Data from the National Academy for State Health Policy shows that Washington state hospitals could lose at least $662 million in Medicaid revenue — called Apple Health in Washington — a year after the recent Republican-led “megabill” was signed into law on July 4 by President Donald Trump.
In a July 14 press release, Rep. Adam Smith of the 9th Congressional District — which covers Seattle, Mercer Island, part of Bellevue and goes as far south as Federal Way and Auburn — called the bill a “cruel and calculated attack on working families.” Smith also shared an interactive map of the hospitals in King and Pierce counties that will be affected by the massive cuts.
“Republicans in Congress are asking our hospitals to do more with less — to serve uninsured patients without the resources to keep the lights on,” said Smith. “The people of Renton, Auburn, South Seattle and Federal Way deserve better than a budget that guts their health care system.”
According to the data, the South King County hospitals that are projected to have cuts to hospitals revenues are Valley Medical Center in Renton, St. Francis in Federal Way, Multicare Auburn Medical Center in Auburn, St. Elizabeth Hospital in Enumclaw, Snoqualmie Valley Hospital in Snoqualmie, Multicare Covington Medical Center in Covington and Swedish Medical Center in Issaquah.
Overall cuts are expected in 84 hospitals across the entire state, with a statewide revenue loss percentage of 2.59%.
Projected revenue losses in South King County hospitals are as follows:
• Valley Medical Center in Renton: $23,446,544
• Multicare Auburn Medical Center in Auburn: $8,768,075
• St. Francis Hospital in Federal Way: $8,582,591
• Swedish Medical Center in Issaquah: $4,362,163
• Multicare Covington Medical Center in Covington: $3,817,735
• St. Elizabeth Hospital in Enumclaw: $1,789,440
• Snoqualmie Valley Hospital in Snoqualmie: $773,092
As detailed in a May 2025 report from the health policy nonprofit organization KFF (formerly Kaiser Family Foundation, which has no relation to Kaiser Permanente), 1.86 million Washingtonians are enrolled in Apple Health, 39% of which are children.
According to the Association of American Medical Colleges (AAMC), cuts to Medicaid would “increase the number of uninsured Americans” and that coverage losses would lead to “higher uncompensated care costs, further straining the ability of hospitals to provide high-quality care” along with major job losses in the health care industry.”
“Hospitals in the Ninth District serve some of the most diverse and economically vulnerable communities in the state. Slashing Medicaid puts their care at risk and places enormous strain on our local health systems,” said Smith.
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