I 
119TH CONGRESS 
1ST SESSION H. R. 1279 
To amend title XIX of the Social Security Act to establish a community 
engagement requirement for certain individuals under the Medicaid program. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 13, 2025 
Mr. BEAN of Florida (for himself, Mr. WEBER of Texas, Mr. KENNEDY of 
Utah, and Mr. SCOTT FRANKLIN of Florida) 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 establish 
a community engagement requirement for certain individ-
uals 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. COMMUNITY ENGAGEMENT REQUIREMENT 
FOR APPLICABLE INDIVIDUALS. 
(a) IN GENERAL.—Section 1903(i) of the Social Se-
curity Act (42 U.S.C. 1396b(i)) is amended— 
(1) in paragraph (26), by striking ‘‘; or’’ and 
inserting a semicolon; 
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at least one of the following with respect 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) VERIFICATION.—For purposes of verifying 
the compliance of an applicable individual with the 
community engagement requirement under para-
graph (1), a State Medicaid agency shall, whenever 
possible, prioritize the utilization of existing data-
bases or other verification measures, including the 
National Change of Address Database Maintained 
by the United States Postal Service, State health 
and human services agencies, payroll databases, or 
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other reliable sources of information, prior to seek-
ing additional verification from such individual. 
‘‘(3) DEFINITIONS.—In this subsection: 
‘‘(A) APPLICABLE INDIVIDUAL.—The term 
‘applicable individual’ means any individual who 
is not— 
‘‘(i) under 18 years of age or over 65 
years of age; 
‘‘(ii) physically or mentally unfit for 
employment, as determined by a physician 
or other medical professional; 
‘‘(iii) pregnant; 
‘‘(iv) the parent or caretaker of a de-
pendent child; 
‘‘(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. 
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‘‘(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. 
‘‘(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 
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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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