Work requirements for Medicaid and food assistance represent substantive policy change with constitutional implications. Civil_rights scores 4 due to direct impact on access to essential benefits for vulnerable populations, creating barriers to healthcare and nutrition assistance. Rule_of_law scores 3 as this modifies statutory entitlement frameworks and administrative procedures. Capture scores 3 reflecting ideological agenda implementation through budget reconciliation. Election scores 2 as this is partisan policy priority. Policy_change mechanism with federal scope yields 1.3x and 1.4x modifiers. Severity: durability 1.2 (requires future legislation to reverse), reversibility 0.9 (administratively complex but legally reversible), precedent 1.1 (extends work requirement model). Base 14 × 1.188 × 1.3 × 1.4 = 29.8. B-score: outrage_bait 6 (affects vulnerable populations, generates strong reactions), media_friendliness 5 (clear narrative about safety net), timing 5 (budget bill context), mismatch 4 (real policy but politically charged framing). Intentionality moderate (budget vehicle, partisan divide). Layer1: 8.8, Layer2: 7.2 × 1.13 = 8.1, total 16.0. Delta +13.8 clearly indicates List A: real constitutional damage exceeds hype.