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HB 25B-1015

Preserve Medicaid Health-Care Services

2025 First Extraordinary Session Introduced by Scott Bottoms and 1 co-sponsor

HB 25B-1015 cuts Medicaid for undocumented immigrants and bans state funding for abortion and gender-affirming care, impacting vulnerable populations' access to health services.

Introduced In House - Assigned to Health & Human Services
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Bill Summary · HB 25B-1015

Summary of HB 25B-1015: Preserve Medicaid Health-Care Services

Bill Information:
- Bill Number: HB 25B-1015
- Title: Preserve Medicaid Health-Care Services
- Status: Introduced in House - Assigned to Health & Human Services
- Introduced Date: August 21, 2025
- Classification: Bill

Purpose and Intent

HB 25B-1015 aims to modify the state's Medicaid health-care services by repealing certain health care coverage programs for undocumented immigrants and prohibiting state funding for abortion and gender-affirming care services. The bill seeks to prioritize Medicaid funding for essential health services for Colorado citizens, particularly vulnerable populations such as low-income children, families, the elderly, and individuals with disabilities.

Key Provisions

The bill includes several significant provisions:

  1. Repeal of Health Care Programs:

    • The bill would repeal state-subsidized health care coverage programs for undocumented immigrants, including:
      • Health First Colorado (Medicaid) eligibility for undocumented children, pregnant individuals, and postpartum individuals.
      • Emergency Medicaid Services (EMS) for undocumented immigrants.
      • The Reproductive Health Care Program (RHCP) that provides family planning services to undocumented immigrants.
      • The OmniSalud program, which offers state-subsidized health plans to low-income undocumented immigrants.

  2. Prohibition of State Funding:

    • The bill prohibits the Department of Health Care Policy and Financing (HCPF) from reimbursing providers for:
      • Abortion services, except in cases of rape, incest, or life endangerment.
      • Gender-affirming care services.

  3. Restrictions on Provider Reimbursement:

    • HCPF would not reimburse any health-care provider, entity, or facility that provides medical services to individuals who do not meet specific citizenship or residency requirements.

Impact

The bill is projected to have significant fiscal implications:

  • State Expenditures:

    • A decrease in appropriations of approximately $40.4 million for FY 2025-26 and $172.9 million for FY 2026-27.
    • Total state expenditures could decrease by up to $115.5 million in FY 2025-26 and $173.2 million in FY 2027-28.

  • Affected Populations:

    • Undocumented immigrants, particularly children, pregnant individuals, and postpartum individuals, would lose access to state-subsidized health care services.
    • Providers of abortion and gender-affirming care services would be impacted by the prohibition on state reimbursement.

Procedural Aspects

  • The bill was introduced and assigned to the House Health & Human Services Committee 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

HB 25B-1015 represents a significant shift in Colorado's approach to Medicaid funding and health care services for undocumented immigrants. By prioritizing funding for essential health services for citizens, the bill reflects a legislative intent to manage state resources more conservatively, although it raises concerns about access to care for vulnerable populations.

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

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