# 119-hr-1059: Jobs and Opportunities for Medicaid Act

119-hr-1059, Jobs and Opportunities for Medicaid Act, is a 119th Congress bill sponsored by Rep. Crenshaw, Dan [R-TX-2] (R-TX); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-1059
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-1059
- Congress: 119
- Title: Jobs and Opportunities for Medicaid Act
- Status: introduced
- Introduced: 2025-02-06
- Sponsor: Rep. Crenshaw, Dan [R-TX-2] (R-TX)
- Cosponsors: 3
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## 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. - 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.

## Cosponsors (3)

- Rep. Van Duyne, Beth [R-TX-24] (R-TX), 2025-02-13T00:00:00.000Z
- Rep. Pfluger, August [R-TX-11] (R-TX), 2025-03-05T00:00:00.000Z
- Rep. Tenney, Claudia [R-NY-24] (R-NY), 2025-03-05T00:00:00.000Z

## Provisions PRIA read

- Work or volunteer rule for Medicaid adults: cost, high. 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 pr…

## Related bills

- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-2570: Maximum Pressure Act
- 119-hr-137: TCJA Permanency Act
- 119-hr-21: Born-Alive Abortion Survivors Protection Act
- 119-hr-1181: Protecting Privacy in Purchases Act
- 119-hr-987: Fair Access to Banking Act

## Sources
- [119-hr-1059 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/1059)

## Related
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-2570: Maximum Pressure Act](https://policyrisk.com/legislation/119-hr-2570)
- [119-hr-137: TCJA Permanency Act](https://policyrisk.com/legislation/119-hr-137)
- [119-hr-21: Born-Alive Abortion Survivors Protection Act](https://policyrisk.com/legislation/119-hr-21)
- [119-hr-1181: Protecting Privacy in Purchases Act](https://policyrisk.com/legislation/119-hr-1181)
- [119-hr-987: Fair Access to Banking Act](https://policyrisk.com/legislation/119-hr-987)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-1059 (as of 2026-04-21).