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Washtenaw Health Project warns federal changes could push 10'15,000 residents uninsured; proposes "Washtenaw Care"

Washtenaw County Board of Commissioners · November 20, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

The Washtenaw Health Project told commissioners that HR1 federal law changes could raise marketplace premiums and increase Medicaid churn, putting thousands at risk of losing coverage. The group proposed a $2.4M'$3.8M countywide program — "Washtenaw Care" — to expand enrollment assistance, public messaging and the county health plan.

Jeremy Lapides of the Washtenaw Health Project told the board that federal changes in the HR1 legislation already are starting to push marketplace premiums higher and increase administrative churn in Medicaid renewals.

"If we do nothing, 10 to 15,000 residents could lose coverage," Lapides said, citing a mix of marketplace subsidy expirations, policy exclusions for some work-permit holders and planned Medicaid work requirements. He said 20,000 residents are enrolled in Michigan's Healthy Michigan program…

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