H.R. 1059

119th CONGRESS 1st Session

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 · February 6, 2025 · Sponsor: Mr. Crenshaw · Committee: Committee on Energy and Commerce

Table of contents

• H.R. 1059
  • SEC. 1. Short title
  • SEC. 2. Work requirements for able-bodied adults

SEC. 1. Short title

• This Act may be cited as the Jobs and Opportunities for Medicaid Act.

SEC. 2. Work requirements for able-bodied adults

• Section 1902 of the Social Security Act () is amended— 42 U.S.C. 1396a
  • in subsection (a)—
    • by striking and at the end of paragraph (86);
    • by striking the period at the end of paragraph (87) and inserting ; and; and
      • beginning January 1, 2026, not provide medical assistance with respect to a month to an able-bodied adult (as defined in subsection (uu)(2)) that has not met the work requirement described in subsection (uu)(1) for such month.
    • by inserting after paragraph (87) the following new paragraph:
    • (uu) Work requirement for able-Bodied adults
      • (1) Work requirement described
        • For purposes of subsection (a)(88), the work requirement described in this subsection with respect to an able-bodied adult and a month is that such adult satisfies at least one of the following with respect to such month:
          • The adult works 20 hours or more per week, based on a monthly average.
          • The adult volunteers for 20 hours or more per week, based on a monthly average.
      • (2) Able-bodied adult defined
        • In this subsection, the term able-bodied adult means any individual who is not—
          • under 18 years of age or over 65 years of age;
          • medically certified as physically or mentally unfit for employment;
          • pregnant;
          • the primary parent or caretaker of a dependent child under 6 years of age;
          • the primary parent or caretaker of a dependent child with a serious medical condition or disability, as determined by the State agency established or designated to administer or supervise the administration of the State plan;
          • receiving unemployment compensation under State or Federal law and, as applicable, complying with work requirements under such State or Federal law; or
          • participating in a drug addiction or alcoholic treatment and rehabilitation program (as defined in section 3(h) of the Food and Nutrition Act of 2008).
  • by adding at the end the following new subsection: