Changes are coming to Apple Health (Medicaid) in Washington state—but they won’t affect all enrollees. Here’s a snapshot of what is changing, what is staying the same, and what you can do to be prepared.
A new federal law called H.R.1 makes some big changes to Apple Health.
Most Apple Health members will not see changes right away, and many will not be affected by the new rules. Knowing whether these changes apply to you can help you stay covered.
Who is affected by the new Apple Health rules?
Impacted: People ages 19-64 enrolled in Apple Health for Adults.
Not impacted: Seniors, pregnant individuals, children, people with disabilities, and parents or caretakers enrolled in other Apple Health plans.
Here’s a snapshot of what’s changing and what’s not:
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WATCH: What to know about the new work requirements.
Make sure you renew your Apple Health coverage on time
While most of the new federal changes officially take effect on January 1, 2027, when they may impact you depends on your individual Apple Health renewal date.
As your renewal time nears, watch for notices from the state and from your health plan letting you know if you need to take action, such as updating your income and household information. Be sure to respond promptly to any requests and complete your renewal on time!
3 steps to stay covered
Update
Update your contact information in Washington Healthplanfinder.
Watch
Watch for letters, emails, or text messages from the state and from your health plan about your Apple Health coverage.
Act
Respond right away if you’re asked to provide information.
Need help?
Change can feel overwhelming, but you don’t have to face it alone.
You can get support from:
- Health Care Authority / Washington Healthplanfinder
- Your Apple Health plan provider (like CHPW)
- Your local Community Health Center or provider
- Local navigators and community-based organizations

For CHPW members:
Bottom line
Having insurance is important for your health and peace of mind. Even if your Apple Health coverage changes, you still have options. Trusted organizations and enrollment experts can help you understand your choices and find affordable coverage that works for you.
Resources
- HCA: Changes coming to Apple Health
- HCA: Impacts of H.R.1 on Apple Health eligibility
- HCA: Apple Health (Medicaid) work requirements
- CHPW: 3 things to know about upcoming changes to Apple Health
- CHPW: Upcoming changes to Apple Health eligibility for immigrants: What you need to know
