H.R. 1 provider toolkit: Changes coming to Apple Health (Medicaid)

Washington State Health Care Authority sent this bulletin at 08/21/2026 04:18 PM PDT

August 21, 2026

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H.R. 1 provider toolkit: Federal changes coming to Apple Health

A new federal law passed by Congress and signed into law by President Donald Trump is introducing new requirements for Apple Health (Medicaid) eligibility. These include:

Changes to eligibility for some non-U.S. citizens
New work requirements for clients on Apple Health for Adults
More frequent coverage renewals
Changes to retroactive coverage time periods

View the H.R. 1 provider toolkit to get details about these changes, how they will affect Apple Health clients and providers, and options to help your patients stay covered.

This toolkit will be updated with additional resources and guidance as new materials become available.

View the H.R. 1 provider toolkit

Stay updated

Sign up for Apple Health (Medicaid) provider updates to receive news and guidance about H.R. 1 changes.
View the H.R. 1 communications toolkit for access to client materials, social media posts, and guidance on messaging to clients and stakeholders.

About the Health Care Authority (HCA)

Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible.

There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery. Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents.

Please do not reply directly to this message. For more information, visit the HCA website, where you'll also find contact information.

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The Washington State Health Care Authority (HCA) complies with all applicable federal and Washington state civil rights laws and is committed to providing equal access to our services. Visit HCA’s website to view complete nondiscrimination statements.