Governor Bob Ferguson signed an executive order on September 3 to protect Washington state residents from federal health care cuts in H. R. 1. The law, signed by President Trump, would cut $1. 3 trillion in health care and food assistance nationwide. Washington has already spent $100 million to comply with the law, with potential costs reaching $3. 2 billion per biennium.
The order prevents 3,000 immigrants from losing Apple Health coverage starting October 1. Outreach efforts reduced the loss from 14,000 to 11,000 people. An automated verification hub will help 400,000 residents keep coverage by eliminating extra paperwork. Washington expects 200,000 people to still lose coverage by December 2027.
Residents with Apple Health are urged to verify their information and watch for updates. The governor's office says the state will continue efforts to protect coverage, but federal changes will still affect many. The next major deadline is January 1, 2027, when work requirements take effect for over 600,000 people.