Jul 24, 2017

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Action Alert: Enough is Enough!

by | Jul 24, 2017

Congress has been keeping concerned citizens busy with its many failed proposals to replace the Affordable Care Act. To date, all of the proposals are predicated on slashing Medicaid coverage and modifying health exchange plans and protections in such a way that the cost of coverage would skyrocket for older consumers, people with pre-existing conditions, and people in high-cost coverage areas. 

Simply put, these proposals don’t function to improve health care, extend coverage to more individuals or lower the cost of health insurance. Quite to the contrary, both the latest version of the Better Care Reconciliation Act (BCRA) and the repeal-only Obamacare Repeal Reconciliation Act (ORRA) favor simplistic ideology over the health and wellbeing of communities. Clearly, neither of the proposals is a good deal for America or Colorado. 

If you’ve been following the news, you know that Congressional leaders are desperate to pass some kind of bill – whether it’s a half-hearted attempt to replace the ACA, like BCRA, or a full-scale repeal of the ACA like ORRA. The first approach will leave 22 million more Americans uninsured, devastate state budgets, and raise premiums for most people who are covered in the private market. The second approach would leave 32 million more uninsured and raise premiums by as much as 50 percent. Either scenario will be disastrous. 

We understand that everybody is tired of calling their elected representatives and sending letters and emails, but we encourage you to turn up the heat. Although Congressional leaders dropped previous proposals, they are continuing to cut backroom deals with token offers of money for opiate treatment or community-based services that are dwarfed by losses built into the bills. They aim to persuade reluctant colleagues to approve a plan that would reverse the last eight years of health coverage gains. A vote could come as soon as next Tuesday.

That’s why we’re asking you to call or write Sen. Cory Gardner again and tell him enough is enough! Stop playing political games with our health care and start working on a bi-partisan fix for the health care system so it works better for everyone.

No proposal that strips health access from low-income families, the disabled or older Americans is acceptable. In the days leading to a vote, please light up Sen. Gardner’s switchboard and fill his mailboxes with emails and letters.

Your efforts will only take a few minutes. If we all work together, we can preserve health care for millions of Americans and hundreds of thousands of Colorado. Contact Sen. Gardner today by phone at (202) 224-5941 or by email.

– By Bob Mook

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To maintain health and well-being, people of all ages need access to quality health care that improves outcomes and reduces costs for the community. Health First Colorado, the state's Medicaid program, is public health insurance for low-income Coloradans who qualify. The program is funded jointly by a federal-state partnership and is administered by the Colorado Department of Health Care Policy & Financing.

Benefits of the program include behavioral health, dental services, emergency care, family planning services, hospitalization, laboratory services, maternity care, newborn care, outpatient care, prescription drugs, preventive and wellness services, primary care and rehabilitative services.

In tandem with the Affordable Care Act, Colorado expanded Medicaid eligibility in 2013 - providing hundreds of thousands of adults with incomes less than 133% FPL with health insurance for the first time increasing the health and economic well-being of these Coloradans. Most of the money for newly eligible Medicaid clients has been covered by the federal government, which will gradually decrease its contribution to 90% by 2020.

Other populations eligible for Medicaid include children, who qualify with income up to 142% FPL, pregnant women with household income under 195% FPL, and adults with dependent children with household income under 68% FPL.

Some analyses indicate that Colorado's investment in Medicaid will pay off in the long run by reducing spending on programs for the uninsured.


Hunger, though often invisible, affects everyone. It impacts people's physical, mental and emotional health and can be a culprit of obesity, depression, acute and chronic illnesses and other preventable medical conditions. Hunger also hinders education and productivity, not only stunting a child's overall well-being and academic achievement, but consuming an adult's ability to be a focused, industrious member of society. Even those who have never worried about having enough food experience the ripple effects of hunger, which seeps into our communities and erodes our state's economy.

Community resources like the Supplemental Nutrition Assistance Program (SNAP), formerly known as Food Stamps, exist to ensure that families and individuals can purchase groceries, with the average benefit being about $1.40 per meal, per person.

Funding for SNAP comes from the USDA, but the administrative costs are split between local, state, and federal governments. Yet, the lack of investment in a strong, effective SNAP program impedes Colorado's progress in becoming the healthiest state in the nation and providing a better, brighter future for all. Indeed, Colorado ranks 44th in the nation for access to SNAP and lost out on more than $261 million in grocery sales due to a large access gap in SNAP enrollment.

See the Food Assistance (SNAP) Benefit Calculator to get an estimate of your eligibility for food benefits.


Every child deserves the nutritional resources needed to get a healthy start on life both inside and outside the mother's womb. In particular, good nutrition and health care is critical for establishing a strong foundation that could affect a child's future physical and mental health, academic achievement and economic productivity. Likewise, the inability to access good nutrition and health care endangers the very integrity of that foundation.

The Special Supplemental Nutrition Program for Women, Infants and Children (WIC) provides federal grants to states for supplemental foods, health care referrals, and nutrition information for low-income pregnant, breastfeeding and non-breastfeeding postpartum women and to infants and children up to age five who are found to be at nutritional risk.

Research has shown that WIC has played an important role in improving birth outcomes and containing health care costs, resulting in longer pregnancies, fewer infant deaths, a greater likelihood of receiving prenatal care, improved infant-feeding practices, and immunization rates

Financial Security:
Colorado Works

In building a foundation for self-sufficiency, some Colorado families need some extra tools to ensure they can weather challenging financial circumstances and obtain basic resources to help them and their communities reach their potential.

Colorado Works is Colorado's Temporary Assistance for Needy Families (TANF) program and provides public assistance to families in need. The Colorado Works program is designed to assist participants in becoming self-sufficient by strengthening the economic and social stability of families. The program provides monthly cash assistance and support services to eligible Colorado families.

The program is primarily funded by a federal block grant to the state. Counties also contribute about 20% of the cost.


Child care is a must for working families. Along with ensuring that parents can work or obtain job skills training to improve their families' economic security, studies show that quality child care improves children's academic performance, career development and health outcomes.

Yet despite these proven benefits, low-income families often struggle with the cost of child care. Colorado ranks among the top 10 most expensive states in the country for center-based child care. For families with an infant, full-time enrollment at a child care center cost an average of $15,140 a year-or about three-quarters of the total income of a family of three living at the Federal Poverty Level (FPL).

The Colorado Child Care Assistance Program (CCCAP) provides child care assistance to parents who are working, searching for employment or participating in training, and parents who are enrolled in the Colorado Works Program and need child care services to support their efforts toward self-sufficiency. Most of the money for CCCAP comes from the federal Child Care and Development Fund. Each county can set their own income eligibility limit as long as it is at or above 165% of the federal poverty level and does not exceed 85% of area median income.

Unfortunately, while the need is growing, only an estimated one-quarter of all eligible children in the state are served by CCCAP. Low reimbursement rates have also resulted in fewer providers willing to accept CCCAP subsidies.