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State health officials warn HR 1 will add work requirements and other rules that could remove tens of thousands from Medicaid
Summary
HCPF briefed leadership that HR 1 imposes new eligibility barriers, six‑month renewals and a federal work/community engagement requirement that will be implemented in stages (some rules effective Oct 2025, many in Jan 2027) and could meaningfully reduce coverage for parts of the Medicaid expansion population.
Health officials told the Executive Committee that HR 1 contains extensive Medicaid provisions that will shift financing and add administrative hurdles likely to reduce coverage and increase operating costs for the state.
"These changes will challenge all state budgets," Rachel Ryder of the Department of Health Care Policy and Financing said, adding that about 377,000 Coloradans in the Affordable Care Act expansion population are most exposed. HCPF staff said the bill includes new eligibility changes, tighter retroactive coverage, six‑month renewal cycles and a…
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