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What comes next for Colorado’s health insurance programs for immigrants?

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What comes next for Colorado’s health insurance programs for immigrants?


During Joe Biden’s presidential administration, Colorado took bold steps to expand health coverage to immigrants living in the state, regardless of their legal status.

Tens of thousands of people took advantage of those programs to gain coverage for themselves or their children. The hope of supporters is that this will lower the uninsured rate in Colorado since immigration status can be a major barrier to obtaining health coverage. Providing access to coverage for primary and preventive care could also reduce the amount the state spends paying for emergency care for uninsured noncitizens who have a health crisis.

But now, the long-term fate of those programs is unclear — and not just because of potential threats from Donald Trump’s administration. While an executive order issued Wednesday could affect one of the programs, state budget woes could also have an impact.

So what might come next for these programs? Here are some answers.

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What are these programs?

The coverage expansions largely come through two programs.

One is called OmniSalud, and it connects people with private health insurance. Many immigrants are not eligible for federal insurance subsidies offered to people who buy coverage on their own. OmniSalud addresses that by offering state-funded subsidies to people not eligible for federal subsidies.

The program works in conjunction with the state’s insurance exchange, Connect for Health Colorado, but it does not use the exchange’s platform. Instead, Colorado created an entirely new exchange called Colorado Connect to handle the sign-ups.

For 2025, more than 13,000 people signed up for coverage through Colorado Connect, including 12,000 who signed up to receive subsidized coverage through OmniSalud. (Because of funding limitations, OmniSalud enrollment is capped, but people can still buy unsubsidized coverage.)

The website for OmniSalud, Colorado’s program that provides health. insurance subsidies to people regardless of immigration status, on Feb. 20, 2025. (John Ingold, The Colorado Sun)

The second program is called Cover All Coloradans, and it rolled out only at the start of the year. The program allows children and pregnant women to receive Medicaid coverage regardless of their immigration status.

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That program has now enrolled more than 11,000 people.

Colorado is among a handful of mostly Democratic-controlled states that offer coverage to children regardless of immigration status. But many states, including several run by Republicans, have extended federal programs to cover pregnant women.

Do these programs share immigration information with the federal government?

The answer here is complicated — mostly no but sometimes yes.

Colorado law generally prohibits state agencies from asking about immigration status or from sharing identifying information for the purposes of immigration enforcement.

For OmniSalud, the use of a separate enrollment platform means the data is stored separately from the state’s main insurance exchange and is not shared with the federal government. The OmniSalud application does not ask about immigration status, said Kevin Patterson, the CEO of Connect for Health Colorado.

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For Cover All Coloradans, the application is the same as what is used for anyone else applying for Medicaid. That application does ask about immigration status.

Attendees gather in the West lawn during a rally in protest of mass deportations Wednesday, Feb. 5, 2025, at the Colorado State Capitol. (Alyte Katilius, Special to The Colorado Sun)

But Colorado doesn’t always pass that information on to the federal government. The portion of the program for kids is entirely state-funded, so there is no federal match of funds for those enrollees.

“If there is not a match for an individual, their information will not be shared,” Marc Williams, a spokesperson for the state Department of Health Care Policy and Financing, wrote in an email. The department administers Medicaid in the state as well as the Cover All Coloradans program.

But the state does for now receive matching funds from the federal government to help pay for the care for pregnant people regardless of immigration status as well as for another program that covers emergency services. In that case, personal information, including immigration status, would be shared with the federal Center for Medicare and Medicaid Services, which is also known as CMS.

“Historically, CMS has used the information only for the purpose of determining eligibility,” Williams wrote.

Does the latest Trump executive order end Cover All Coloradans?

On Wednesday, Trump issued an executive order attempting to end federal benefits for people living in the country without documentation, as well as to crack down on so-called sanctuary policies at the local level.

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“My Administration will uphold the rule of law, defend against the waste of hard-earned taxpayer resources, and protect benefits for American citizens in need, including individuals with disabilities and veterans,” Trump stated in the order.

How this will impact Medicaid programs nationally and in Colorado, though, is unclear.

The federal money that helps pay for coverage for pregnant people on Cover All Coloradans comes through a Medicaid companion program called the Children’s Health Insurance Program, or CHIP. States can choose to participate in CHIP’s From-Conception-to-End-of-Pregnancy Option. So far, 23 states have done so, including Republican-controlled states such as Texas and Tennessee.

Federal Medicaid dollars can also be used to help pay for emergency care for people in the country illegally. Every state has some form of such an emergency Medicaid program.

The executive order doesn’t spell out which programs are affected. Instead, it says that the head of each federal agency must “identify all federally funded programs administered by the agency that currently permit illegal aliens to obtain any cash or non-cash public benefit, and, consistent with applicable law, take all appropriate actions to align such programs with the purposes of this order.”

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Williams, the Colorado Medicaid spokesperson, wrote in an email that state officials are evaluating the order.

“Like other executive orders, this order directs action by federal agencies and we’re awaiting guidance from CMS,” he wrote.

In this March 12, 2008, photo, Immigration and Customs Enforcement agents patrol for undocumented immigrants in Utah County Jail in Spanish Fork, Utah. ICE has received three proposals for a new detention facility for its operations in Salt Lake City, but none of the proposals would be built in Utah. (Francisco Kjolseth/The Salt Lake Tribune via AP)

Could the feds use health information to target immigrants who are undocumented?

Experts The Colorado Sun consulted said it may be technically possible but it’s not necessarily likely.

Immigration authorities trying to get Colorado agencies to cough up enrollee information would enter a legal morass.

“Federal law doesn’t require that state agencies or private companies share information with immigration officials,” César Cuauhtémoc García Hernández, a law professor at Ohio State University (previously at the University of Denver), who specializes in immigration enforcement law, wrote in an email.

“A federal law bars Colorado from refusing to share information about a person’s citizenship or immigration status with (Immigration and Customs Enforcement), but that law only applies to information that the state already possesses and Colorado law has barred state officials from asking for this information since 2022.”

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García Hernández said, while it’s possible that immigration authorities could obtain a court subpoena or search warrant requiring the state to hand over enrollee information, it would be unusual.

“ICE rarely does that,” he wrote.

What about information shared with federal Medicaid officials?

Historically, the U.S. Bureau of Immigration and Customs Enforcement has had a policy against using health information for enforcement purposes.

Matthew Lopez, an attorney and the director of state advocacy for the National Immigration Law Center, said the federal Medicaid agency “has pretty strong restrictions on how Medicaid information can be shared.” 

“We’re pretty confident that the way that it’s carried out now is consistent with federal laws regarding privacy within the Medicaid program,” Lopez said.

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That doesn’t mean the Trump administration won’t try to change those protections, but Lopez said he hasn’t heard of anything so far suggesting it will. Still, he said, he understands why immigrants and immigrant-rights groups are nervous.

“This exists in the context of everything else that’s happening,” he said. “This is an administration whose immigration actions are designed to sow chaos and fear.”

Will the programs survive?

OmniSalud and Cover All Coloradans face uncertain futures, but for different reasons.

OmniSalud is funded out of something called the Colorado Health Insurance Affordability Enterprise, which gets its money from a fee on health insurers, as well as from a large, annual federal grant. (Colorado is still waiting on its promised grant from the feds for 2025 to arrive.)

Colorado Insurance Commissioner Michael Conway said the state amended the “terms and conditions” section of its federal grant in the waning days of the Biden administration to make clear that OmniSalud is not funded by the federal money.

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“We obviously knew there would be a concern related to the incoming Trump administration,” Conway said. “It just made sense to take that issue off the table.”

But, with potential changes to health insurance funding at the federal level, Colorado could see smaller grant amounts in the coming years. The federal authorization for the grant is also due to expire during the Trump administration, making it unclear whether it will be renewed. If those federal funds were to go away, Colorado’s health insurance enterprise wouldn’t be able to pay for all the programs it currently supports.

The Joint Budget Committee meets at the Colorado Capitol complex in Denver on Monday, Jan. 6, 2025. (Jesse Paul, The Colorado Sun)

Cover All Coloradans, meanwhile, faces more challenges. If it survives the Trump administration orders, it could still be a victim of the current state budget crisis. Members of the legislature’s Joint Budget Committee have looked at possibly axing the program, which is expected to cost around $30 million in the coming fiscal year, as a way to close the state’s roughly $1 billion budget shortfall.

Supporters of the program have argued against ending it, though, saying that the program will ultimately save the state money by providing lower-cost preventive care up front and avoiding more costly emergency care down the road.

“The impact of capping or pausing this program,” state Medicaid director Adela Flores-Brennan told the JBC last month, “is that we will further strain the safety net.”

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Type of Story: News

Based on facts, either observed and verified directly by the reporter, or reported and verified from knowledgeable sources.



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Police arrest 2 juveniles, search for third in Colorado, accused of crashing stolen car into patrol vehicle

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Police arrest 2 juveniles, search for third in Colorado, accused of crashing stolen car into patrol vehicle



Police in Arvada arrested two juveniles and searched for a third juvenile early Monday morning in connection with an auto theft. According to investigators, the suspects swerved at officers who were on foot in the area near 60th Avenue and Yarrow Lane.

Police in Arvada searched for a third suspect wanted in connection with crashing a stolen vehicle into a patrol vehicle near 60th and Yarrow.

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That’s when they allegedly drove into a patrol vehicle. 

After a brief chase, officers were able to track down two suspects and continued to search for the final suspect. 

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CBS Colorado’s helicopter flew over the scene near 60th Avenue and Yarrow Lane in Arvada. 

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Colorado man convicted of multi-million-dollar scheme to sell hand sanitizer during COVID

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Colorado man convicted of multi-million-dollar scheme to sell hand sanitizer during COVID


A 51-year-old Castle Rock resident was recently found guilty on 15 counts of fraud by jurors in Denver federal court. 

According to a court document, Rico Tomas Garcia received $2.4 million from two businesses at the outset of the COVID pandemic. He spent the money to purchase a vehicle and three properties without delivering any of the promised product.

Garcia agreed in April 2020 to provide nine million 16-ounce bottles of hand sanitizer to a Virginia-based distributor of personal protective equipment (PPE) and safety work gear, according to the grand jury indictment in his case. A second company financed the deal for the distributor. 

If reached in full, the deal would have paid Garcia $37.8 million. But Garcia reportedly moved the first $2.4 million paid to him into accounts held by three corporations operated by he and his girlfriend. 

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A month after making the deal, none of the product was delivered and the finance company halted payments and demanded a refund. Instead, Garcia, according to the indictment, falsified documents about his arrangements with a Chinese manufacturer of the hand sanitizer. 

The contract was terminated in June of that year. 

Garcia allegedly bought homes in Topanga Canyon, California and Sedalia, Colorado, plus an undisclosed Nevada property, with the ill-gotten proceeds. Federal prosecutors also allege Garcia moved over a million dollars of the remaining money into offshore accounts in the Caribbean.

A federal grand jury indicted Garcia in April 2024. He was taken into custody eight months later. The jury reached its verdict March 9 after a week-long trial, finding him guilty of nine counts of wire fraud and six counts of money laundering. 

Meanwhile, the distributor and its finance company are still trying to resolve their finances through a civil lawsuit filed the year the deal went south. 

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Garcia is scheduled to be sentenced Sept. 8.



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How Colorado funeral homes are rebuilding trust eroded by years of industry scandal

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How Colorado funeral homes are rebuilding trust eroded by years of industry scandal


Mike Dudley can usually pick up on someone’s anxiety about dealing with Colorado’s funeral home industry the first time they sit down to talk.

It starts with pointed questions as he meets with families in the conference room at Rundus Funeral Home & Crematory in Broomfield, where Dudley is the general manager and funeral director. How is their loved one’s body going to be handled? Who will be caring for them? When, where and how will they be cremated or put in a casket?

Sometimes it comes out of the blue, like when a man called Dudley three years after Rundus cremated his loved one because he couldn’t stop thinking about whether or not he actually had the correct cremains.

“His mind just got wondering and he needed reassurance,” Dudley said. “Like, ‘How do I know this is in fact my person in the urn?’”

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Whether it’s pointed questions from prospective clients or phone calls years after the fact, recent scandals in the state’s funeral industry have shaken Coloradans’ trust in the professionals who care for their deceased loved ones, funeral directors and industry experts told The Denver Post.

While Colorado lawmakers have made significant strides in adding state regulations to prevent future scandals, rehabilitating the funeral industry’s reputation is a more complicated task.

“The trust that’s been broken here, it’s going to take a long while for us to restore it,” said Matt Whaley, president of the Colorado Funeral Directors Association.

The effect of Colorado’s notoriously lax funeral home regulations burst into public view in 2018, when an FBI raid on Sunset Mesa Funeral Directors in Montrose found that mother-daughter team Megan Hess and Shirley Koch stole and sold hundreds of bodies around the world to turn a profit.

Hess is now serving a 20-year prison sentence and Koch is serving a 15-year sentence.

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Coloradans are still seeing the fallout of more recent scandals, like the active investigation into Davis Mortuary owner (and former Pueblo County coroner) Brian Cotter, who operated the mortuary where state inspectors found 24 decomposing bodies in a hidden room in August.

Dudley is often at a loss for words when he thinks about the scandals, like what happened at the Return to Nature funeral home in Penrose, where owners Jon and Carie Hallford allowed 191 bodies, stacked on top of each other, to decompose for over four years while giving families fake cremains.

The Hallfords both face decades-long prison sentences after pleading guilty in their state criminal cases.

“Even when we’re transferring (the deceased) from a cot to a dressing table, we’re making sure their head doesn’t bang. We’re treating them as if they’re still alive, with care and respect. That you could let those people languish for years… how could you do that?” Dudley said. “How could you sit in front of a family and hand them an urn knowing full well it’s Quikrete?”

So when the man called him out of the blue asking about his loved one’s cremains, Dudley explained that every person who is cremated gets a metal disk with a unique set of numbers that stays with them through the whole process and is zip-tied to the bag of cremains that are returned to families.

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“I said, ‘Tell me that number. Don’t tell me the name of your person. I’ll go back to our cremation log and tell you the name associated with the number,’” Dudley said. “I came back, said I have that number associated with this person, and he just said, ‘Oh, thank God.’”

A hearse and van are parked outside the Return to Nature Funeral Home in Penrose, Colo., on Oct. 6, 2023. (AP Photo/David Zalubowski, File)

Scandals had statewide, local ripple effects

Cases of industry workers mishandling bodies in Montrose, Penrose, Denver and Pueblo have had a far-reaching effect on Colorado’s funeral home industry, said Kim Bridges, who owns the parent company that oversees three metro Denver funeral homes, including Rundus.

“When these things started happening, it was awful for the industry,” she said. “It makes everyone look at the industry with skepticism and that’s a shame because you need to be able to trust the people you entrust your loved one to.”

Bridges Funeral Services, which Bridges owns with her husband, also oversees funeral and mortuary facilities in New Mexico, Tennessee and Florida.

The uptick in funeral directors and staff encountering families who are anxious about cremating or burying their loved ones is not limited to Rundus, said Whaley, who has worked in the funeral home industry for 38 years and is now market director at Dignity Memorial.

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More people are also asking to witness cremations to make sure they know exactly what is happening to their loved one, he said.

When Dudley encounters people with questions or doubts about the funeral and cremation process, he tries to be as transparent as possible, answering their questions with as much detail as they want and offering tours of the facility.

For most, the offer is enough to calm their fears, Dudley said. But about a third of those want to see everything, from the plain-but-clean room lined with cabinets and counters where the deceased are prepared for services, to the massive, gray crematory that looks similar to a metal shipping container.

Whaley, Dudley and Bridges all shared the same sentiment: Families asking more questions about the funeral process is a good thing and should be welcomed.

“If someone doesn’t want to give a consumer all the information they’re asking for, shame on them,” Bridges said. “The consumer should go somewhere else and ask for a tour of the place.”

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That kind of simple and up-front communication is the right way to rebuild trust with the community after a crisis, said Andy Boian, founder and CEO of the Colorado- and California-based public relations firm Dovetail Solutions.

Boian and other public relations experts who spoke to The Denver Post commented on the scandals hypothetically, as neither have worked directly with funeral homes on this issue.

Good communication includes walking people through the process, making sure they understand what’s happening and circling back regularly, he said.

“At the end of the day, that would ratify and settle a lot of people’s concerns,” Boian said.

That transparency now extends into Colorado’s industry regulations after state legislators, motivated by recent scandals, passed new laws to prevent the same kind of situation from happening at funeral homes or mortuaries ever again.

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Passed in 2024, the three new laws require funeral directors and other industry professionals to obtain licenses; for state regulators to perform routine inspections at facilities; and for businesses to obtain consent and share more information about body donation.

Colorado officials say the new regulations are already making a difference — for example, bodies discovered in a hidden room at Davis Mortuary in Pueblo were found by state inspectors during their first-ever visit to the facility — though that impact isn’t necessarily felt by the people doing the work every day.

A police vehicle is parked outside Davis Mortuary in Pueblo, Colo., on Thursday, Aug. 21, 2025. Investigators discovered human remains as old as 15 years at the business operated by Pueblo County Coroner Brian Cotter. (Photo by Mike Sweeney/Special to The Denver Post)
A police vehicle is parked outside Davis Mortuary in Pueblo, Colo., on Thursday, Aug. 21, 2025. Investigators discovered human remains as old as 15 years at the business operated by Pueblo County Coroner Brian Cotter. (Photo by Mike Sweeney/Special to The Denver Post)

Bridges jokes that her staff are more nervous about a drop-by visit from her than from state inspectors.

“We welcome all oversight because we conduct ourselves in such a way that it’s not an issue,” she said. “If you have to run around and get things right before someone comes in, you’re doing something wrong.”

That ethos, Boian said, also represents another avenue for funeral homes to redeem themselves in the eyes of the community.

“There’s also an opportunity here as well, and that is to be the best and most proficient at your craft,” he said.

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Overcoming scandal, moving forward

Crisis management experts told The Denver Post that while the public is usually willing to forgive and forget scandals if those involved do a good job communicating, the fraught nature of dealing with death makes this more complicated.

“It’s really tricky when it’s something sensitive like this,” said Kara Schmiemann, senior director of crisis communications at Red Banyan, a national crisis PR firm with offices in Denver. “When it has to do with our loved ones, these are the most difficult industries when they face a crisis because there’s a lot of emotion packed in there.”

Mike Dudley, general manager of Rundus Funeral Home, walks into the funeral home's chapel in Broomfield on Jan. 19, 2026. (Photo by RJ Sangosti/The Denver Post)
Mike Dudley, general manager of Rundus Funeral Home, walks into the funeral home’s chapel in Broomfield on Jan. 19, 2026. (Photo by RJ Sangosti/The Denver Post)

And while the scandals at a handful of Colorado funeral homes may have sown skepticism among the general public, they had the opposite effect on Arapahoe Community College student Luke Olson.

Olson, who studies in the mortuary science program, was pursuing a mechanical engineering degree before he switched career paths. He said he was drawn to the hospitality of the field and the family connection — his grandfather was a mortician for a tiny town of 90 people.

“Going into the practice is emboldening to me and a new generation of death care practitioners who want to uphold the law and repair the damage that’s been done to Colorado’s reputation in the past,” Olson said.

Contrary to the stereotype about funeral home owners trying to profit off of the bereaved, people who get into the profession are not doing it for the money, Olson said, describing the wages as “very middle class.” (Funeral directors earn $51,607 per year on average, according to the National Funeral Directors Association.)

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