Routt County commissioners on June 30 moved to prepare a county statement opposing proposed Medicaid reductions and to send it quickly while the Senate debated a related bill.

Why it matters: County leaders said Medicaid cuts under consideration at the federal level would disproportionately affect rural communities, local hospitals and federally qualified health centers, and could force cost-shifting to private insurance or reduce local services.

Commissioners discussed finalizing and sending a joint letter to the county’s federal delegation as the Senate debated amendments on the floor. One commissioner said the letter should include all three commissioners’ signatures to send a strong message.

Commissioners and staff noted that proposed changes could prompt a special legislative session in August if the bill passes, and they discussed monitoring the bill and possible downstream state-level impacts, including changes in service eligibility checks and a likely shift in long-term funding responsibilities between the state and counties.

County staff added that local providers, including UCHealth and federally qualified health centers, have expressed concern that reductions in Medicaid reimbursements would increase pressure on hospitals and could raise private insurance premiums or reduce available services.

What was not decided: No formal county resolution was adopted on June 30; staff were asked to finalize the letter and circulate it for signature and letterhead.

Next steps: Staff will prepare the joint county letter and circulate it to commissioners for signature; commissioners asked to ratify the letter at the next formal meeting if necessary.

Speakers referenced in the discussion included commissioners and staff who work on federal advocacy; UCHealth’s position was described from a recent presentation to the Economic Development Council.