On July 4, 2025 the House Reconciliation bill (H.R. 1), previously known as the “H.R. 1 One Big Beautiful Bill Act,” was signed into law. The bill makes several changes to Medicaid that take effect over the next few years. All states, including Colorado, are required to follow these changes. Colorado values your partnership in navigating this challenging time together. Filling out this survey will help the state understand your questions and concerns.