2026 and unable to pay the 
full scheduled benefits; 
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•HCON 128 RH 
(B) Medicare enrollment is expected to in-
crease more than 50 percent in the next two 
decades, as 10,000 baby boomers reach retire-
ment age each day; 
(C) due to extended life spans, enrollees 
remain in Medicare three times longer than at 
the outset of the program five decades ago; 
(D) notwithstanding the program’s trust 
fund arrangement, current workers’ payroll tax 
contributions pay for current Medicare bene-
ficiaries instead of being set aside for their own 
future use; 
(E) the number of workers supporting 
each beneficiary continues to fall; in 1965, the 
ratio was 4.5 workers per beneficiary, and by 
2030, the ratio will be only 2.4 workers per 
beneficiary; 
(F) the average Medicare beneficiary re-
ceives about three dollars in Medicare benefits 
for every dollar paid into the program; 
(G) Medicare is growing faster than the 
economy, with an average projected growth rate 
of 7 percent per year over the next 10 years; 
and 
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•HCON 128 RH 
(H) by 2028, Medicare spending will reach 
more than $1.5 trillion, more than double the 
2017 spending level of $702 billion. 
(3) Failing to address the impending insolvency 
of Medicare will leave millions of American seniors 
without adequate health security and younger gen-
erations burdened with having to pay for these 
unsustainable spending levels. 
(b) POLICY ON MEDICARE REFORM.—It is the policy 
of this concurrent resolution to save Medicare for those 
in or near retirement and to strengthen the program’s sol-
vency for future beneficiaries. 
(c) ASSUMPTIONS.—This concurrent resolution as-
sumes transition to an improved Medicare program that 
ensures— 
(1) Medicare is preserved for current and fu-
ture beneficiaries; 
(2) future Medicare beneficiaries may select 
from competing guaranteed health coverage options 
for a managed care plan that best suits their needs; 
(3) traditional fee-for-service Medicare remains 
a plan option; 
(4) Medicare provides additional assistance for 
lower-income beneficiaries and those with greater 
health risks; and 
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