Colorado’s Medicaid growth is colliding with fiscal reality
By Shaina Cole | Contributing Writer
A new report from the Common Sense Institute (CSI) warns that Colorado’s Medicaid program is on an unsustainable path—driven by rapid expansion at the state level and compounded by shrinking federal support. The warning comes as lawmakers prepare for a possible special session to address the state’s growing budget deficit.
State policy has driven major cost growth
Since 2019, Colorado has enacted 182 healthcare-related laws, with 21 of them expanding Medicaid eligibility or benefits. According to CSI’s July 2025 report, these expansions alone add approximately $158 million in recurring annual state costs.
In total, the new legislation contributes around $858 million per year in additional Medicaid-related spending. Only 36% of that new spend...



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