[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 447 Introduced in Senate (IS)]

<DOC>






119th CONGRESS
  1st Session
                                 S. 447

 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 SENATE OF THE UNITED STATES

             February 6 (legislative day, February 5), 2025

  Mr. Kennedy (for himself and Mr. Schmitt) introduced the following 
  bill; which was read twice and referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
 To amend title XIX of the Social Security Act to implement a minimum 
  work requirement for able-bodied adults enrolled in State Medicaid 
                               programs.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 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 (42 U.S.C. 1396a) is 
amended--
            (1) in subsection (a)--
                    (A) by striking ``and'' at the end of paragraph 
                (86);
                    (B) by striking the period at the end of paragraph 
                (87) and inserting ``; and''; and
                    (C) by inserting after paragraph (87) the following 
                new paragraph:
            ``(88) 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.''; 
        and
            (2) by adding at the end the following new subsection:
    ``(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:
                    ``(A) The adult works 20 hours or more per week, 
                based on a monthly average.
                    ``(B) 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--
                    ``(A) under 18 years of age or over 65 years of 
                age;
                    ``(B) medically certified as physically or mentally 
                unfit for employment;
                    ``(C) pregnant;
                    ``(D) the primary parent or caretaker of a 
                dependent child under 6 years of age;
                    ``(E) 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;
                    ``(F) receiving unemployment compensation under 
                State or Federal law and, as applicable, complying with 
                work requirements under such State or Federal law; or
                    ``(G) participating in a drug or alcohol treatment 
                and rehabilitation program (as defined in section 3(h) 
                of the Food and Nutrition Act of 2008).''.
                                 <all>