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

Work rules and penalties for Medicaid adults

If enacted, some adults on Medicaid would need monthly community engagement. You would meet the rule with at least 80 hours of work, community service, a work program, or a mix. You could also meet it if your monthly pay is at least the federal minimum wage times 80 hours. Exempt groups would include people under 18 or over 65, pregnant people, and those medically unfit. Caregivers, certain students, people in drug or alcohol treatment, and people already meeting other federal work rules would also be exempt. After you miss the rule in three prior months in the same calendar year, the federal government would stop paying its share for your care for later months that year. Your State could choose to disenroll you for any month when that federal match is blocked. States would have to try existing data sources to check your status before asking you for more paperwork.