,,ii  #aaeth ,,congress  #ast ,session  
,s4 #aaej  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #ag1      
#bjag,mr4 ,kennedy introduced the       
following bill2 which was read twice and
 referred to the ,committee on ,finance 
,a ,,bill  ,to amend title ,,xix of the 
,social ,security ,act to require       
,states to impose a work requirement for
 able-bodied adults without dependents  
who are eligible for medical assistance4
  #a4 ,short title ,this ,act may be    
cited as the ,medicaid ,reform and      
,personal ,responsibility ,act of #bjag4
  #b4 ,requiring ,states to apply a work
 requirement for able-bodied adults     
without dependents under ,medicaid      
,section #aijb of the ,social ,security 
,act 7#db ,u4,s4,c4 #acif;a7 is         
amended--  7#a7 in subsection 7a7-- 7,a7
 by striking and at the end of paragraph
 7#hb72  7,b7 by striking the period at 
the end of paragraph 7#hc77;,b77ii7 and 
inserting 2 and2 and  7,c7 by inserting 
after paragraph 7#hc77;,b77ii7 the      

following new paragraph3  7#hd7 comply  
with the requirements of subsection 7nn7
 7relating to a work requirement for    
able-bodied adults without dependents74 
2 and  7#b7 by adding at the end the    
following new subsection3  7nn7 ,work   
requirement for able-,bodied adults     
without dependents  7#a7 ,in general    
,beginning ,october #a1 #bjag1 a ,state 
shall elect through a ,state plan       
amendment 7or waiver of such plan7 to   
condition medical assistance under this 
title to an individual who is an        
able-bodied adult without dependents 7as
 defined in paragraph 7#b77;,a77 upon   
such an individual's satisfaction of a  
work requirement 7as defined in         
paragraph 7#b77;,b77 and the            
requirements of paragraph 7#c74  7#b7   
,definitions ,in this subsection3 7,a7  
,able-bodied adult without dependents   
,the term able-bodied adult without     
dependents means an individual who is   
not--  7i7 under #ah or over #ee years  
of age2  7ii7 medically certified as    

physically or mentally unfit for        
employment2  7iii7 a parent or other    
member of a household with              
responsibility for a dependent child2   
7iv7 a pregnant woman2  7v7 a bona fide 
student enrolled at least half time in  
any recognized school1 training program1
 or institution of higher education2 or 
7vi7 a regular participant in a drug    
addiction or alcoholic treatment and    
rehabilitation program4  7,b7 ,work     
requirement  7i7 ,in general ,the term  
work requirement means participation in 
activity specified by the ,state as work
 for purposes of this subsection for #bj
 hours or more per week1 averaged       
monthly4  7ii7 ,job training and        
community service ,such term includes-- 
7,i7 on-the-job training2  7,,ii7 job   
skills training directly related to     
employment2 and  7,,iii7 community      
service programs4  7#c7 ,additional     
requirements ,an able-bodied adult      
without dependents shall not receive    
medical assistance under this title if  

the able-bodied adult without           
dependents--  7,a7 refuses1 at the time 
of application and every #ab months     
thereafter1 to register as employed or  
as unemployed and actively looking for  
employment for less than #ab consecutive
 months1 in a manner prescribed by the  
,state2  7,b7 refuses without good cause
 to satisfy an applicable work          
requirement2  7,c7 refuses without good 
cause to accept an offer of employment1 
at a site or plant not subject to a     
strike or lockout at the time of the    
refusal1 at a wage not less than the    
higher of--  7i7 the applicable ,federal
 or ,state minimum wage2 or  7ii7 #hj   
percent of the wage that would have     
governed had the minimum hourly rate    
under section #f7;a77#a7 of the ,fair   
,labor ,standards ,act of #aich 7#bi    
,u4,s4,c4 #bjf7;a77#a77 been applicable 
to the offer of employment2  7,d7       
refuses without good cause to provide   
the ,state with sufficient information  
to allow the ,state to determine the    

employment status or the job            
availability of the able-bodied adult   
without dependents2 or  7,e7 voluntarily
 and without good cause-- 7i7 quits a   
job2 or  7ii7 reduces work effort and1  
after the reduction1 the able-bodied    
adult without dependents is working less
 than #bj hours per week4  4