117 S3332 IS: Let States Innovate Under Medicaid Act U.S. Senate 2021-12-07 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

II117th CONGRESS1st SessionS. 3332IN THE SENATE OF THE UNITED STATESDecember 7, 2021Mr. Braun (for himself, Mrs. Blackburn, Mr. Romney, Mr. Young, Mr. Inhofe, and Mr. Hagerty) introduced the following bill; which was read twice and referred to the Committee on FinanceA BILLTo amend title XI of the Social Security Act to allow States to promote Medicaid objectives through work or community engagement requirements.

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Short title

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

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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..