Washington officials warn HR 1 could put coverage at risk; $30M IT, outreach needs flagged

Nov 5, 2025

Health Care Authority interim Medicaid director Trinity Wilson and the governor’s senior health policy adviser Caitlin Stafford told the joint committee Nov. 5 that implementing HR 1 will require major IT work, cross‑agency coordination and expanded outreach to limit coverage losses.

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Trinity Wilson, interim Medicaid director at the Health Care Authority, and Caitlin Stafford, the governor’s senior health policy adviser for health and behavioral health, told the joint committee on Nov. 5 that Washington is planning for multiple HR 1 implementation deadlines and that those steps will require technology investments, cross‑agency coordination and expanded outreach.

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