Medicaid; Training, Education, Employment, and Opportunity Program for able-bodied adult recipients. (HB338)

Introduced By

Del. Jason Miyares (R-Virginia Beach) with support from co-patrons Del. Buddy Fowler (R-Ashland), Del. Steve Landes (R-Weyers Cave), and Del. Bob Thomas (R-Stafford)


Passed Committee
Passed House
Passed Senate
Signed by Governor
Became Law


Medicaid; work requirement; report. Directs the Department of Medical Assistance Services (the Department) to apply for a waiver to implement a work requirement for able-bodied adult recipients of medical assistance services. The bill requires the Department to administer the Training, Education, Employment, and Opportunity Program (the Program) to enable Medicaid enrollees to improve their health and well-being through training, education, employment and other community engagement opportunities leading to self-sufficiency. The bill requires Medicaid recipients to participate in the program but provides exceptions for children, individuals age 65 or older, individuals with certain disabilities, and individuals who are the primary caregiver for a dependent. The bill requires enrollees to meet gradually escalating participation requirements, culminating in 20 hours per week of required participation after 12 months of enrollment. The bill provides that the Program shall work with Virginia Workforce Centers or One-Stops to provide services to enrollees. Read the Bill »


03/01/2018: Failed to Pass in Committee


01/04/2018Prefiled and ordered printed; offered 01/10/18 18102781D
01/04/2018Referred to Committee on Rules
01/29/2018Impact statement from DPB (HB338)
01/30/2018Reported from Rules with substitute (14-Y 3-N) (see vote tally)
01/30/2018Committee substitute printed 18106104D-H1
01/30/2018Referred to Committee on Appropriations
02/05/2018Impact statement from DPB (HB338H1)
02/09/2018Fiscal impact review from JLARC (HB338H1)
02/09/2018Reported from Appropriations with substitute (22-Y 0-N) (see vote tally)
02/09/2018Committee substitute printed 18107013D-H2
02/10/2018Read first time
02/12/2018Read second time
02/12/2018Committee substitute from Rules rejected 18106104D-H1
02/12/2018Committee substitute from Appropriations agreed to 18107013D-H2
02/12/2018Engrossed by House - committee substitute HB338H2
02/13/2018Read third time and passed House (64-Y 36-N)
02/13/2018VOTE: PASSAGE (64-Y 36-N) (see vote tally)
02/14/2018Constitutional reading dispensed
02/14/2018Referred to Committee on Education and Health
03/01/2018Continued to 2019 in Education and Health (12-Y 3-N) (see vote tally)

Duplicate Bills

The following bills are identical to this one: HB695.


Josie Kinkade writes:

It is already more onerous to try to get medical help in Virginia than in most other states. With few insurance providers, there will be more people in need.

It would cost a bunch of money to check in on people who need assistance -- trying to "catch" one "cheater". This money could be better spent simply providing healthcare.

I can instantly see problems -- the parent of 2 or 3 children ages 7 through 9 who can't find work during the time the children are in school and has no child-care. The person who is applying for disability, going through a process already difficult and often taking more than a year. A person temporarily disabled, say, with pneumonia, who recently lost a job, or loses a low-paying job without benefits due to illness. A diabetic or person with sickle-cell disease who is able to work intermittently, but often falls through the cracks due to intermittent illness and lack of other resources. A 59-year-old person with lung disease who is not yet permanently disabled but who is in transition between previous manual labor and trying to find other other work.

All of these possible "exceptions" will be a paper-work nightmare for the benefit recipient, and a tax-payer paid job for the social worker, who may or may not be adequately medically qualified to make borderline decisions.

Taxpayers writes:

Welfare w/o a work requirement is always a disaster

Juliet Hiznay writes:

This bill is based on magical thinking. We are talking about people with medical problems (disabilities). Some will never be able to work. That's why they are on disability.

How about providing health care and fully funding the medicaid waiver so these individuals can gain some skills for workforce readiness? Transportation support, childcare support and training help too.

Sue M writes:

This bill tries to look reasonable by carving out exceptions for people receiving disability benefits and for caregivers of young children, but what about people who are devoting many hours per week to care for ADULT family members, such as seriously ill spouses or parents or adult children who are not able to live independently? And who is to judge what "able-bodied" means for the purpose of this bill?

Margaret McCabe writes:

In theory this bill sounds good but getting Medicaid in VA in the first place is a difficult task--so those that do get it have serious reasons and need to be covered. This bill will set up a complex , costly system " to catch a few cheaters" as they see it . Just provide medicaid expansion federal funds in the State budget and cover those who need care.