To amend title XIX of the Social Security Act to establish a community engagement requirement for certain individuals under the Medicaid program.

HR 10317 would require certain Medicaid recipients aged 18-65 (excluding those under 18, over 65, pregnant, caregivers, students, or in treatment programs) to complete 80 hours monthly of community engagement activities - such as working, volunteering, or participating in job training - to maintain coverage. The bill adds new provisions to Medicaid law (Sections 1903(i)(28) and 1905(jj)) defining this requirement and specifying verification methods using existing state databases. States could disenroll individuals who fail to meet this requirement for three consecutive months. This change directly affects non-exempt Medicaid beneficiaries and modifies eligibility conditions under federal Medicaid rules.