Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
Updated 12:07 PM MT
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State Policy·WA·September 30, 2026

14,000 Washington Immigrants Lose Medicaid Eligibility Oct. 1

Roughly 14,000 Washington state residents, refugees, humanitarian asylees, trafficking survivors, and other lawfully present immigrants without green cards, lose Apple Health (Medicaid) eligibility starting Oct. 1, under the federal law known as HR1. Washington State Health Care Authority Director Ryan Moran warns the change will strain hospitals as affected individuals lose coverage and increasingly rely on emergency departments for care. The same law also bars these immigrants from buying subsidized marketplace plans in 2027, and unsubsidized plans are expected to be unaffordable, meaning most will likely become uninsured. KUOW/Northwest News Network reports the state expects broader downstream effects on the health care system beyond the individuals directly losing coverage.

Why it matters

State Medicaid agencies and hospitals must prepare for coverage losses and uncompensated care surges as federal eligibility restrictions for lawfully present immigrants take effect.

Managed Care · Finance

Read the full article at opb.org →

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