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Work Requirements for Certain Medicaid Beneficiaries

This bill introduces new rules for some adult Medicaid beneficiaries, requiring them to engage in work, community service, or work programs. Individuals who fail to meet these requirements for three months in a calendar year may lose federal funding for their healthcare, and states will have the option to disenroll them from the program. This aims to promote self-sufficiency but could impact healthcare access for those who do not meet the new criteria.
Key points
Establishes a requirement of 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, pregnant women, parents/caretakers, those medically unfit for employment, individuals in substance abuse treatment, or those enrolled in education at least half-time.
States may choose to disenroll individuals from Medicaid if they fail to meet the community engagement requirement for three or more months in a calendar year, potentially affecting their healthcare access.
Verification of compliance will prioritize existing databases before requesting additional information from the individual.
article Official text account_balance Process page
Introduced
Citizen Poll
No votes cast
Additional Information
Print number: 119_HR_1279
Sponsor: Rep. Bean, Aaron [R-FL-4]
Process start date: 2025-02-13
Lustra uses Artificial Intelligence. Verify details in source documents.
Summarized by: gemini-2.5-flash
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 119_HR_1279.

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 2025-02-13.

What are the main provisions?

Key points include:

  • Establishes a requirement of 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, pregnant women, parents/caretakers, those medically unfit for employment, individuals in substance abuse treatment, or those enrolled in education at least half-time.
  • States may choose to disenroll individuals from Medicaid if they fail to meet the community engagement requirement for three or more months in a calendar year, potentially affecting their healthcare access.
  • Verification of compliance will prioritize existing databases before requesting additional information from the individual.
What is the specific legal status?

The current status is Introduced.

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 2025-12-22.

CATEGORIES

Benefits Health Labor