Healthcare providers in Bellingham are preparing for a rise in uninsured patients as federal Medicaid changes take effect. According to the Cascadia Daily News, approximately 9,000 residents in Whatcom County could lose Medicaid coverage under the One Big Beautiful Bill Act, signed into law in July 2025. The legislation could result in Washington state losing up to $36 billion in federal funding, according to KFF, a nonpartisan health research organization.
Unity Care NW, a healthcare provider legally required to serve patients regardless of ability to pay, is already seeing an increase in uncompensated care. The clinic's waiting room features a slideshow warning patients about upcoming changes to Medicaid, known locally as Apple Health. The anticipated rise in uninsured patients has prompted healthcare organizations and governments to strategize ways to minimize the local impact of the changes.