GAIN Act of 2024

The GAIN Act of 2024 establishes a 5-year demonstration project to provide guaranteed monthly income payments of at least $500 to individuals enrolled in Medicaid. It directly affects Medicaid participants, who would receive unconditional, non-taxable payments via direct deposit or check, with no restrictions on how funds are spent. Eligible local governments, tribes, or nonprofit organizations would administer the program, measuring health impacts through required surveys on mental/physical health, employment, and financial circumstances. The project aims to evaluate how stable income affects health outcomes, with reports to Congress analyzing results after two years.