Medicaid & SNAP Changes

Apple Health provides free or low-cost health coverage to many Washington residents. Beginning in October 2026, federal rules changed who qualifies for coverage and some work requirements.

• Work or earn enough income to meet the requirement
• Attend school at least half-time
• Participate in job training or volunteer activities
• Have a combination of work, volunteering, or training to meet the requirement

There are exceptions for people who are pregnant, caring for young children or someone with a disability, have certain health conditions, or meet other qualifying circumstances. American Indian and Alaska Native individuals are also exempt. Learn more about Apple Health work requirements.

Most adults receiving Apple Health will need to renew their coverage every six months instead of once a year. This change will begin at your first renewal in 2027. You should receive a notice when it’s time to renew.

Changes for some immigrants (Starting October 1, 2026)
Some lawfully present immigrants, including some refugees and people granted asylum, may no longer qualify for federally funded Apple Health coverage.

Children and pregnant people can still qualify for Apple Health regardless of immigration status if they meet other requirements. Learn more about Apple Health eligibility changes.

Basic Food (SNAP) Changes: New federal rules have changed who qualifies for food assistance and how benefits are calculated. 

New work requirements

• Adults will need to meet work requirements to continue receiving Basic Food benefits. The new rules apply to adults ages 18–64 who do not qualify for an exemption. 
• Exemptions have also changed. Certain veterans, people experiencing homelessness, and young adults who have aged out of foster care, may now need to meet work requirements. People who are pregnant, have a qualifying disability, are American Indian or Alaska Native, or have a child under age 14 in their household may be exempt. 

Changes for some immigrants

• Some lawfully present immigrants, including some refugees and people granted asylum, are no longer eligible for federally funded Basic Food benefits. 
• Washington has a separate, state-funded Food Assistance Program that may help those who no longer qualify for federal benefits. Learn more about the State Food Assistance Program.

Some households may receive less food assistance

• Monthly food benefits for some households may reduce because of changes to how housing and utility costs are counted. Not everyone will be affected, and the amount of any change will depend on your household’s circumstances. 

What should I do? If you receive Basic Food: 

• Keep your contact information up to date with the Department of Social and Health Services (DSHS)
• Read any notices you receive about your benefits
• Complete your eligibility review when requested
• Ask whether you qualify for an exception to work requirements

You do not need to reapply just because these federal rules have changed. Learn more about Basic Food changes from DSHS.

Need Help Understanding Your Benefits?
For the latest information, visit the Washington State Health Care Authority’s website for Apple Health updates or the Department of Social and Health Services website for Basic Food updates.