This bill amends the Social Security Act to mandate that states implement a minimum work requirement for able-bodied adults enrolled in Medicaid, effective January 1, 2026. States would be prohibited from providing medical assistance to individuals who fail to meet this requirement for a given month. The work requirement specifies that an adult must either work 20 hours or more per week or volunteer 20 hours or more per week , based on a monthly average. The legislation defines "able-bodied adult" with several exemptions, including individuals under 18 or over 65, those medically unfit for employment, pregnant individuals, and primary caregivers of young or disabled children. Further exemptions cover those receiving unemployment benefits or participating in drug/alcohol treatment programs, aiming to focus the requirement on a specific subset of the Medicaid population.