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Medicaid Monitor
Friday, November 6, 2026 · Updated 1:03 PM MT · 37 stories today
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Around the States / Colorado · 37 stories todayPRO
Around the States · Colorado

Colorado

10 stories this week from 3 sources

Colorado's Protect Colorado's Future Claims Victory on Graduated Income Tax

The coalition behind Colorado's Amendment 87 claims the graduated income tax measure has enough votes to pass, announcing a presumed win at a Thursday news conference with about 90% of ballots counted and a lead of more than 36,000 votes. The measure would amend the Taxpayer's Bill of Rights to lower income tax rates for lower earners and raise them for the wealthiest, and is projected to raise $2.7 billion a year if it takes effect.

Medicaid MonitorNov 5, 2026
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    Bell Policy Center Warns Colorado Budget Limits Threaten Medicaid Funding

    In this report, the Bell Policy Center argues that Colorado's TABOR spending cap, combined with federal cuts under the 2025 budget reconciliation law and prior state income tax cuts, is squeezing the state's ability to fund healthcare, education, and other core programs. The piece contends that medical cost inflation has outpaced the general inflation metric used to set TABOR's spending cap, while federal Medicaid and SNAP reductions phasing in through 2032 further strain state resources. It calls for a broader fiscal policy response, comparing the moment to the 2005 Referendum C vote that temporarily suspended TABOR limits. The piece is framed as budget analysis and advocacy rather than a specific legislative or regulatory action.

    Why it mattersState Medicaid agency budget planners and advocates should track how TABOR's growth cap combined with incoming federal Medicaid cuts could force state-level eligibility, rate, or benefit reductions in coming budget cycles.

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    Colorado Disability Council Details Ballot Measures' Effects on HCBS Funding

    The Colorado Developmental Disabilities Council published personal accounts from people with intellectual and developmental disabilities explaining how 2026 statewide ballot measures could affect disability services. Amendment 87 (graduated income tax), Proposition NN (spending above TABOR limits for schools and other purposes), and Proposition 136 (capping income tax at 4.4%) would each reshape the state General Fund that supports Home and Community-Based Services, Community First Choice, caregiver wages, and case management. One contributor describes losing personal assistant hours this year as the state phases down caregiver hours from 84 to 56 per week by July 2027 due to budget constraints. Amendment 85, which would require plain-language ballot questions, is also flagged for potentially eliminating detailed tax-impact disclosures voters currently receive. The measures go before Colorado voters in the 2026 election.

    Why it mattersState revenue measures on Colorado's 2026 ballot will directly determine funding levels for HCBS waivers, Community First Choice, and caregiver wages that keep Medicaid enrollees with I/DD living in their communities.

  22. Published Oct 12
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    CCLP Backs Colorado Tax Measure to Offset Medicaid Funding Losses

    In a CCLP voter guide, the Colorado Center on Law and Policy endorses Amendment 87 and Proposition NN and opposes Proposition 136 on the state's November ballot. CCLP argues Amendment 87, which would cut income taxes for most filers while raising rates on the top 3% of earners, could generate roughly $2 billion annually to help offset projected Medicaid, childcare and K-12 funding gaps. The group cites HCPF warnings that federal changes to Medicaid provider-fee financing under H.R. 1 could cost Colorado up to $2 billion once fully implemented starting federal fiscal year 2028, plus new work-reporting and six-month renewal requirements that increase administrative burden and coverage-loss risk. CCLP also notes the state already enacted $1.1 billion in Medicaid reductions for 2026-27, including $529 million from the General Fund, through provider-rate cuts and service limits. Colorado voters decide these measures in the upcoming election.

    Why it mattersState Medicaid officials and providers face compounding federal financing cuts and enacted rate reductions that this ballot measure is positioned to partially offset, making the outcome directly consequential for provider payment levels and eligibility administration capacity.

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    Colorado Strips Medicaid From Thousands of Legal Immigrants Under HR1

    Colorado has begun terminating Medicaid coverage for thousands of legal immigrants as eligibility restrictions from HR1, the One Big Beautiful Bill Act, take effect, alongside parallel changes narrowing SNAP eligibility. The federal law, passed last year by Republicans and signed by President Trump, tightens which lawfully present immigrants qualify for Medicaid, cutting off groups such as refugees, asylees, and other legal residents who previously had coverage. Affected individuals are losing both health coverage and food assistance simultaneously, increasing uninsured rates and strain on safety-net providers in the state. The rollout is already underway, with state agencies implementing the federally mandated eligibility changes now.

    Why it mattersState Medicaid agencies and safety-net providers in Colorado must manage sudden coverage losses and redetermination workloads while absorbing increased uncompensated care for newly uninsured legal immigrants.

  30. Published Oct 2

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