,,ii  #aae? ,,congress  #a/ ,session    
,s4 #aaej  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ag1 #bjag,mr4    
,k5n$y introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d title ,,xix
 ( ! ,social ,security ,act to require  
,/ates to impose a "w requirem5t =      
able-bodi$ adults )\t dep5d5ts :o are   
eligible = m$ical assi/ance4  #a4 ,%ort 
title ,?is ,act may be cit$ z ! ,m$icaid
 ,re=m & ,p]sonal ,responsibility ,act (
 #bjag4  #b4 ,requir+ ,/ates to apply a 
"w requirem5t = able-bodi$ adults )\t   
dep5d5ts "u ,m$icaid ,section #aijb ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7 is am5d$--  7#a7 9 subsection  
7a7-- 7,a7 by /rik+ & at ! end (        
p>agraph 7#hb72  7,b7 by /rik+ ! p]iod  
at ! end ( p>agraph 7#hc77;,b77ii7 &    
ins]t+ 2 &2 &  7,c7 by ins]t+ aft]      
p>agraph 7#hc77;,b77ii7 ! foll[+ new    
p>agraph3  7#hd7 comply ) ! requirem5ts 
( subsection 7nn7 7relat+ to a "w       
requirem5t = able-bodi$ adults )\t      

dep5d5ts74  2 &  7#b7 by add+ at ! end !
 foll[+ new subsection3  7nn7 ,"w       
requirem5t = able-,bodi$ adults )\t     
dep5d5ts  7#a7 ,9 g5]al ,beg9n+ ,octob] 
#a1 #bjag1 a ,/ate %all elect ?r\gh a   
,/ate plan am5dm5t 7or waiv] ( su* plan7
 to condition m$ical assi/ance "u ?is   
title to an individual :o is an         
able-bodi$ adult )\t dep5d5ts 7z def9$ 9
 p>agraph 7#b77;,a77 ^u su* an          
individual's satisfaction ( a "w        
requirem5t 7z def9$ 9 p>agraph          
7#b77;,b77 & ! requirem5ts ( p>agraph   
7#c74  7#b7 ,def9itions ,9 ?is          
subsection3 7,a7 ,able-bodi$ adult )\t  
dep5d5ts ,! t]m able-bodi$ adult )\t    
dep5d5ts means an individual :o is n--  
7i7 "u #ah or ov] #ee ye>s ( age2  7ii7 
m$ically c]tifi$ z physically or m5tally
 unfit = employm5t2  7iii7 a p>5t or o!r
 memb] ( a h\sehold ) responsibility = a
 dep5d5t *ild2  7iv7 a pregnant woman2  
7v7 a bona fide /ud5t enroll$ at lea/   
half "t 9 any recogniz$ s*ool1 tra9+    
program1 or in/itution ( high]          

education2 or  7vi7 a regul> p>ticipant 
9 a drug addiction or alcoholic treatm5t
 & rehabilitation program4  7,b7 ,"w    
requirem5t  7i7 ,9 g5]al ,! t]m "w      
requirem5t means p>ticipation 9 activity
 specifi$ by ! ,/ate z "w = purposes (  
?is subsection = #bj h\rs or m p] week1 
av]ag$ mon?ly4  7ii7 ,job tra9+ &       
community s]vice ,su* t]m includes--    
7,i7 on-!-job tra9+2  7,,ii7 job skills 
tra9+ directly relat$ to employm5t2 &   
7,,iii7 community s]vice programs4  7#c7
 ,additional requirem5ts ,an able-bodi$ 
adult )\t dep5d5ts %all n receive m$ical
 assi/ance "u ?is title if ! able-bodi$ 
adult )\t dep5d5ts--  7,a7 refuses1 at !
 "t ( application & e #ab mon?s !reaft]1
 to regi/] z employ$ or z unemploy$ &   
actively look+ = employm5t = less ?an   
#ab consecutive mon?s1 9 a mann]        
prescrib$ by ! ,/ate2  7,b7 refuses )\t 
good cause to satisfy an applicable "w  
requirem5t2  7,c7 refuses )\t good cause
 to accept an (f] ( employm5t1 at a site
 or plant n subject to a /rike or lock\t

 at ! "t ( ! refusal1 at a wage n less  
?an ! high] (--  7i7 ! applicable ,f$]al
 or ,/ate m9imum wage2 or  7ii7 #hj     
p]c5t ( ! wage t w\ld h gov]n$ _h !     
m9imum h\rly rate "u section #f7;a77#a7 
( ! ,fair ,labor ,/&>ds ,act ( #aich    
7#bi ,u4,s4,c4 #bjf7;a77#a77 be5        
applicable to ! (f] ( employm5t2  7,d7  
refuses )\t good cause to provide !     
,/ate ) suffici5t in=mation to all[ !   
,/ate to det]m9e ! employm5t /atus or ! 
job availability ( ! able-bodi$ adult   
)\t dep5d5ts2 or  7,e7 volunt>ily & )\t 
good cause-- 7i7 quits a job2 or  7ii7  
r$uces "w ef=t &1 aft] ! r$uction1 !    
able-bodi$ adult )\t dep5d5ts is work+  
less ?an #bj h\rs p] week4  4