Colorado
Colorado health officials brace for layoffs amid loss of federal funding from Trump administration
Colorado’s health department is bracing for several layoffs early next month for workers focused on cancer and heart disease prevention, thanks to the apparent loss of nearly $2 million in federal grant funding and the state’s own bleak fiscal outlook.
The Department of Public Health and Environment initially said 11 positions would be eliminated through layoffs in its health data and prevention services divisions “because of delays and uncertainty” related to funding for the jobs. Federal money underwriting the positions hadn’t been released, CDPHE spokeswoman Vanessa Bernal said, and the layoffs will become effective on July 8.
Colorado WINS, the state employees’ union, said it had also received notification of another imminent layoff in the state Department of Agriculture. The agency did not respond to an email seeking comment Friday afternoon.
Bernal said some of the money — related to diabetes prevention — had been released earlier this week, but the terms attached to the grant were under legal review by the state. Still, if the money does become available, that would mean the state receives $850,000 in funding that it was otherwise set to lose. That funding would save two of the 11 positions slated for elimination in the health department.
The state is still expecting to initiate layoffs for programs in cardiovascular health, colorectal cancer screening, and a broader one for cancer prevention and control, amounting to nearly $1.9 million in total. Some of the state employees in those positions may be moved elsewhere in state government.
“If the federal funding does not come through, Colorado will lose critical staff and services that prevent disease and reduce long-term health care costs,” Bernal said in an email. “This is about uncertain federal funding — not the value of our employees. We are doing everything in our power to minimize workforce impacts. But these changes, if required, won’t just affect our staff — they will affect the health of people across Colorado.”
The cardiovascular funding supported a program that trains pharmacists to deliver “disease management programming,” and it provided training so community health workers could help people with chronic disease. The colorectal cancer fund helped screen older adults for the illness, and the broader cancer program promoted health choices that lowered the risk of illness and improved early detection.
Cancer and heart disease were the state’s leading causes of death in 2023, Bernal said.
Though the money represents a relatively small amount in a $16.7 billion general fund budget, the state couldn’t afford to backfill it, Bernal said. Colorado budget writers trimmed spending by $1.2 billion earlier this year and are already bracing for more reductions next year.
That outlook could worsen still — including for the state’s health programs — if federal cuts to Medicaid and food assistance are signed into law.
Bernal said the “work required by these specific grants cannot continue” without the federal funding. Shelby Wieman, a spokeswoman for Gov. Jared Polis, said in a statement that the “reality is we cannot backfill the funding lost.”
“We continue to closely monitor federal funding that is threatened by the (Trump) administration to understand its impacts on Coloradans, our communities, and state employees,” Wieman wrote.
Hilary Glasgow, the executive director of Colorado WINS, said in a statement that she feared the specter of more layoffs caused by lost federal funding. The union said nearly 3,700 state employees’ jobs are fully or partially paid for using federal dollars.
“We know they’re going to hurt our members and Coloradans,” Glasgow said. “Unfortunately, most people who rely on state workers for critical services like these don’t realize the feds are shutting them down until they’re gone.”
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Three-quarters of Colorado residents said they were worried about whether they would be able to afford to continue living in the state, according to a poll conducted this spring.
Last year, about 70% of people responding to the Colorado Health Foundation’s annual Pulse poll said they weren’t sure living here would remain financially feasible. That rose to 76% this year.
“That majority concern was cutting across regions, across income levels, across racial and ethnic groups,” said Lucia Del Puppo, senior vice president at FM3 Research, which works with Democrats.
The poll found that the majority of those sampled said they had already cut back on entertainment spending and charitable giving, with smaller shares saying they’d skipped meals, delayed medical or dental care, or paid a utility bill late.
Only about one in four people said they hadn’t changed their spending or dealt with a financial setback in the last year, with older people and Republicans reporting less budget strain.
“It’s significant and it affects the overall economy” when people reduce their discretionary spending, said Lori Weigel, principal of New Bridge Strategy, which works with Republicans.
The responses suggested a significant minority expected further financial strains in the coming year:
- About two in five worried they or a family member would lose health insurance
- Three in 10 worried about affording enough food
- One-third thought they might lose their housing because they couldn’t afford their mortgage or rent
Notably, more than half of renters were worried about whether they could continue to afford their housing, Weigel said. One-third said they’d avoided asking their landlords to fix problems to avoid rent increases, and one-quarter said they’d taken on high-interest debt, such as payday loans or credit card balances, to deal with housing costs, she said.
Lower-income people and those who identified as Black, Hispanic or Native American reported greater financial struggles than other groups.
Even people who haven’t had to cut back are worried about affordability. When asked to rate the seriousness of a list of potential problems, 85% said both the general cost of living and the cost of housing were either “very serious” or “extremely serious.” Additionally, 82% said the cost of health care was a very serious or extremely serious problem.
Younger people were particularly worried about housing costs, with 94% of millennials and 90% of Generation Z members describing the problem as very or extremely serious.
At the same time, when respondents got the chance to name the most important issue facing the state, the largest share — 28% — chose government and politics. The cost of living and inflation came close behind, with 25% deeming it the top issue.
Just one year ago, only 13% of people considered cost of living and inflation their top concern, Del Puppo said.
“It has jumped really since 2025,” she said.
The two may be related, as 72% of respondents said they weren’t satisfied with the government’s response to economic issues. The only question where a slight majority said they were satisfied with the state government’s performance was making the state “safe and welcoming” to everyone, Del Puppo said.
The poll asked more than 2,200 people about their personal finances, experiences with health care and perceptions of the state between March and April, then weighted their results to represent Colorado’s demographics.
As usual, both a Democratic and a Republican firm ran the poll, to reduce the risk of bias.
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