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HR 10317

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

118th Congress Introduced by Aaron Bean and 1 co-sponsor

HR 10317 requires certain Medicaid recipients to engage in 80 hours of work or community service monthly to maintain coverage, impacting eligibility and state processes.

Introduced in House
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WeVote Research Nonpartisan
Bill Summary · HR 10317

Summary of HR 10317: Community Engagement Requirement for Medicaid

Bill Information:
- Bill Number: HR 10317
- Title: To amend title XIX of the Social Security Act to establish a community engagement requirement for certain individuals under the Medicaid program.
- Status: Introduced in House
- Introduced: December 06, 2024
- Classification: Bill

Purpose and Intent

HR 10317 aims to amend the Social Security Act to introduce a community engagement requirement for specific individuals enrolled in the Medicaid program. The bill seeks to encourage work and community service among Medicaid recipients, thereby promoting self-sufficiency and reducing dependency on government assistance.

Key Provisions

The bill proposes several significant changes to the Medicaid program:

  1. Community Engagement Requirement:

    • Individuals must meet at least one of the following criteria each month to maintain eligibility for Medicaid:
      • Work a minimum of 80 hours per month or earn an income equivalent to the federal minimum wage for that duration.
      • Complete 80 hours or more of community service.
      • Participate in a work program for at least 80 hours per month.
      • Engage in a combination of work and community service totaling 80 hours.

  2. Verification Process:

    • State Medicaid agencies are required to utilize existing databases (e.g., payroll databases, National Change of Address Database) for verifying compliance with the community engagement requirement before seeking additional information from individuals.

  3. Exemptions:

    • The following individuals are exempt from the community engagement requirement:
      • Those under 18 or over 65 years of age.
      • Individuals deemed physically or mentally unfit for employment.
      • Pregnant women.
      • Parents or caretakers of dependent children or incapacitated persons.
      • Individuals complying with work requirements under other federal programs.
      • Participants in drug or alcohol treatment programs.
      • Students enrolled in educational programs at least half-time.

  4. State Disenrollment Option:

    • States may choose to disenroll individuals who do not meet the community engagement requirement for a month, resulting in no federal financial participation for that month.

Impact

The implementation of HR 10317 would primarily affect:
- Medicaid Recipients: Individuals who do not meet the community engagement criteria may risk losing their Medicaid coverage.
- State Medicaid Agencies: States will need to adjust their verification processes and potentially manage disenrollment procedures.
- Community Organizations: Increased demand for community service opportunities may arise as individuals seek to fulfill the engagement requirement.

Procedural Aspects

  • The bill was introduced and referred to the House Committee on Energy and Commerce on December 6, 2024. Further legislative action will determine its progression through Congress.

This summary provides an overview of HR 10317, highlighting its objectives, key provisions, and potential implications for Medicaid recipients and state agencies.

Compiled from official sources — confirm details with the bill’s official record.

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