This bill would add a "community engagement requirement" to the Medicaid program for certain working-age adults. Specifically, individuals between 18 and 65 years old who are not pregnant, disabled, caring for dependents, already subject to other work requirements, in treatment programs, or in school would need to work at least 80 hours per month, perform 80 hours of community service per month, participate in an approved work program for 80 hours monthly, or some combination of these activities. States would lose federal Medicaid funding for any individual who fails to meet this requirement for three or more months in a calendar year, and states would have the option to remove such individuals from Medicaid coverage. The bill directs states to use existing databases and records to verify compliance rather than repeatedly asking individuals to provide documentation. No new federal funding or specific implementation timeline is provided in the legislation.
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