To amend title XIX of the Social Security Act to establish a community engagement requirement for certain individuals under the Medicaid program.
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
Section 1 - Community Engagement Requirement
Identified Gains
- 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
Sponsors
Legislative Progress
IntroducedMr. 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 Medicaid agencies, State governments
Positive-direction: State governments
Negative-direction: State Medicaid agencies
Able-bodied Medicaid beneficiaries ages 18-65 without dependent children
Individuals with disabilities not severe enough for medical exemption
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
- "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
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
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
Institution of higher education, career and technical education program, or other educational program approved by the Secretary
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