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This bill would add a work requirement for some adults who get Medicaid through state programs. Starting January 1, 2026, able-bodied adults would have to work or volunteer at least 20 hours a week, on average over a month, to keep getting medical assistance for that month. The bill says certain people would not be counted as able-bodied adults, including children, older adults, pregnant people, some parents and caregivers, people with a medical or mental condition that makes them unable to work, people already receiving unemployment benefits and following those rules, and people in drug or alcohol treatment programs.
- People could meet the requirement either by working 20 or more hours per week or by volunteering 20 or more hours per week.
- The requirement would apply only to able-bodied adults, which the bill defines as people between 18 and 65 who do not fall into one of the listed exemption groups.
- Parents or caretakers would be exempt if they are the main caregiver for a child under age 6, or for a child with a serious medical condition or disability, as determined by the state.
- If a person does not meet the work or volunteer requirement for a month, the state would not provide Medicaid medical assistance for that month.
Official Summaries
Jobs and Opportunities for Medicaid Act
This bill establishes work requirements under Medicaid for able-bodied adults.
Specifically, the bill requires individuals who are between the ages of 18 and 65 and who are not otherwise unable to work due to a medical condition, family situation, or other listed reason to work or volunteer at least 20 hours per week, based on a monthly average, in order to qualify for Medicaid.
Current Full Text
[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1059 Introduced in House (IH)]
<DOC>
119th CONGRESS
1st Session
H. R. 1059
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
February 6, 2025
Mr. Crenshaw 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 enrolled in State Medicaid
programs.
Be it enacted by the Senate and House of Representatives 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)--
(A) by striking ``and'' at the end of paragraph
(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, 2026, 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 subsection:
``(uu) Work Requirement for Able-Bodied Adults.--
``(1) Work requirement described.--For purposes of
subsection (a)(88), the work requirement 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.
``(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 condition or
disability, as determined by the State agency
established or designated to administer or supervise
the administration of the State plan;
``(F) receiving unemployment compensation under
State or Federal law and, as applicable, complying with
work requirements under such State or Federal law; or
``(G) participating in a drug addiction or
alcoholic treatment and rehabilitation program (as
defined in section 3(h) of the Food and Nutrition Act
of 2008).''.
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