On July 3, 2025, Jeff Crank sided with the 218-member majority that approved the final One Big Beautiful Bill Act. Its Medicaid work rule, the federal agency running the program projects, takes 2.3 million people off the rolls in fiscal 2027 by itself, and a disabled adult in the expansion group must qualify for an exemption or log 80 hours a month.
The groundwork came first. Crank's votes decided, on February 25 and April 10, 2025, both budget resolutions ordering at least $880 billion from Medicaid's committee, and on May 22 his yes kept the House version alive in a 215-to-214 vote.
In 2025 Colorado's 5th District had 13,800 Medicaid enrollees who qualified through a disability; statewide, 2,749 were on the list for Medicaid home care in 2026.
Jeff Crank's Votes on Medicaid Work Rules and Disability Services
- Crank Voted for Work Rules That Make Disabled Expansion Adults in Colorado Prove an Exemption or Log Hours. Jeff Crank was in the 215-to-214 House majority for H.R. 1 on May 22, 2025, and in the 218-to-214 majority for the final law on July 3. The work requirement it creates, 80 monthly hours of a job, volunteering or training, applies to expansion adults unless they qualify for an exemption, such as for a person "with a physical, intellectual or developmental disability that significantly impairs their ability to perform 1 or more activities of daily living." States are to confirm exemptions through data matching "where possible," so an enrollee whose exemption the state's records miss has to document it, and the Centers for Medicare and Medicaid Services, which runs the program, forecasts that under the rule "enrollment would be reduced by 2.3 million individuals in FY 2027."
- Crank Settled Both 2025 Budget Votes That Left Disability Home Care Exposed. Crank's yes votes adopted H.Con.Res. 14 by 217 to 215 on February 25, 2025 and, on April 10, the version squared with the Senate by 216 to 214; in each case a lone switch by Crank meant a tie, and a tied resolution fails. The resolution told Energy and Commerce, the committee over Medicaid, to "reduce the deficit by not less than $880,000,000,000" over ten years. The services that keep disabled people in their own homes and out of institutions, Medicaid's home and community-based services, are "largely an optional Medicaid benefit," in the Bipartisan Policy Center's words, and so "more vulnerable to reductions during periods of state or federal budget constraints"; experts expect the law to "slow or reverse recent HCBS expansion efforts" across states.
What Jeff Crank's Votes Mean for Coloradans With Disabilities
- 13,800 people with disabilities in Crank's district get their care through Medicaid. Of the 156,300 Medicaid enrollees KFF counts in Colorado's 5th District for 2025, 13,800 qualify through a disability. Medicaid pays for their specialists, medications and in-home attendants, and the law lowers the federal money behind that coverage in Colorado by $12.4 billion over ten years.
- Colorado's Medicaid home-care waiting list held 2,749 people in 2026. Colorado screens applicants for its Medicaid home-care waivers, and its waiting list held 2,749 people in 2026, KFF reports; a smaller federal Medicaid share makes it harder for the state to pay for the slots that would clear it.
- Crank's district has 49,500 expansion adults facing hour logs or exemption proof. The work rule reaches Medicaid's expansion group, which in Colorado's 5th District numbered 49,500 people in 2025. Adults in it whose disabilities are not confirmed as exempt will have to report work hours each month or lose coverage.
Frequently Asked Questions About Jeff Crank on Disability rights
What is Jeff Crank's record on disability rights under Trump?
Under Trump, Jeff Crank cast 2025 votes for the One Big Beautiful Bill Act: he decided both budget resolution votes that set Medicaid's committee its savings target, was needed for the House version's 215 votes, and voted for the final law, whose work rule makes adults with disabilities in Medicaid's expansion group qualify for an exemption or report 80 hours a month. CMS projects the rule will cut enrollment by 2.3 million in fiscal 2027, and 2,749 Coloradans were in line for Medicaid home care in 2026.
By when must Coloradans with disabilities prove an exemption from the work rule Jeff Crank voted for?
Jeff Crank voted for a law that requires Colorado to start the Medicaid work requirement for expansion adults "no later than January 1, 2027," so disabled enrollees in that group need their exemption recorded by then. Expansion adults also face an eligibility review every six months, beginning with renewals scheduled from December 31, 2026, and states check compliance at those reviews.
Who is exempt from the Medicaid work rule Jeff Crank voted for?
In the law Jeff Crank voted for, exemptions cover parents of children 13 and younger, people who are medically frail and people in substance use disorder treatment, according to KFF, along with a person who "is a veteran with a disability rated as total under section 1155 of title 38". A Coloradan in the expansion group whose disability is not judged to fit those terms must report 80 hours a month.
Last updated: 2026-10-27