HR1279-119

Introduced

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

119th Congress Introduced Feb 13, 2025

Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.

Summary

What This Bill Does

The bill requires able-bodied, working-age Medicaid beneficiaries without dependent children or other exemptions to work, perform community service, or participate in work programs for at least 80 hours per month to maintain. It relies on compliance mandates and exemptions. The main policy areas are Healthcare, Labor, and Agriculture.

Who Benefits and How

State governments could see lower costs and Low-wage employers could see lower costs.

Who Bears the Burden and How

Able-bodied Medicaid beneficiaries ages 18-65 without dependent children would take on compliance duties, Working poor with irregular or seasonal employment could face increased risk, and State Medicaid agencies would take on compliance duties.

Key Provisions

  • Requires able-bodied, working-age Medicaid beneficiaries without dependent children or other exemptions to work, perform community service, or participate in work programs for at least 80 hours per month to maintain...

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

The bill requires able-bodied, working-age Medicaid beneficiaries without dependent children or other exemptions to work, perform community service, or participate in work programs for at least 80 hours per month to maintain.

Key Policy Areas

Healthcare, Labor, Agriculture

Primary Purpose

The bill requires able-bodied, working-age Medicaid beneficiaries without dependent children or other exemptions to work, perform community service, or participate in work programs for at least 80 hours per month to maintain.

Policy Domains

Healthcare Labor Agriculture

Section 1 - Community Engagement Requirement

Identified Gains
  • State governments
  • Low-wage employers
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: ih
State governments:
Low-wage employers:
Identified Costs
  • Able-bodied Medicaid beneficiaries ages 18-65 without dependent children
  • Working poor with irregular or seasonal employment
  • State Medicaid agencies
  • Individuals with disabilities not severe enough for medical exemption
  • Healthcare providers serving Medicaid patients
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: ih
State Medicaid agencies:
Healthcare providers serving Medicaid patients:
Working poor with irregular or seasonal employment:
Individuals with disabilities not severe enough for medical exemption:
Able-bodied Medicaid beneficiaries ages 18-65 without dependent children:

Legislative Progress

Introduced
Introduced Committee Passed
Feb 13, 2025

Mr. Bean of Florida (for himself, Mr. Weber of Texas, …

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

State & Local Government
2 mentions across 1 clause
+1 positive -1 negative

State Medicaid agencies, State governments

Positive-direction: State governments

Negative-direction: State Medicaid agencies

Low-Income Households
1 mention across 1 clause
-1 negative

Able-bodied Medicaid beneficiaries ages 18-65 without dependent children

Labor
1 mention across 1 clause
-1 negative

Working poor with irregular or seasonal employment

Healthcare
1 mention across 1 clause
-1 negative

Healthcare providers serving Medicaid patients

Food & Beverage
1 mention across 1 clause
+1 positive

Low-wage employers

People With Disabilities
1 mention across 1 clause
-1 negative

Individuals with disabilities not severe enough for medical exemption

1/1
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Labor Agriculture
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
"state_medicaid_agency"
→ State agency responsible for administering the State Medicaid plan

Key Definitions

Terms defined in this bill

4 terms
"community engagement requirement" §1905(kk)(1)

Requirement that applicable individual must: work 80+ hours/month OR earn monthly income equal to federal minimum wage × 80 hours OR complete 80+ hours community service OR participate in work program 80+ hours OR combination of work/service/program totaling 80+ hours

"applicable individual" §1905(kk)(3)(A)

Any Medicaid beneficiary who is NOT: (i) under 18 or over 65 years old; (ii) physically or mentally unfit for employment; (iii) pregnant; (iv) parent/caretaker of dependent child; (v) parent/caretaker of incapacitated person; (vi) complying with work requirements under different federal program; (vii) in drug/alcohol treatment; or (viii) enrolled in educational program at least half-time

"educational program" §1905(kk)(3)(B)

Institution of higher education, career and technical education program, or other educational program approved by the Secretary

"work program" §1905(kk)(3)(D)

As defined in section 6(o)(1) of the Food and Nutrition Act of 2008 (SNAP work requirements)

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology