I
119THCONGRESS
1
STSESSION 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
FEBRUARY6, 2025
Mr. C
RENSHAWintroduced 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 en-
rolled in State Medicaid programs.
Be it enacted by the Senate and House of Representa-1
tives of the United States of America in Congress assembled, 2
SECTION 1. SHORT TITLE. 3
This Act may be cited as the ‘‘Jobs and Opportunities 4
for Medicaid Act’’. 5
SEC. 2. WORK REQUIREMENTS FOR ABLE-BODIED ADULTS. 6
Section 1902 of the Social Security Act (42 U.S.C. 7
1396a) is amended— 8
(1) in subsection (a)— 9
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(A) by striking ‘‘and’’ at the end of para-1
graph (86); 2
(B) by striking the period at the end of 3
paragraph (87) and inserting ‘‘; and’’; and 4
(C) by inserting after paragraph (87) the 5
following new paragraph: 6
‘‘(88) beginning January 1, 2026, not provide 7
medical assistance with respect to a month to an 8
able-bodied adult (as defined in subsection (uu)(2)) 9
that has not met the work requirement described in 10
subsection (uu)(1) for such month.’’; and 11
(2) by adding at the end the following new sub-12
section: 13
‘‘(uu) W
ORKREQUIREMENT FOR ABLE-BODIED 14
A
DULTS.— 15
‘‘(1) W
ORK REQUIREMENT DESCRIBED .—For 16
purposes of subsection (a)(88), the work require-17
ment described in this subsection with respect to an 18
able-bodied adult and a month is that such adult 19
satisfies at least one of the following with respect to 20
such month: 21
‘‘(A) The adult works 20 hours or more 22
per week, based on a monthly average. 23
‘‘(B) The adult volunteers for 20 hours or 24
more per week, based on a monthly average. 25
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‘‘(2) ABLE-BODIED ADULT DEFINED .—In this 1
subsection, the term ‘able-bodied adult’ means any 2
individual who is not— 3
‘‘(A) under 18 years of age or over 65 4
years of age; 5
‘‘(B) medically certified as physically or 6
mentally unfit for employment; 7
‘‘(C) pregnant; 8
‘‘(D) the primary parent or caretaker of a 9
dependent child under 6 years of age; 10
‘‘(E) the primary parent or caretaker of a 11
dependent child with a serious medical condi-12
tion or disability, as determined by the State 13
agency established or designated to administer 14
or supervise the administration of the State 15
plan; 16
‘‘(F) receiving unemployment compensa-17
tion under State or Federal law and, as applica-18
ble, complying with work requirements under 19
such State or Federal law; or 20
‘‘(G) participating in a drug addiction or 21
alcoholic treatment and rehabilitation program 22
(as defined in section 3(h) of the Food and Nu-23
trition Act of 2008).’’. 24
Æ
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