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

HR 1279 would require certain Medicaid recipients (excluding those under 18, over 65, pregnant, caregivers, or in education/health programs) to complete 80 hours monthly of work, community service, or approved work programs to maintain Medicaid eligibility. This applies to individuals who fail to meet this "community engagement requirement" for three consecutive months, triggering a loss of federal Medicaid funding for that month. States would verify compliance using existing databases (like payroll records) before requesting additional proof. The bill does not change Medicaid eligibility criteria but ties federal funding to this new activity requirement for qualifying individuals.