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Colorado Lawmakers Grapple With Strict Rules for $200 Million Rural Health Program
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Colorado Politics, Approved, State

Colorado Lawmakers Grapple With Strict Rules for $200 Million Rural Health Program

By: Marissa Ventrelli | Colorado Politics Members of the Colorado legislature’s new Commission on Medicaid raised concerns Wednesday about the federal Rural Health Transformation Program created under H.R. 1. The bipartisan, bicameral commission, created in the last legislative session to guide implementation of Medicaid changes under H.R. 1, met Wednesday to begin shaping its recommendations. Cristen Bates, deputy Medicaid director at the Department of Health Care Policy and Financing, told members that Colorado is slated to receive $200 million in federal funding each year for the next five years to support rural health care initiatives. CMS requires states to apply for the Rural Health Transformation Program by November, with awards expected by year’s...
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Report Says Billions Lost to Fraud as Federal Programs Flow Through States
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Just The News, Approved, National

Report Says Billions Lost to Fraud as Federal Programs Flow Through States

By Brett Rowland | Just the News Programs in question include Medicaid, food stamps and disaster relief. Twenty federal programs that route nearly $1.1 trillion through state governments – including Medicaid, SNAP and disaster relief – are vulnerable to fraud because of how the money is distributed, the Government Accountability Office reports. The money rarely goes straight from Washington to a recipient. It passes through states, then often to subrecipients, contractors and subcontractors. Every layer, GAO found, adds another entry point for fraud while making oversight harder to enforce. The report is the first in a planned GAO series examining fraud in state-administered programs. It reaffirms the agency's estimate that the government loses between $233 bi...
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New Report Finds Colorado Children Face Growing Financial and Education Challenges
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Colorado Politics, Approved, State

New Report Finds Colorado Children Face Growing Financial and Education Challenges

By: Marissa Ventrelli | Colorado Politics Despite having one of the country’s highest median incomes, Colorado families are struggling to afford essentials like food, housing, health care and child care. That’s according to the Colorado Children’s Campaign, which released its annual Kids Count report recently. It provides an overview of how the state’s infants, children and teens are faring compared to previous years. The report is broken down into four categories: economic security, health, K-12 education and early childhood. “The data remind us of what is at stake and who is relying on us to pay attention,” Heather Tritten, president and CEO of Colorado Children’s Campaign, said in the report. “This is a moment when data matter. In difficult times, c...
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Medicaid Commission Begins Review as Colorado Spending Continues to Climb
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Complete Colorado, Approved, State

Medicaid Commission Begins Review as Colorado Spending Continues to Climb

By: Nash Herman | Complete Colorado Colorado’s interim Commission on Medicaid has begun meeting to address the explosive growth of the state’s health care spending.  Related concerns are also on the table, such as the management of the Department of Healthcare Policy and Financing (HCPF) and fraud, waste, and abuse.  Are legislators attacking these problems from the correct angles? Let’s find out.  Faulty premises The most recent Commission meeting raised questions about the government’s priorities in addressing Medicaid and the state budget.  A recurring theme of discussion —nothing new, yet one that actually exacerbates the very problem the Commission is attempting to address — is the idea that the health care fun...
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Democratic Socialists Target Colorado Springs With Growing Activism And Local Campaigns
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Colorado Politics, Approved, Local

Democratic Socialists Target Colorado Springs With Growing Activism And Local Campaigns

By: Debbie Kelley | Colorado Politics If further proof is needed that the political arena in Colorado Springs isn’t like matchups in Denver, the Democratic Socialists of America is a case in point, say some people involved with the local chapter of the nationwide organization. It’s admittedly been difficult for the Colorado Springs branch of the DSA to organize in the conservative-leaning El Paso County in the successful way that deep-blue Denver has, according to Chauncy Johnson, a democratic socialist who has lost two recent bids for public office. Despite turbulence, local leaders say the chapter is growing and marching toward reaching its goals. As an intermittent card-carrying DSA member for three years, Johnson said he received assistance from the all-volu...
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Colorado Families Warn Medicaid Caregiver Caps Will Hurt Disabled Children
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Colorado Public Radio, Approved, State

Colorado Families Warn Medicaid Caregiver Caps Will Hurt Disabled Children

By: John Daley | CPR News With the budget in crisis, state lawmakers capped the number of hours a week a person providing care to someone else, often a family member, can be reimbursed. A series of phased in cuts started taking effect this month and impacted families expressed deep apprehension about what the coming months will bring. “Disproportionate, unfair, insensitive,” were among the words Kelly Lyons had for the change. The deadline comes with the state Medicaid program under intense scrutiny, as a new commission, set up by the legislature starts its work and a new governor will be elected in November and take office next January. She lives in Castle Rock and cares for a 16-year-old daughter, Kendall, who she said was diagnosed with an an...
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Nick Shirley’s message to Colorado: Follow the money. Knock on the doors.
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Rocky Mountain Voice, State, Top Stories

Nick Shirley’s message to Colorado: Follow the money. Knock on the doors.

By Jen Schumann | Rocky Mountain Voice Nick Shirley spent Saturday night walking the Freedom Fest audience through the questions that have taken him from hotels near Denver International Airport to empty daycare centers in Minnesota and apartment complexes in Aurora. Interviewed by Jeff Hunt, co-host of the Jeff and Bill Show on Denver's 710 KNUS, Shirley spent less time talking about what he uncovered than how he uncovered it. Colorado was one of the first places he looked Long before a Minnesota daycare investigation made him nationally known, Shirley found himself in Colorado after repeatedly hearing migrants at the southern border mention the same destination. Denver. He came to look.  "You guys are from Latin America? It's cold in Denver," he remembered asking....
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Who’s guiding Colorado’s Medicaid Commission? A closer look at the panel shaping future policy
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Colorado Accountability Project, Approved, Commentary, State

Who’s guiding Colorado’s Medicaid Commission? A closer look at the panel shaping future policy

By Cory Gaines | Commentary, Colorado Accountability Project Meet the Medicaid Commission and their newly-hired advisor. Medicaid is a big line item in the state’s budget. It’s gotten so big, and eaten up so much of our state’s money, that our legislature has gathered up a commission. SB26-187 (linked first below) creates a (quoting from the bill summary): “… commission on Medicaid (commission) to develop recommendations regarding implementation of new federal Medicaid policy changes that go into effect in 2026, 2027, and 2028 and to support Coloradans impacted by those policy changes.” This commission will meet a few times and prepare a report to be used by the legislature in the 2027 session. Quoting from the bill’s fiscal note: “Between May 13, 2026, and December...
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DOJ Charges Record 455 Defendants In $6.5 Billion Healthcare Fraud Sweep
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Washington Examiner, Approved, National

DOJ Charges Record 455 Defendants In $6.5 Billion Healthcare Fraud Sweep

By Kaelan Deese | Washington Examiner A nationwide healthcare fraud crackdown resulted in charges against 455 defendants accused of schemes involving more than $6.5 billion in fraudulent claims, marking what federal officials on Tuesday described as the largest coordinated healthcare fraud enforcement action in Justice Department history. Acting Attorney General Todd Blanche, Health and Human Services Secretary Robert F. Kennedy Jr., FBI Director Kash Patel, and Centers for Medicare & Medicaid Services Administrator Mehmet Oz announced the operation, which spanned 57 federal districts across 41 states and territories and included charges against 90 licensed medical professionals. https://twitter.com/FBIDirectorKash/stat...
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Jefferson County Brothers Accused of Stealing $12 Million From Medicaid Program
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The Denver Gazette, Approved, Local

Jefferson County Brothers Accused of Stealing $12 Million From Medicaid Program

By: Matt Kyle | The Denver Gazette Two Jefferson County men have been indicted on a slew of charges alleging they fraudulently obtained $12 million from Medicaid. James Andrew Heath, 33 and Jared Parker Heath, 37, were indicted on June 12 in Denver District Court. They are accused of defrauding Colorado’s Medicaid optical program by falsely billing Medicaid for glasses and other materials through their business QuickSpex LLC, according to a news release from Attorney General Phil Weiser. READ THE FULL ARTICLE AT THE DENVER GAZETTE
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