The main purpose of this legislation is to establish a minimum work requirement for able-bodied adults who are enrolled in state Medicaid programs. The goal is to encourage employment and self-sufficiency among individuals receiving Medicaid benefits. Key provisions of the legislation include a requirement that able-bodied adults must work or volunteer for at least 20 hours per week to maintain their eligibility for Medicaid. This requirement will take effect on January 1, 2026.