Colorado
Polis’ budget proposal would cut Colorado support for training new doctors
Gov. Jared Polis’ administration is proposing an $18.2 million cut to Colorado’s funding for medical education, a reduction that hospitals say might force them to reduce training slots.
The cut applies to residency programs, which train medical school graduates for three to seven years before they move into independent practice. Medicare funds direct costs, such as residents’ salaries, for the majority of available slots.
States can then choose whether to use Medicaid — whose costs they split with the federal government — to fund indirect costs and additional slots. Currently, Colorado is one of 23 states that do, according to Polis’ Jan. 2 budget letter.
The Department of Health Care Policy and Financing, which administers the funding, didn’t clarify Monday whether the cut would end the state’s contribution to indirect medical education costs, or if it would continue to provide a smaller amount.
“Reductions in (indirect medical education) payments would be limited to system hospitals, those more able to lean on their systems partners to share financial burden; no rural hospitals would be affected by this policy,” the letter said.
Hospitals also can bill patients’ insurance for services provided by residents, though not for the time that established doctors spend supervising them.
The state faces a challenging budget year, with a shortfall of nearly $1 billion. The governor’s budget proposal, which includes significant cuts to Medicaid beyond reducing spending on medical education, got a less-than-enthusiastic reception from lawmakers when he presented it in November, though.
The American Association of Medical Colleges reported 21 hospitals in Colorado participate in teaching. More than one-quarter of the 1,220 residency slots in the state don’t receive funding for direct costs from Medicare, making indirect cost funding important to maintaining them, it said in a fact sheet.
The $18.2 million cut to medical education at facilities that are part of systems would cost teaching hospitals an additional $41.5 million in federal matching funds, said Heather Retzko, one of the principals at Policy Matters, a lobbying group that works with the hospital industry in Colorado. At this point, the department hasn’t clarified if all 17 teaching hospitals that are part of systems would face equal reductions, she said.
Dr. Richard Zane, chief medical and innovation officer at UCHealth, said the system has “hundreds” of residency slots that don’t receive funding from Medicare, meaning that if state funding disappeared, it would have to either come up with the money itself or cut those positions. He declined to speculate about how many training slots it might eliminate.
“It would be substantive. That’s all I can say,” he said.
Nationwide, an average of 60% of doctors ultimately practice in the market where they completed residency, so fewer slots in Colorado would mean fewer health care providers here in the future, Zane said. The step seems counterproductive, since one of the arguments behind opening a new medical school at the University of Northern Colorado was that the state needs more doctors, he said.
“Despite adding medical student positions, we’re decreasing training positions,” he said.
Sign up for our weekly newsletter to get health news sent straight to your inbox.
Colorado
Colorado AG, environmental groups challenge Trump administration order requiring Craig coal plant to remain in operation
Dylan Anderson/Steamboat Pilot & Today archive
Colorado Attorney General Phil Weiser and a coalition of environmental groups on Wednesday asked the U.S. Department of Energy to rescind its recent order requiring a coal-burning power plant in northwest Colorado to remain operational one day before it was scheduled to close.
The aging Craig Station Unit 1 plant in Moffat County was slated to shut down at the end of 2025, but Energy Secretary Chris Wright issued an emergency order on Dec. 30 extending the plant’s life to March 30, and possibly later.
The emergency order was issued under section 202(c) of the Federal Power Act, which allows the Energy Department to keep power plants running during times of crisis, such as war or energy shortages. The move to keep the Craig plant open had been expected for weeks.
Weiser and the coalition of environmental groups, which includes the Sierra Club, Environmental Defense Fund, and Earthjustice — on behalf of GreenLatinos, Vote Solar, and Public Citizen — filed separate challenges with the department over its use of the emergency order, which both filings claim was illegal.
Wright wrote in his emergency order that Colorado and other Western states face an energy “emergency” due to a “shortage of electric energy, a shortage of facilities for the generation of electric energy, and other causes.”
The closure of coal-burning plants “could lead to the loss of power to homes,” Wright’s order states, as well as “businesses in the areas that may be affected by curtailments or power outages, presenting a risk to public health and safety.”
The Trump administration has used similar justifications under the Federal Power Act to keep open coal plants in Michigan and Washington, as well as an oil plant in Pennsylvania.
Weiser, in a press release, said there is “no evidence of an energy emergency that would require keeping Craig Unit 1 open,” adding that the decision will “result in millions of dollars of unnecessary costs that could be passed on to rural households and businesses already struggling with high electricity bills.”

In their own press release, leaders from the environmental groups said that forcing the Craig plant to stay operational will both increase utility costs and negatively impact the environment. They said the emergency order also goes against the wishes of the plant’s owners.
“Colorado communities, regulators, and utilities spent years planning a lawful, cost-effective transition away from coal,” said Vote Solar Regulatory Director for the West Kate Bowman. “Overriding that process at the eleventh hour erodes public trust and leaves families paying more for decisions made without their input.”
Craig Station Unit 1 is co-owned by Tri-State Generation and Transmission Association, a utility cooperative, alongside other energy providers, including Xcel Energy, the Platte River Power Authority and PacifiCorp.
Tri-State originally decided to close the more than 40-year-old plant by the end of 2025 as part of its move to more environmentally friendly energy sources. It plans to close Craig Station’s two other coal-burning plants by 2028.
The effort is partly driven by a state law that requires large-scale utility providers to reach 100% renewable electrical energy by 2050. Tri-State is also looking to close its plants and transition to other energy sources for economic reasons.
In a statement released in response to the emergency order in late December, Tri-State said Craig Station Unit 1 had been closed down even before the Dec. 30 order due to “a mechanical failure of a valve.”
Tri-State added that keeping the plant open “will likely require additional investments in operations, repairs, maintenance and, potentially, fuel supply, all factors increasing costs.”
Tri-State CEO Duane Highley said in a statement at the time that Tri-State ratepayers will “bear the costs of compliance with this order unless we can identify a method to share costs with those in the region. There is not a clear path for doing so, but we will continue to evaluate our options.”
Both Wesier and the coalition of environmental groups, in their filing with the Energy Department, claim the department misused the Federal Power Act when it issued its emergency order and have presented no evidence of an energy emergency.
The department must respond to the filing within 30 days. Environmental groups said they will challenge the order in court if the department declines to respond or denies their request to lift the order.
The fight over the future of the Craig power station also comes amid the backdrop of the Trump administration’s broader push to support more fossil fuel production.
The U.S. The Environmental Protection Agency earlier this month rejected Colorado’s latest air-quality plan, saying that it violated federal law by forcing the closure of coal-fired power plants without the consent of plant operators. Gov. Jared Polis and Democratic lawmakers in Congress lambasted that decision.
Colorado
Colorado sees slowest population gain since the oil bust of the late 1980s
Colorado’s population rose by 24,059 people last year, the weakest increase measured since 1990, according to an update Tuesday from the U.S. Census Bureau. The gain, however, was enough to push the state’s population above 6 million for the first time.
Thirty-five years ago, Colorado was among a handful of oil and gas states experiencing a severe recession because of low energy prices, and from 1986 to 1990, more people left the state to pursue better opportunities elsewhere than moved in.
The state economy is chugging along this time around — not great, but not horrible. Yet, it appears high housing costs and slower job growth may be exerting a strong outward push. Last year, the state saw a weakening in its strongest contributor to population growth since the pandemic — immigration.
Nationally, President Donald Trump’s push to curb immigration a year ago lowered the country’s population growth rate from 1% in 2024 to 0.5% in 2025. Colorado’s decrease was even larger, going from a 1.29% growth rate to a 0.4%, a two-thirds decline.
Trump’s immigration crackdown led to drop in US growth rate last year as population hit 342 million
The U.S. Census Bureau measures changes in population from July 1 to June 30 every year in what is called a “vintage.” The strictest immigration policies were in place for only half that period, but they were enough to help push net immigration from 2.8 million people in the prior period to 1.3 million.
If that trend continues, the annual gain from net immigration in the next count, mid-2026, could drop to only 321,000 people, the U.S. Census Bureau estimates.
Colorado’s gain included 20,608 from natural increases, or births minus deaths. Net migration contributed 3,256 residents, with net immigration of 15,356 offsetting a net decline of 12,100 from domestic migration.
The country had an estimated population of nearly 342 million compared to 340 million in the 2024 count. The state’s population rose from 5,988,502 to 6,012,561. Colorado remains the 20th most populous state, behind Maryland and ahead of Wisconsin.
The downward shift was more pronounced in other states. California went from a gain of 232,000 residents in 2024 to a loss of 9,500 people in 2025, due primarily to reduced immigration. Hawaii, New Mexico, Vermont and West Virginia also lost population.
New York added only 1,008 people after a drop in immigration from 207,000 to 95,600. Florida saw its domestic migration drop by nearly two-thirds and immigration dropped by more than half, but it still had one of the largest overall gains, along with Texas and North Carolina.
South Carolina, Idaho and North Carolina had the highest year-over-year population growth rates, ranging from 1.3% to 1.5%.
“Many of these states are going to show even smaller growth when we get to next year,” Brookings demographer William Frey predicted Tuesday.
In 1990, the state added 18,840 residents. But the population is now 80% larger, so the comparison isn’t an even one. Although the pandemic slowed growth, the last time the rate of population growth was so low was in 1989. Only half done, this decade is shaping up to be the slowest the state has seen for growth since the 1980s.
Since 2020, Colorado has seen a net 17,729 people arrive from other U.S. states. By contrast, net immigration, people arriving from other countries, surged by 130,218. Net migration, which historically is 80% domestic and 20% international, has flipped the other way and then some.
Little on the horizon suggests that slower population growth will reverse itself, especially with fewer immigrants and now more outflows than inflows domestically. Demographic winter, long predicted, could be arriving earlier than expected.
On the plus side demographically, births rose 4.6% to 65,380 from the 2023-2024 period, and are now at the highest pace since 2017. Deaths remained fairly flat, rising by 59 or 0.1% from the prior period. That said, the holiday that death can take is limited, given the state’s aging population.
The State Demography Office had forecast a population gain of 33,154 and net migration of 13,568 for 2025. It was off by nearly 10,000, due almost entirely to weaker net migration. Last year, it had cut population forecasts through 2029 by 120,000 residents, and it may need to make more revisions, especially if immigration dries up even more.
What caused domestic migration to turn negative, given the absence of a recession? When someone arrives in a state from another country, they are counted as an international migrant. But if they move to another state, they are counted as a domestic migrant, according to the State Demography Office.
A lot of the international arrivals to Colorado between 2022 and 2025 came on humanitarian grounds and were likely headed elsewhere. And the Census Bureau, which makes no distinction between legal and illegal immigration, has gotten better at counting those arriving as refugees or under a protected status than in the past.
“At least some portion of the domestic out-migration from Colorado is made up of recently arrived international migrants,” the State Demography Office said in a release discussing the Census numbers.
That means a drop in immigration could translate into better numbers on domestic migration in the next estimate.
But an annual survey from United Van Lines, whose customers tend to be older and higher-income households, reported that Colorado last year had become a “strong outbound” state, one of only five, for the first time since 1990. For much of the 2010s, Colorado was a “strong inbound” state, before becoming more balanced after the pandemic.
That would suggest that it isn’t only the newest residents who departed, but also more established and wealthier households who were picking up and leaving.
Slower growth should allow the state to catch up on its housing shortfall, and if population gains are weak enough, reduced demand could even push rents and home prices lower. Apartment rents in Denver are already back to 2022 levels.
Governments could catch up on much-needed infrastructure, but their budgets may also take a hit given that population growth, along with inflation, determines how much additional spending they are allowed each year.
Broomfield economist Gary Horvathsaid slower population gains and slower job gains tend to correlate with each other. Normally, a lack of job opportunities results in slower population growth. But he suggests the situation might be reversed.
“With the exception of health care, in 2025, there was weak job growth in many sectors. If a person is needed to fill a job, and we don’t have that person, the labor market will struggle — not from a lack of demand, but from a lack of supply,” he said.
The Associated Press contributed to this report.
Get more business news by signing up for our Economy Now newsletter.
Colorado
Point spread, betting odds for San Diego State vs. Colorado State men’s basketball game
San Diego State returns home after two games on the road to host Colorado State on Wednesday night in a matchup of teams that will move from the Mountain West into the Pac-12 Conference next season.
The first-place Aztecs (14-5, 8-1 MW) have been set as 8.5-point favorites against the struggling Rams (12-8, 3-6), according to Fanduel.com. The over/under is 139.5 points. Tipoff is set for 7:30 p.m. PT at Viejas Arena. The game will air on FS1.
This is another rivalry that will continue when the teams move into the reconfigured Pac-12 next season, along with Boise State, Utah State and Fresno State. They’ll join holdovers Washington State and Oregon State, as well as fellow newcomers Gonzaga and Texas State.
SDSU continues to hold sole possession of first place in the MW. It is coming off an 82-71 win at UNLV in its final regular-season trip to the Thomas & Mack Center. The Runnin’ Rebels are staying behind in the MW.
San Diego State was the unanimous preseason pick to win the MW, while the Rams were picked to finish seventh in the 12-team league.
SDSU has won eight of nine games since a double-digit loss to No. 1 Arizona in Phoenix on Dec. 20. That streak has helped put the Aztecs back into contention for an at-large NCAA Tournament berth if they don’t claim the automatic berth that comes with winning the MW tournament.
Colorado State has lost three of four, including a home 65-61 defeat to Utah State on Friday night.
The series
The Aztecs and Rams are meeting for the 99th time overall and 27th time on the
Viejas Arena floor. SDSU leads the overall series 53-45 and is 22-4 on
Steve Fisher Court.
SDSU has won 13 of the last 16 games in the series, including five straight in San Diego.
Below is a look at the notable trends and betting lines for Colorado State vs. San Diego State on Wednesday at 7:30 p.m. PT.
Notable trends
– Colorado State is 12-8 overall and 12-7 ATS
– San Diego State is 14-5 overall and 8-10 ATS
San Diego State vs. Colorado State betting odds
Spread: San Diego State -8.5 (-110)
Over/Under: 139.5 (-105)
Moneyline: San Diego State (-465), Colorado State (+350)
Game time: Wednesday, Jan. 28 at 7:30 p.m. PT
TV: FS1
Odds courtesy of FanDuel Sportsbook. Game odds refresh periodically and are subject to change. If you or someone you know has a gambling problem and wants help, call 1-800-GAMBLER.
MORE SAN DIEGO STATE NEWS & ANALYSIS
-
Illinois7 days agoIllinois school closings tomorrow: How to check if your school is closed due to extreme cold
-
Pittsburg, PA1 week agoSean McDermott Should Be Steelers Next Head Coach
-
Pennsylvania3 days agoRare ‘avalanche’ blocks Pennsylvania road during major snowstorm
-
Sports1 week agoMiami star throws punch at Indiana player after national championship loss
-
Technology7 days agoRing claims it’s not giving ICE access to its cameras
-
Science1 week agoContributor: New food pyramid is a recipe for health disasters
-
Movie Reviews1 week ago
Movie Review: In ‘Mercy,’ Chris Pratt is on trial with an artificial intelligence judge
-
Politics4 days agoTrump’s playbook falters in crisis response to Minneapolis shooting