Proposes a constitutional amendment relating to MO HealthNet work requirements

HJR 154 proposes a constitutional amendment requiring work requirements for Missouri's MO HealthNet program (state Medicaid) for certain adults. It would affect individuals aged 19-65 who qualify under federal Medicaid rules (income at or below 133% of the federal poverty level), are not pregnant, disabled, or enrolled in other federal health programs. The bill mandates documentary proof of work compliance at application and monthly to maintain coverage, prohibits self-attestation, and requires state plan changes to implement this by 2027. It does not change income eligibility thresholds but adds a new administrative requirement for this specific group.