Overview

• The reconciliation bill, dubbed the One Big Beautiful Bill Act, passed the House by one vote and now awaits Senate approval with any amendments requiring a return to the House
• State estimates indicate expiring pandemic-era enhanced premium subsidies at the end of 2025 will double effective premiums for subsidy recipients in 2026 and push 110,000 Coloradans off coverage
• The end of “silver loading” will restore direct federal funding for cost-sharing reductions but drive average marketplace premiums up 39%, potentially causing 30,000 to 35,000 people to drop plans
• Governor Jared Polis and Insurance Commissioner Michael Conway say cutting federal passthrough funds will strip about $100 million annually from the state’s reinsurance program, which has delivered over $2.1 billion in savings
• Republicans including Reps. Gabe Evans and Lauren Boebert argue the bill protects Medicaid’s long-term viability and prioritizes US citizens, while Colorado’s Democrats warn of a looming insurance crisis