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SB 25B-007

Immigration Status Low-Income Health Insurance Coverage

2025 First Extraordinary Session Introduced by Larry Liston

SB 25B-007 eliminates state health coverage for undocumented immigrants, impacting access for children and pregnant individuals while saving Colorado $170.5 million by 2027.

Introduced In Senate - Assigned to State, Veterans, & Military Affairs
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Bill Summary · SB 25B-007

Summary of SB 25B-007: Immigration Status Low-Income Health Insurance Coverage

Bill Information:
- Bill Number: SB 25B-007
- Title: Immigration Status Low-Income Health Insurance Coverage
- Status: Introduced in Senate - Assigned to State, Veterans, & Military Affairs
- Introduced: August 21, 2025
- Prime Sponsor: Sen. Larry Liston

Purpose and Intent

SB 25B-007 aims to repeal state-subsidized health care coverage for undocumented immigrants in Colorado. The bill seeks to prohibit the Department of Health Care Policy and Financing (HCPF) from reimbursing healthcare providers for services rendered to individuals who are not lawfully residing in the U.S. The intent is to limit public funding for healthcare services based on immigration status.

Key Provisions

The bill includes several significant changes to existing health care programs:

  1. Repeal of Coverage Programs:

    • Eliminates eligibility for state-subsidized health care programs for undocumented children, pregnant individuals, and postpartum individuals who meet income requirements.
    • Repeals the Reproductive Health Care Program, which currently provides family planning services to undocumented immigrants.

  2. Emergency Medical Services:

    • Restricts emergency medical assistance to only lawfully residing immigrants, prohibiting reimbursement for services provided to undocumented immigrants.

  3. OmniSalud Program:

    • Ends eligibility for low-income undocumented immigrants and Deferred Action for Childhood Arrivals (DACA) recipients to enroll in state-subsidized health plans.

  4. Outreach and Enrollment:

    • Removes HCPF's responsibility to conduct outreach and enrollment for eligible undocumented immigrants in available health care coverage options.

  5. Financial Implications:

    • The bill requires an appropriation of $2.6 million for FY 2025-26 and anticipates a decrease in appropriations of $170.5 million for FY 2026-27.

Impact

Affected Populations

  • Undocumented Immigrants: The bill directly impacts undocumented children, pregnant individuals, postpartum individuals, and DACA recipients by eliminating their access to state-subsidized health care.
  • Healthcare Providers: Providers will no longer receive reimbursement for services rendered to undocumented immigrants, potentially affecting their financial stability and service delivery.

Financial Implications

  • The bill is projected to decrease state expenditures significantly, with estimates of savings reaching up to $170.5 million by FY 2027-28. This includes reductions in General Fund, cash funds, and federal funds.

Procedural Aspects

  • The bill was introduced and assigned to the Senate Committee on State, Veterans, & Military Affairs on August 21, 2025.
  • It was postponed indefinitely by the committee on the same day, meaning it will not advance further in the legislative process.

Conclusion

SB 25B-007 represents a significant shift in Colorado's approach to health care coverage for undocumented immigrants, aiming to limit public funding based on immigration status. While the bill proposes substantial financial savings for the state, it raises concerns about access to essential health services for vulnerable populations.

Compiled from official sources — confirm details with the bill’s official record.

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