Staff Publications Medicaid Impacts from the One Big Beautiful Bill Act Subject: Health Care & Health Insurance Published: September 17, 2025 Agency: Legislative Council Staff Medicaid is a joint federal and state insurance program that provides health care coverage to low-income families and individuals, including children, pregnant people, seniors, and people with disabilities. Colorado’s Medicaid program is known as Health First Colorado and is administered by the Department of Health Care Policy and Financing (HCPF). This memorandum provides an overview of recent Medicaid changes under H.R. 1, the One Big Beautiful Bill Act (OBBBA). For additional information, see LCS’s memo providing an Overview of Colorado’s Medicaid Program. Download Document