Bill > HB1807

This bill proposes to implement work requirements for Medicaid enrollees in Pennsylvania by seeking a federal waiver to establish new eligibility rules. Specifically, the bill would require Medicaid recipients who are 18 years or older and physically capable to either be employed, actively seek employment, or attend job training programs, working at least 20 hours per week or completing 12 job training activities monthly. Enrollees who comply may receive reduced premiums or cost-sharing incentives, while those who fail to meet requirements would lose Medicaid eligibility for progressively longer periods (3, 6, and 9 months). The bill includes several exemptions for specific groups, such as full-time students, individuals receiving disability benefits, pregnant women, those under 20 or over 65, people in mental health or correctional institutions, and those experiencing crises or serious medical conditions. Additionally, enrollees would be required to verify their income and compliance biannually, and individuals who repeatedly fail to meet requirements could be banned from the Medicaid program. The proposed changes would take effect 60 days after passage, with the state seeking a federal waiver by March 1, 2026, to implement these new requirements.

Health and Social Services

https://www.legis.state.pa.us/cfdocs/billinfo/bill_history.cfm?syear=2025&sind=0&body=H&type=B&bn=1807