I 
115TH CONGRESS 
1ST SESSION H. R. 1381 
To amend title XIX of the Social Security Act to permit States to impose 
an individual responsibility requirement for nondisabled, nonelderly, non-
pregnant individuals made eligible for medical assistance. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 7, 2017 
Mr. GRIFFITH 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 permit 
States to impose an individual responsibility requirement 
for nondisabled, nonelderly, nonpregnant individuals 
made eligible for medical assistance. 
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 ‘‘Requiring Individual 
Responsibility in Medicaid Act of 2017’’. 
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SEC. 2. PERMITTING STATES TO APPLY AN INDIVIDUAL RE-
SPONSIBILITY 
REQUIREMENT 
FOR 
NON-
DISABLED, 
NONELDERLY, 
NONPREGNANT 
ADULTS UNDER MEDICAID. . 
Section 1902 of the Social Security Act (42 U.S.C. 
1396a) is amended by adding at the end the following new 
subsection: 
‘‘(nn) INDIVIDUAL RESPONSIBILITY REQUIREMENT 
OPTION FOR NONDISABLED, NONELDERLY, NONPREG-
NANT ADULTS.— 
‘‘(1) IN
GENERAL.—Beginning October 1, 
2017, subject to paragraph (3), a State may elect 
through a State plan amendment (or waiver of such 
plan) to condition medical assistance to a non-
disabled, nonelderly, nonpregnant individual under 
this title upon such an individual’s satisfaction of an 
individual responsibility requirement (as defined in 
paragraph (2)). 
‘‘(2) INDIVIDUAL
RESPONSIBILITY
REQUIRE-
MENT
DEFINED.—In this section, the term ‘indi-
vidual responsibility requirement’ means, with re-
spect to an individual, the individual’s participation 
in work activities (as defined in section 407(d)) for 
such period of time as determined by the State, and 
as directed and administered by the State. 
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‘‘(3) REQUIRED
EXCEPTIONS.—States admin-
istering an individual responsibility requirement 
under this subsection may not apply such require-
ment to— 
‘‘(A) a woman to whom subsection (e)(5) 
applies (relating to eligibility of pregnant 
women through the end of the month in which 
the 60-day period (beginning on the last day of 
her pregnancy) ends); 
‘‘(B) an individual who is the only parent 
or caretaker relative in the family of a child 
who has not attained 6 years of age or who is 
the only parent or caretaker of a child with dis-
abilities; or 
‘‘(C) an individual who is married or a 
head of household and has not attained 20 
years of age and who— 
‘‘(i) maintains satisfactory attendance 
at secondary school or the equivalent; or 
‘‘(ii) participates in education directly 
related to employment.’’. 
Æ 
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