Beginning October 1, 2026, federal eligibility requirements will change for certain noncitizen adults. Some refugees, asylees, and people with other qualifying immigration statuses may no longer be eligible for federally funded Apple Health coverage. Different eligibility rules may continue to protect children, pregnant individuals, and people during the 12 months following pregnancy.
Beginning January 1, 2027, many adults between ages 19 and 64 may be required to complete at least 80 hours per month of qualifying activities, such as employment, job training, or community engagement, to maintain Apple Health coverage. Exceptions will apply to certain individuals based on their circumstances.
Eligibility reviews will also become more frequent. Many adults enrolled in Apple Health will need to renew their eligibility every six months rather than once every 12 months. This makes it especially important for recipients to keep their contact information current and respond promptly to renewal notices and requests for information.
Changes are also coming to retroactive coverage. Beginning January 1, 2027, Apple Health for Adults will generally provide one month of retroactive coverage rather than three months. Other Apple Health programs will generally provide up to two months.
Beginning October 1, 2028, some adults enrolled in Apple Health may also be required to pay up to $35 for certain medical services. Primary care, behavioral health, emergency care, and certain services provided in rural settings are expected to be exempt from these cost-sharing requirements.
Washington State is still developing details about how several of these federal requirements will be implemented. Apple Health recipients should watch for official notices from the Health Care Authority, keep their mailing address, email address, and other contact information updated, and respond to requests regarding their eligibility or coverage.