Unity Care NW’s 2026 Advocacy Work
When decisions made far from Whatcom County threaten the health of our neighbors, we stand up. This is a brief look at what we’ve been working on in 2026 so far — and why it matters for the patients and community we serve.
The Landscape: Our Patients Are Facing Real Pressure

Unity Care NW’s Public Policy team visits Washington D.C. every year to meet with community health center staff from around the country and to advocate with law makers on behalf of our patients.
Unity Care NW’s Public Policy team visits Washington D.C. every year to meet with community health center staff from around the country and to advocate with law makers on behalf of our patients. The policy environment your neighbors are navigating right now is complicated and consequential. Here is what we are seeing on the ground in Whatcom County.
- Federal legislation (H.R. 1) eliminated the enhanced Affordable Care Act premium subsidies that helped many working families afford health coverage. Patients who had insurance are now losing it or facing premiums they simply cannot pay. In October 2025, Unity Care NW hosted a roundtable with Rep. Rick Larsen where patients spoke directly about the impossible choices ahead: food, rent, or health care.
- Starting in September 2026, approximately 2,700 Unity Care NW patients will receive letters requiring them to prove they work or volunteer 80 hours a month. Those who cannot will risk losing Medicaid coverage. They will also be required to reapply every six months instead of annually. For patients managing chronic illness, disability, or unstable housing, this is a significant and stressful burden.
- At a time when ICE enforcement actions were making national and local news, we saw a measurable drop in patients seeking care at our clinics whose health needs are best served in a language other than English. Fear is a barrier to care, and we are concerned about what this means for health outcomes in our community.
“I was laid off, lost all benefits including healthcare. The 3 month lay-off is now 1 year. I would have been lost without these services.” – UCNW Patient
What We’ve Done About It
Federal Advocacy with Sen. Patty Murray
Unity Care NW senior leadership met with U.S. Senator Patty Murray in late 2025 to share our concerns about proposed cuts to the federally qualified community health center program. In her role as Vice Chair of the Senate Appropriations Committee, Sen. Murray worked in a bipartisan capacity to secure $8.9 billion in Health Resources & Services Administration (HRSA) funding in February, an increase of $415 million that included $1.9 billion for health centers. While we continue to assess how this will directly benefit Unity Care NW’s patients, this investment in the community health center infrastructure we rely on represents a meaningful victory for safety-net health care nationally.
Protecting the Medicaid Pharmacy Benefit
In December 2025, Governor Ferguson’s proposed budget included a change to the state’s Medicaid pharmacy benefit that would have cost Washington’s nonprofit community health centers more than $100 million annually, while saving the state only $7.5 million. For Unity Care NW, this would have weakened our ability to stretch every dollar to serve patients who depend on us.
We responded with a coordinated campaign that included:
- Our Chief Pharmacy Officer, Dr. Lisa Nelson, PharmD, traveling to Olympia alongside the Washington Association of Community Health to meet directly with lawmakers and explain the human cost of this proposal at a moment when patients are already absorbing the loss of ACA subsidies.
- A letter to the editor in Cascadia Daily News, making the case clearly that weakening 340B won’t fix Washington’s budget, but it will hurt Medicaid patients in Whatcom County.
- CEO Jodi Joyce testifying to the Legislature, urging lawmakers to reject the proposal to protect patient access and community health.
“Unity Care NW serves 1 in 10 Whatcom County residents and increasingly acts as a last line of access for people experiencing homelessness or managing complex medical conditions. At a moment of federal uncertainty, state leaders should be protecting community-based solutions that work.” — Dr. Lisa Nelson, Chief Pharmacy Officer
A Historic Win: Washington’s First-Ever 340B State Pharmacy Bill

Governor Ferguson signs Engrossed Second Substitute Senate Bill No. 5981 – March 25, 2026. Relating to protecting the integrity of the 340B drug pricing program.
On March 25, 2026, Governor Ferguson signed SB 5981 into law and Unity Care NW played a central role in making it happen.
This first-of-its-kind state bill, developed in partnership with Representative Thai of Bellevue, stops drug manufacturers from undermining the federal 340B program through contract pharmacy limitations. Many of our patients rely on contract pharmacies because they don’t live near a clinic or face transportation barriers. SB 5981
ensures those patients don’t lose access to their medications because of behind-the-scenes policy changes by pharmaceutical companies.
Dr. Lisa Nelson and our public policy staff advocated extensively with lawmakers throughout the session. The result is a law that protects continuity of care for low-income, uninsured, tribal, and HIV patients across Washington state. It also models what community-driven safety-net advocacy can achieve.
Why This Work Is Part of Who We Are
Unity Care NW exists because everyone deserves the opportunity to live their healthiest life — regardless of their income, immigration status, insurance, or ZIP code.
The year ahead will require us to stay engaged. We will continue to stand with our patients, to speak on their behalf, and to be here, for everyone.







