For those affected by wildfires in Washington
If you or someone you know is affected by wildfires in Washington state, visit our wildfire response page for the latest information, resources, and updates.
What’s changing with Apple Health (Medicaid)?
Learn more about changes coming to Apple Health (Medicaid) due to H.R. 1, a new federal law passed by Congress and signed into law by President Donald Trump. On this page you will find H.R. 1 webpages, resources, and information for Apple Health clients, assisters, and stakeholders.
On this page
About H.R. 1 and upcoming changes
H.R. 1 adds new requirements and makes changes to Apple Health. Many details are still being developed. The Health Care Authority (HCA) is reviewing how these changes will affect Apple Health. Most changes will occur at the time of a client’s next renewal after changes are implemented.
| Topic | Change | Start date |
|---|---|---|
| Noncitizen changes |
Changes to eligibility for refugee, asylee, and other noncitizen adults. View the noncitizen fact sheet (available in 15 languages). |
October 1, 2026 |
| Work requirements |
To remain eligible, people enrolled in Apple Health for Adults will be required to work, train, or do community engagement 80 hours per month (with some exceptions).
|
January 1, 2027 |
| Six-month renewals |
People enrolled in Apple Health for Adults will be required to renew their coverage every six months instead of twelve months. View the work requirements and renewals fact sheet (available in 15 languages). |
January 1, 2027 |
| Retroactive coverage changes |
Retroactive coverage will be shortened from three months to one month for Apple Health for Adults and shortened to two months for all other Apple Health programs. View the retroactive coverage fact sheet (available in 15 languages). |
January 1, 2027 |
| Cost-sharing | People enrolled in Apple Health for Adults will have to pay cost-sharing up to $35 for many services. This does not include primary care, behavioral health, emergency services, and services given in certain rural settings. | October 1, 2028 |
For Apple Health clients
Apple Health clients will receive notices about potential changes to their coverage. Keep your contact information up to date so you can stay informed. Notices will be sent by mail or email, depending on your notification preferences.
Visit the Changes coming to Apple Health page to learn more.
For those supporting Apple Health clients
You can join the Apple Health Community Connectors program to get the latest information each month about changes coming to Apple Health.
Visit the Supporting clients with changes to Apple Health page to get resources and to learn more.
For other Apple Health stakeholders
Our top priority is to implement new federal requirements in ways that minimize coverage loss and reduce customer burden.
Visit the H.R. 1 impacts page to get more detailed information about HCA’s approach to these changes.
H.R. 1 resources
New H.R. 1 resources for clients, assisters, and stakeholders are being developed as we continue to receive federal guidance.
| Session | Date | Materials and meeting links |
|---|---|---|
| Session 1 | February 26, 2026 | |
| Session 2 | June 4, 2026 | |
| Session 3 | September 3 at 10 a.m. | |
| Session 4 | December 3 at 10 a.m. |