Washington State Health Care Authority

Rule Changes

Administers Apple Health; preparing for January 2027 changes

A federal judge in Boston struck down the Trump administration's rule narrowing who counts as 'medically frail' under Medicaid work requirements. Judge Richard Stearns vacated the disputed language on October 29, siding with 25 states and the District of Columbia. The ruling blocks enforcement of the test against the plaintiff states.

Updated Oct 31