This bill represents a fundamental change to Medicaid, shifting it from a pure health safety net to a program tied to employment status. For voters, the impact depends on their view of the safety net: supporters believe it encourages work and saves taxpayer money by ensuring benefits go to those who truly cannot work, while opponents worry that people will lose health insurance because of paperwork hurdles, fluctuating work schedules, or lack of available jobs. If this becomes law, many low-income adults could lose their health coverage if they cannot consistently secure 20 hours of work or volunteering every week.