HB 338 — Medicaid; Training, Education, Employment, and Opportunity Program for able-bodied adult recipients.

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338 AMENDMENT IN THE NATURE OF A SUBSTITUTE (Proposed by the House Committee on RulesAppropriations on JanuaryFebruary 30,9, 2018) (Patron Prior to Substitute--Delegate Miyares) A BILL to require the Department of Medical Assistance Services to apply for a waiver to implement athe workTraining, requirementEducation, Employment, and Opportunity Program for able-bodied adult recipients of existing medical assistance services.

§ 1315, to allow the Commonwealth to implement athe programTraining, toEducation, improveEmployment, the health and well-beingOpportunity ofProgram existing(the MedicaidProgram) programfor participants by incentivizing community engagement and employment among able-bodied, working-age adults withto theenable goalenrollees ofto empoweringimprove programtheir participantshealth and providingwell-being themthrough withtraining, theeducation, necessaryemployment tools to seek and obtainother employmentcommunity andengagement transitionopportunities leading to self-sufficiency.

SuchThe waiver shallestablishing include the following:Program shall include:

A requirement that every able-bodied, working-age adult enrolled in the Medicaid program shall participate in communitythe engagementProgram. or employment activities.

The followingrequirement Medicaidfor programparticipation participantsin the Program shall not beapply subject to children under the requirementage forof participation18 inor communityindividuals engagementunder orthe employmentage activities:of 19 who are participating in secondary education;

children under the age of 18 or individuals under the age of 19 who are participating in secondary education;

individuals diagnosed with serious mental illness;

Requirements for gradually escalating participation in training, education, employment, and community engagement andopportunities employmentthrough activities,the Program, as follows:

Beginning three months after enrollment, at least 5five hours per week;

and 3.

Provisions for satisfaction of the requirement for participation in communitytraining, engagementeducation, employment, and employmentcommunity activitiesengagement opportunities through participation in job skills training;

general education, including participation in a program of preparation for the General Education Development (GED) certification examination or community college courses;courses leading to industry certifications or a STEM-H related degree or credential;

or caregiving services for a nondependent relative or other person with a chronic, disabling health condition;condition.

andThe 4.Department of Medical Assistance Services may waive the requirement for participation in employment in areas of the Commonwealth with unemployment rates equal to or greater than 150 percent of the statewide average;

Provisionshowever, for monitoring, evaluating, and assessing the effectivenessrequirement offor theparticipation demonstrationin programtraining, ineducation, improvingand theother healthcommunity andengagement wellnessopportunities ofshall programnot participantsbe andwaived furtheringin theany objectivesarea of the MedicaidCommonwealth. program.

The Program shall work with Virginia Workforce Centers or One-Stops to provide services to Program enrollees.

Such services shall include career services for Program enrollees, services to link Program enrollees with industry certification and credentialing programs, including the New Economy Workforce Credential Grant Program, and individualized case management services.

The Program shall, to the extent allowed under federal law, utilize federal and state funding available through the Temporary Assistance for Needy Families program, the Supplemental Nutrition Assistance Program, the Workforce Investment Act, and other state and federal workforce development programs to support Program enrollees.

That the Director of the Department of Medical Assistance Services shall report by December 1, 2018, to the Governor and the General Assembly on the status of the waiver application required pursuant to the first enactment of this actact. by December 1, 2018.

3.

That the Governor's Chief Workforce Development Advisor shall, in cooperation with the Secretaries of Commerce and Trade, Education, and Health and Human Resources, convene a workgroup to identify sources of federal and state workforce development funding and coordinate the delivery of educational and training programs to connect Training, Education, Employment, and Opportunity Program enrollees with educational opportunities, opportunities to develop critical vocational skills, and job training that will lead to employment.