OSPB warns Medicaid growth is the largest structural budget pressure facing Colorado

Sep 22, 2025

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.

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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.

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