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Preparing Spokane County for Change: Why Regional Alignment Matters Now More Than Ever

Memorial Day 2026 (2)

Kevin Williams, CEO, Spokane Workforce Council

Last week, Spokane County took an important first step.

The Spokane Workforce Council facilitated a meeting of leaders from healthcare organizations, community-based organizations, local government, workforce development, and human service agencies to begin a conversation about the upcoming Medicaid changes contained in HR1 and what those changes may mean for the individuals, families, and communities we serve.

While many of the implementation details are still being finalized at the federal and state levels, one thing is already clear: the impact of these changes will extend far beyond healthcare. When individuals lose health coverage, the effects often ripple into workforce participation, housing stability, food security, education, transportation, and family well-being. The challenges, and the solutions, do not fit neatly within any one system.

That is why regional alignment matters.

As Spokane County prepares for these changes, our responsibility is not to wait until implementation deadlines arrive. Our responsibility is to work together now to understand the impacts, identify gaps, coordinate resources, and create pathways that help people successfully navigate change.

For many individuals, maintaining eligibility may involve new reporting requirements, employment-related activities, or increased interaction with public systems. For others, the challenge may simply be understanding what is changing and what steps they need to take. This creates both a challenge and an opportunity.

The challenge is ensuring that people do not lose critical healthcare coverage simply because they lack information, support, or access to services.

The opportunity is to strengthen collaboration across systems that have historically operated independently. Healthcare providers, workforce organizations, educational institutions, social service agencies, local governments, and community-based organizations all have a role to play in helping residents remain connected to the resources they need.

Last week’s meeting was not about solving every issue. It was about beginning the work. It was about establishing a shared understanding that no single organization can address these changes alone. It was about recognizing that effective implementation will require

coordination, communication, data sharing, and a commitment to keeping the needs of Spokane County residents at the center of our efforts. I am encouraged by the willingness of organizations across our region to come together early, ask difficult questions, and focus on solutions.

The public workforce system has long served as a bridge between people seeking opportunities and the resources they need to succeed. As these Medicaid changes unfold, that role will become even more important.

The work ahead will require patience, partnership, and adaptability. But if yesterday’s meeting demonstrated anything, it is that Spokane County is committed to meeting this challenge together.

This was the first conversation, not the last. The success of our region will depend on our ability to continue building alignment across systems in service of the people who depend on them.

When communities face significant change, collaboration is not optional, it is essential.

To those organizations who joined us yesterday for this first conversation…thank you. If your organization did not attend and you would like to be invited to future conversations around the HR1 Medicaid changes and help in our regional alignment efforts, please reach out to us at admin@spokaneworkforce.org and we will ensure you have a seat at the table.


Spokane Workforce Council
140 S. Arthur St. Suite 300A
marketing@spokaneworkforce.org