Major changes are coming to Medicaid (Apple Health).
Here's what it means for your coverage.
Roughly 25,000 Pierce County residents are expected to lose Apple Health coverage by the end of 2027 due to legistlation changes.
A new federal law, H.R. 1, as passed by Congress and signed into law by President Donald Trump, adds new requirements to remain eligible for Apple Health (Medicaid).
Take our private 30-second quiz to see how upcoming changes may affect your coverage or eligibility.
Quick facts
Most upcoming changes will occur at the time of a client’s next renewal after changes are implemented.
Apple Health for Adults will now have work requirements, shorter renewal timelines, and some cost-sharing.
- Exemptions to new work requirement include:
- People on Apple Health pregnancy coverage
- Tribally enrolled American Indians and Alaska Natives
Children age 19 and under (no changes to their eligibility or coverage). - For additional exemptions and exclusions, see HCA’s full list.
Resources
If you are an Apple Health enrollee, it’s important to keep your contact information up to date on Washington Healthplanfinder to receive important notices about potential changes to your coverage.
Access Washington Healthplanfinder
Free enrollment navigation is available in Pierce County for residents having trouble.
Important dates regarding upcoming changes to Apple Health
October 1, 2026 - Noncitizen eligibility changes
Eligibility for refugees, asylees, and other noncitizen adults is narrowing to specific immigration statuses.
Learn moreJanuary 1, 2027 - Work requirements
Adults on Apple Health will need to work, train, or do community engagement 80 hours/month, with some exceptions.
Learn moreJanuary 1, 2027 - Six-month renewals
Adults on Apple Health will renew coverage every 6 months instead of every 12.
Learn moreJanuary 1, 2027 - Retroactive coverage shortened
Retroactive coverage drops from 3 months to 1 month (Adults) or 2 months (all other Apple Health programs).
Learn more