Modifies provisions relating to MO HealthNet

This constitutional amendment would expand Missouri's MO HealthNet Medicaid program to cover adults aged 19-64 with incomes at or below 133% of the federal poverty level, directly affecting low-income working adults who previously may not have qualified. It requires the state to submit necessary federal plan amendments by March 2021 and mandates that eligibility rules for this group cannot be more restrictive than for other Medicaid recipients, though it explicitly allows future implementation of work or community engagement requirements for able-bodied adults. The amendment must be approved by voters in the 2026 election to take effect. It does not change current coverage but establishes new eligibility parameters and options for the state.