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OSPB warns Medicaid growth is the largest structural budget pressure facing Colorado
Summary
OSPB told lawmakers that Medicaid spending growth far outpaces TABOR limits and other general-fund growth, and that federal changes will increase state exposure; the agency said Medicaid growth alone could absorb most allowed state revenue growth in coming years.
The Office of State Planning and Budgeting told the Joint Budget Committee that Medicaid'related spending growth represents the largest long-term structural pressure on Colorado's budget.
Director Mark Ferrandino said Medicaid medical spending has risen far faster than the state's allowable TABOR-based growth and that the mismatch is not sustainable. "Medicaid grew at just shy of 9% over the last decade," Ferrandino said, contrasted with TABOR growth of about 4.5%.
Ferrandino outlined how federal…
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