H.R. 1 Resources for Hospitals

H.R. 1 introduces significant federal Medicaid changes that will affect coverage, eligibility and hospital financing, creating real operational and financial challenges for hospitals across Washington.

WSHA is focused on standing alongside members as the law is rolled out—providing timely guidance to help hospitals navigate new requirements, protect patient access to coverage, and mitigate disruptions to care.

At the state and federal levels, WSHA is working to shape implementation decisions, elevate hospital concerns, and secure flexibility wherever possible.

Our goal is to reduce administrative burden, support sustainable funding strategies, and help hospitals continue delivering essential services to the communities they serve.

WSHA resources for hospitals

Provider Checklist Document

Talking points on HR 1 for managers
HR 1 Timeline flier for staff
The Rural Hospital Transformation Program

Other resources for hospitals

HCA H.R. 1 Communications Toolkit

HCA H.R.1 Communications Toolkit for Providers

HCA H.R.1 Medical Frailty Memo for Providers

CMS Medicaid community engagement requirements interim final rule (IFR)

H.R. 1 Webinars & Recordings

Upcoming webinars

Date	Agency	Webinar Title	Link
August 4, 2026	HCA	CMS Interim Final Rule (IFR)	Teams Link Registration *required*
Aug. 19, 2026	DSHS	SNAP H.R. 1 Work Requirement Changes	Zoom Link Registration not required
Sept. 3, 2026	HCA	H.R. 1 Impacts on Apple Health – Session 3	Teams Link Registration *required*
Sept. 9, 2026	DSHS	SNAP & Medicaid Long-Term Care H.R. 1 Noncitizen Eligibility	Zoom Link Registration not required
September 15, 2026	HCA	Provider forum: Medicaid work requirements	Teams Link Registration required
September 29, 2026	HCA	Provider forum 2: Medicaid work requirements	Teams Link Registration *required*
Dec. 3, 2026	HCA	H.R. 1 Impacts on Apple Health – Session 4

Recorded Webinars

HCA H.R. 1 Impacts series

Session 1 | View the webinar | Presentation slides | Session 1 webinar FAQ
Session 2 | View the webinar | Presentation slides

Apple Health informational

After-Pregnancy Coverage/Family Planning Only | View the webinar | Presentation slides

This page will be updated as additional H.R. 1 webinars and recordings become available.