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HR. 1279 · 119th Congress

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

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Bill details

Introduced: 2/13/2025
Status: Referred to the House Committee on Energy and Commerce.
Bill ID: 119hr1279
Latest action: Referred to the House Committee on Energy and Commerce.

Summary

Introduced in House

This bill establishes community engagement requirements (i.e., work requirements) for certain adults under Medicaid. Specifically, the bill requires individuals ages 18 through 65 to work, engage in community service, or participate in a work program (or a combination of these) for at least 80 hours per month. The bill prohibits federal payments for, and allows state Medicaid programs to disenroll, individuals who do not meet these requirements for three or more months in a year. The requirements do not apply to individuals who are (1) physically or mentally unfit to work, (2) pregnant, (3) parents or caretakers of children or incapacitated individuals, (4) complying with work requirements for other federal programs, (5) participating in a drug or alcohol treatment and rehabilitation program, or (6) enrolled at least half-time in school.

Source: BILLSUM · Summary date: 2/13/2025

District impact notes

1 notes
NEUTRAL
3/20/2026

This bill requires certain adults under Medicaid to engage in work or community service for at least 80 hours each month to maintain their eligibility. • The policy could impact local healthcare access for low-income individuals who may need to meet new requirements to keep their coverage. • Local organizations providing services or support for Medicaid recipients may need to adjust their programs to help individuals comply with these new engagement requirements. • There may be questions about how effectively the state can implement these requirements and support individuals who are exempt or face barriers to participation. AI-generated from official bill summary and plain-English note; verify with official text.

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Summary source label: BILLSUM
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About this data

Non-partisan by design
OurCongress provides plain-English context without endorsements, political interpretation, or advocacy.
Official sources
Data is sourced from official government records (e.g., Congress.gov, GovInfo, Clerk of the House, and the U.S. Senate).
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Last updated: 3/20/2026Source: BILLSUMBill: 119hr1279Learn more →