Jobs and Opportunities for Medicaid Act
Sponsored By: Representative Crenshaw
Introduced
Summary
Conditions Medicaid for most adults on a 20-hour weekly work or volunteer requirement. This bill would require able-bodied adults to meet a monthly average of 20 hours of work or volunteering to keep Medicaid coverage, beginning January 1, 2026.
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- Families: Primary parents or caretakers of a dependent child under 6 years old, and caretakers of a dependent child with a serious medical condition or disability, are exempt from the requirement.
- Specified exemptions: People under 18, over 65, pregnant people, those medically certified as unfit for work, people receiving unemployment compensation while complying with its work rules, and participants in drug or alcohol treatment programs are excluded from the rule.
- Coverage and administration: Able-bodied adults who fail to meet the 20-hour monthly average would not receive Medicaid for that month. State agencies retain responsibility to determine disability under the State plan framework.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 1 costs, 0 mixed.
Work or volunteer rule for Medicaid adults
If enacted, starting January 1, 2026, some adults on Medicaid would need to work or volunteer to keep coverage each month. You would need to average at least 20 hours per week of work or volunteering for that month. If you do not meet 20 hours and you are not in an exception, the State would not provide Medicaid for that month. Exceptions include being under 18 or over 65, pregnant, medically certified unfit, the primary caregiver of a child under 6, the caregiver of a child with a serious condition (as the State decides), receiving unemployment and following its work rules, or taking part in a drug or alcohol treatment program. The rule would apply only to able-bodied adults and would be checked month by month.
Sponsors & CoSponsors
Sponsor
Crenshaw
TX • R
Cosponsors
Van Duyne
TX • R
Sponsored 2/13/2025
Pfluger
TX • R
Sponsored 3/5/2025
Tenney
NY • R
Sponsored 3/5/2025
Roll Call Votes
No roll call votes available for this bill.
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