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Beginning in 2026 and 2027, this bill adds new eligibility and verification requirements to both Medicaid and the Supplemental Nutrition Assistance Program (SNAP, commonly known as food stamps) in Utah. For Medicaid, the bill requires most able-bodied adults ages 19–64 who qualify through Medicaid expansion to prove they worked, volunteered, or were enrolled in education or training for at least one month before applying and before each renewal, while allowing exemptions for people who are medically frail, disabled, homeless, or facing other qualifying circumstances; it also bars state workers from accepting an applicant's word alone on income, residency, identity, or citizenship, requiring instead that these be verified through documents or government databases, and it requires income/eligibility rechecks every six months for expansion enrollees and every twelve months for others. The bill limits how far back Medicaid coverage can reach before the date of application (one month for the expansion population, two months for traditional enrollees such as children, pregnant women, and people with disabilities), requires the state to check death and address records to remove deceased or out-of-state enrollees from Medicaid, and requires cross-checks against federal immigration databases to confirm citizenship or lawful immigration status for both Medicaid and SNAP applicants. For SNAP, the bill also requires the department to obtain approval from the Legislature and governor before seeking any federal waiver to relax SNAP work requirements, and it directs the department to include the income and resources of ineligible household members when calculating benefit amounts, if approved by the federal government. The bill also requires the state to submit periodic reports to legislative committees on compliance rates, exemptions granted, enrollment impacts, and cost savings tied to these new rules.