Understanding the Impact of Federal Changes to Medicaid

The resources on this page help stakeholders understand how potential federal funding cuts will impact Medicaid, which covers 1 in 4 Coloradans.

Why Colorado is unique

• Colorado has a balanced budget requirement.
• Colorado's constitutional Taxpayer Bill of Rights (known as TABOR) constrains growth in state spending. It also limits Colorado's ability to increase revenues from taxes.

Bottom line:

If Congress enacts significant federal Medicaid cuts, Colorado, unlike other states, cannot raise taxes or borrow money to cover the loss of federal dollars.

Resources

Understand how federal cuts may impact Medicaid

• Colorado Medicaid Insights and Potential Federal Medicaid Reduction Impact Estimates - July 2, 2025
• Rural Health Transformation Fact Sheet - August 2025
• Updates in process to these fact sheets based on final bill language:
  • Hospital Provider Fees Fact Sheet
  • Medicaid Work Requirements Fact Sheet
• Long Term Services and Supports Fact Sheet - May 2025
• Protecting Against Fraud, Waste and Abuse Fact Sheet - April 2025
• HCPF 2025 Budget Comment Letter to Colorado Congressional Delegation - Nov.  2024
• HCPF Preliminary Analysis on e14s
• Medicaid Coverage and Funding by Congressional District

Learn about Medicaid in Colorado

• Medical Assistance Coverage Fact Sheet - March 2025
• County Medicaid Fact Sheets 
  One-page fact sheets that provide a snapshot of key data for Medicaid in every county
• Medicaid Coverage and Funding by Congressional District
• 2024 Report to the Community

Stay informed

• Sign up for At a Glance Newsletter - Provides information on major initiatives, policy changes and program updates.
• Kim’s Blog: A Message from our Executive Director