On July 3, 2025, Jeff Crank voted for the final One Big Beautiful Bill Act, a law that KFF calculates will pull $12.4 billion in federal Medicaid funding out of Colorado over ten years, 14% of what the state would otherwise have received.
Crank's earlier votes helped clear the road to that vote. February 25, 2025: his yes decided the House budget resolution that told Medicaid's committee to come up with at least $880 billion. April 10: his yes decided the final budget plan. May 22: the House version squeaked through 215 to 214, and he was in the majority.
Back home, about one in five residents of Colorado's 5th District, 156,300 people, carried Medicaid in 2025, and KFF projects the law by itself will leave 150,000 more Coloradans without insurance in 2034.
Jeff Crank's Votes on Medicaid, From the Budget Plan to the Final Law
- Crank Voted for the Final Law's $911 Billion Medicaid Cut After Supplying a Vote the House Version Could Not Do Without. Jeff Crank's yes on May 22, 2025 was one the House version of H.R. 1 could not spare: the tally was 215 to 214, one member voted present, and a single defection would have sunk it. On July 3, 2025, Crank voted for the final law too, and it cleared 218 to 214. The Congressional Budget Office's ten-year estimate has the law trimming federal Medicaid spending by $911 billion, and 10 million more Americans end up uninsured in 2034. Colorado absorbs $12.4 billion of that reduction in KFF's state split, and KFF's low and high estimates for the state run from $9.3 billion to $15.5 billion.
- Crank Decided Both 2025 Budget Votes Behind the $880 Billion Instruction to Medicaid's Committee. Crank voted for H.Con.Res. 14, the House budget resolution, which passed 217 to 215 on February 25, 2025, and for the Senate-reconciled version, which passed 216 to 214 on April 10, 2025. Either tally would have tied had Crank alone switched, and a tied resolution fails. Energy and Commerce, the House panel that writes Medicaid law, was told to "reduce the deficit by not less than $880,000,000,000". On May 22 Crank also voted for the rule that opened floor debate on H.R. 1. The Medicaid sections of the law Crank voted for on July 3 followed. One of them, a squeeze on the provider taxes states use to finance their side of Medicaid, removes $191 billion in federal funds across ten years by the Congressional Budget Office's estimate. KFF counts Colorado's hospital provider tax among the state levies the law is expected to shrink, with the lower federal ceiling beginning October 1, 2027.
What Jeff Crank's Medicaid Votes Cost Colorado's 5th District and the State
- 156,300 residents of Crank's district are on Medicaid, the program the law shrinks. In 2025 Colorado's 5th District had 156,300 people on Medicaid, according to KFF's district figures, led by 60,400 children and followed by 49,500 expansion adults, 10,800 seniors, 13,800 people with disabilities and 21,800 other adults. Every one of them sees doctors, pharmacies and hospitals whose Medicaid payments come partly from the federal dollars the law takes out of Colorado.
- 150,000 more Coloradans will lack health coverage in 2034 because of the law. Looking at the law on its own, KFF expects Colorado's uninsured count to grow by 150,000 in 2034, somewhere between 110,000 and 190,000, about 2 points on the state's uninsured rate. Without coverage, an ear infection or a broken wrist turns into a cash bill, and many people wait until the emergency room.
- $1.66 billion in federal Medicaid money leaves rural Colorado over a decade. The law strips $1.66 billion in federal Medicaid funding from rural Colorado over a decade, by KFF's estimate. Hospitals and clinics in small towns with many Medicaid patients are left with thinner margins for nurses, beds and services.
Frequently Asked Questions About Jeff Crank on Health Care
What is Jeff Crank's record on health care under Trump?
Under Trump, Jeff Crank voted on the One Big Beautiful Bill Act as follows: he decided both 2025 budget-resolution votes that set Medicaid's committee its savings target, provided one of the 215 yes votes the House version needed on May 22, 2025, and voted for the final law on July 3. That law reduces federal Medicaid spending by $911 billion over ten years, the Congressional Budget Office estimates; KFF assigns $12.4 billion of the cut to Colorado and projects 150,000 more uninsured Coloradans in 2034.
What date do Colorado's Medicaid expansion adults have to start reporting work hours because of Jeff Crank's vote?
Jeff Crank voted for a law that gives Colorado, an expansion state, a deadline at the start of 2027: its work rule for expansion adults has to begin "no later than January 1, 2027." Adults 19 to 64 in that group then need 80 hours a month of a job, community service or a work program, or half-time enrollment in school, unless they qualify for an exemption. That reaches the 49,500 people in Colorado's 5th District who held expansion coverage in 2025.
Which other Medicaid changes from Jeff Crank's vote take effect in Colorado, and when?
Jeff Crank voted for a law whose Medicaid provisions arrive in stages. Refugees, asylees and other lawfully present immigrants without green cards lose Medicaid on October 1, 2026. Colorado's expansion adults face an eligibility review every six months starting with renewals due December 31, 2026, a change the Congressional Budget Office expects to add 700,000 people to the uninsured by 2034. Retroactive coverage narrows on January 1, 2027, and expansion adults just above the poverty line can be billed up to $35 a service starting October 1, 2028.
Last updated: 2026-10-27