Let States Innovate Under Medicaid Act
This bill allows state Medicaid programs to use demonstration waivers to institute work or community engagement requirements as a condition of Medicaid eligibility, except for specified populations (e.g., medically frail individuals).
To amend title XI of the Social Security Act to allow States to promote 
 Medicaid objectives through work or community engagement requirements.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Let States Innovate Under Medicaid 
Act''.

SEC. 2. PROMOTING MEDICAID OBJECTIVES THROUGH WORK OR COMMUNITY 
              ENGAGEMENT REQUIREMENTS.

    Section 1115(d) of the Social Security Act (42 U.S.C. 1315(d)) is 
amended--
            (1) in paragraph (1), by inserting ``(which may include the 
        objective to reduce dependence on medical assistance by 
        conditioning the receipt of medical assistance on the 
        satisfaction of a work or community engagement requirement (as 
        defined in paragraph (4))'' after ``the objectives of title XIX 
        or XXI''; and
            (2) by adding at the end the following new paragraph:
            ``(4)(A) For purposes of this subsection, the term `work or 
        community engagement requirement' means, with respect to an 
        individual, the individual's participation in work activities 
        (as defined in section 407(d)) for such period of time as 
        determined by the State, and as directed and administered by 
        the State.
            ``(B) Such term shall not include any requirement that 
        applies with respect to any of the following categories of 
        individuals:
                    ``(i) Individuals who are age 65 or older.
                    ``(ii) Individuals who are age 19 or younger.
                    ``(iii) Individuals who are eligible for benefits 
                or assistance under the Temporary Assistance for Needy 
                Families program under part A of title IV or the 
                Supplemental Nutrition Assistance Program established 
                under the Food and Nutrition Act of 2008.
                    ``(iv) Individuals who are medically frail (as 
                defined in section 1937(a)(2)(B)(vi)).
                    ``(v) Individuals during pregnancy and the 60-day 
                postpartum period beginning on the last day of 
                pregnancy.
                    ``(vi) Individuals suffering from a temporary 
                illness or incapacity that an appropriate professional 
                has certified prevents their participation in work 
                activities.
                    ``(vii) Individuals who are engaged in treatment 
                for a substance use disorder.
                    ``(viii) Individuals whose participation in work 
                activities is subject to any other good cause exemption 
                established by the State and approved by the 
                Secretary.''.
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Let States Innovate Under Medicaid Act
A bill to amend title XI of the Social Security Act to allow States to promote Medicaid objectives through work or community engagement requirements.
Let States Innovate Under Medicaid Act
Sen. Braun, Mike