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New Medicaid Rules: Activity Requirement for Certain Beneficiaries

This bill introduces a work or community engagement requirement for certain adult Medicaid beneficiaries. Individuals failing to meet this requirement for three months in a calendar year may lose their benefits. The aim is to encourage greater social and professional involvement.
Key points
Requires 80 hours per month of work, community service, or participation in work programs for certain adult Medicaid beneficiaries.
Exemptions apply to individuals under 18 or over 65, those physically or mentally unfit for employment, pregnant individuals, parents/caretakers of dependents or incapacitated persons, those in drug/alcohol treatment, or enrolled in educational programs.
States have the option to disenroll individuals who do not meet the community engagement requirement for three or more months in a calendar year.
Verification of compliance will primarily use existing databases before requesting additional information from the individual.
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Expired
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Additional Information
Print number: 118_HR_10317
Sponsor: Rep. Bean, Aaron [R-FL-4]
Process start date: 2024-12-06
Lustra uses Artificial Intelligence. Verify details in source documents.
Summarized by: gemini-2.5-flash-preview-05-20
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

To amend title XIX of the Social Security Act to establish a community engagement requirement for certain individuals under the Medicaid program.

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 118_HR_10317.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2024-12-06.

What are the main provisions?

Key points include:

  • Requires 80 hours per month of work, community service, or participation in work programs for certain adult Medicaid beneficiaries.
  • Exemptions apply to individuals under 18 or over 65, those physically or mentally unfit for employment, pregnant individuals, parents/caretakers of dependents or incapacitated persons, those in drug/alcohol treatment, or enrolled in educational programs.
  • States have the option to disenroll individuals who do not meet the community engagement requirement for three or more months in a calendar year.
  • Verification of compliance will primarily use existing databases before requesting additional information from the individual.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. Bean, Aaron [R-FL-4].

What is the latest detailed status?

The latest detailed status is: Referred to the House Committee on Energy and Commerce.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-24.

CATEGORIES

Benefits Labor Health