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Pitkin County staff warn hundreds could lose benefits under HR 1 changes

Pitkin County Board of County Commissioners · December 10, 2025
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Summary

County human services staff told commissioners that federal/state changes in ‘HR 1’ could cut Medicaid and SNAP for local residents, estimating about 175 people could lose Medicaid and 83 could lose SNAP, and urged planning and close coordination with health partners.

County staff told the Pitkin County Board of County Commissioners on Dec. 9 that sweeping changes in a package referenced as “HR 1” will reduce benefits for a measurable number of local residents and create fiscal and service challenges.

Hamid, management analyst for human services, summarized the bill as sweeping and staggered across several years. He said the able‑bodied adults without dependents rule expands the age range up to 64 and narrows dependent exemptions, and that utility‑deduction changes for SNAP begin in October 2026. “So because of that, just in print as I just say it here before I forget, if you see that there is a slightly different numbers between mine and Norma, because my numbers are affected September, but Norma's is year to date,” he told the board.

Hamid gave county‑level estimates drawn from local enrollment: as of September 2025, 1,159 Pitkin County residents were enrolled in Medicaid and about 175 of them are projected to lose coverage under the new rules, with the largest concentration in ages 25–44 (about 93 people) and 45–64 (about 71 people). He also said 275 residents received SNAP as of September and estimated 83 would lose benefits under the new rules, representing an annual SNAP‑benefit reduction in the county of roughly $267,000. On the adult financial program, Hamid said three residents would lose benefits, a projected $17,000 annual impact.

Director Lindsay Mahesh and Economic Assistance Manager Norma Saldana joined the presentation, noting program growth in CCAP and LEAP applications and stressing that timing differences in reporting can create apparent discrepancies in quarterly figures. Saldana said CCAP participation and LEAP applications have increased following policy and outreach changes.

Commissioners asked how people who lose Medicaid would access care. Saldana said clients who no longer qualify would be directed to Connect for Health Colorado to seek private insurance and added that staff can report back next quarter on how many affected residents enroll there. Commissioners and staff also discussed downstream consequences, including potential increases in uncompensated emergency care and higher subsidy demands on community health partners such as Mountain Family Health Centers.

Staff recommended increased local tracking and coordination with regional health providers and pledged follow‑up reporting. The board did not take formal action on specific HR 1 responses at the Dec. 9 session; staff said they will return with more data and monitoring plans.