Contact Colorado's Delegation

With H.R. 1 – the One Big Beautiful Bill (OBBB) being signed into law, the health care industry will see significant funding cuts. These cuts come at a time when many providers are already stretched thin and cannot absorb further financial strain. This fall, urgent advocacy is needed to protect against further funding reductions as Congress considers extending expiring provisions. CHA asks that Colorado hospital and health system leaders connect with their representatives and senators over the August recess to share key priorities:

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Your Message to the legislators

Dear (name and title inserted automatically),

The One Big Beautiful Bill (OBBB) will have serious consequences for Colorado patients, providers, and hospitals in the years ahead. I’m writing to urge you to guard against further damage and protect patients and the health care infrastructure that is already at risk of fracturing under federal pressure. Please support Colorado patients and the providers and hospitals that care for them by extending essential health programs that are set to expire this fall and by preventing further cuts to funding.

- Extend Enhanced Premium Tax Credits: These tax credits help people purchase insurance on the Health Insurance Marketplaces, but they are set to expire at the end of the year. Without action, the Colorado DOI estimates an average insurance premium increase of 28% in 2026. Please extend these tax credits and protect access to health coverage that Coloradans rely on.

- Prevent Medicaid Disproportionate Share Hospital (DSH) Cuts: The Medicaid DSH program is a critical line of financial support for hospitals that care for vulnerable populations. Unless Congress acts, cuts will go into effect on Oct. 1, and Colorado’s Medicaid DSH allotment is scheduled to be cut by 34.8% according to the Medicaid and CHIP Payment and Access Commission (MACPAC). Please provide relief from Medicaid DSH cuts because it will give hospitals who care for underserved populations desperately needed funding.

- Extend Low-Volume Adjustment and Medicare-Dependent Hospital Programs: The enhanced low-volume adjustment and Medicare-dependent hospital programs help ensure rural residents have access to care by providing rural, geographically isolated, and low-volume hospitals with financial support. Please protect rural access to care by extending these programs before they expire on Sept. 30.

- Extend Telehealth and Hospital-At-Home Programs: These vital programs ensure continuity of care by enabling providers to care for patients without them having to travel long distances. Please extend these programs before they expire on Sept. 30 so patients can get the right care at the right time.

- Prevent Statutory Pay-As-You-Go Act of 2010 (PAYGO) Medicare Sequester: Statutory PAYGO requires, among other things, that mandatory spending and revenue legislation not increase the federal budget over a 5- or 10-year period without offsets, and if offsets are not sufficient, it requires across-the-board reductions or sequestration. Without Congressional action, the OBBB’s $2.3 trillion deficit increase will trigger automatic Medicare cuts from the current 2% up to 4% starting in 2026. Please take action to prevent the implementation of the Medicare sequester.

- Reject Site-Neutral Payments: Site-neutral payments would compensate hospital outpatient departments the same as independent physician offices and other ambulatory sites of care. This ignores the enhanced level of care provided by hospitals and the patients that need it. Please reject proposals for site-neutral payment policies.

- Protect 340B Drug Pricing Program: The 340B program provides critical support to hospitals by helping them manage rising prescription drug costs and expand access to care for patients. Please oppose any harmful changes to the 340B program.

Colorado’s hospitals simply cannot absorb the rising costs due to inadequate funding and increases in uncompensated care without making cuts to services or closing their doors. Without sufficient support for hospitals, the health and stability of the communities they serve are jeopardized. Please support policies that allow hospitals to care for their communities, especially as provisions in the OBBB are implemented.