Jeff Crank and the One Big Beautiful Bill Act: A Deciding Vote in the One-Vote House Passage, His Yes on the Final Law, and $12.4 Billion Less Medicaid Money for Colorado

On May 22, 2025, Jeff Crank was one of 215 House members who passed the One Big Beautiful Bill Act over 214 opponents, a margin his vote decided, and on July 3, 2025 he voted for the final law, which leaves Colorado $12.4 billion short in federal Medicaid funding across ten years, by KFF's allocation.

Crank's votes run the length of the bill's path. In February 2025 his vote decided the House budget resolution; in April it decided both the rule taking up the Senate's version and the final budget plan; in May it decided the House bill and a procedural vote on its rule; in July it decided two procedural votes on the rule for the final version before he voted for final passage; and in April 2026 he went on record for a resolution lauding the law's tax policies.

Colorado's uninsured population grows by 150,000 in 2034 under the law, KFF projects, and Medicaid, the program it cuts deepest, enrolled 156,300 people in Colorado's 5th District in 2025.

Jeff Crank's House Votes on the One Big Beautiful Bill Act, in Order

• Crank Decided the House Budget Resolution That Set $880 Billion and $230 Billion Savings Targets, February 2025. Three Crank yes votes came on February 25, 2025, all linked here to the Clerk's roll calls. First came his yes on ordering the previous question for H.Res. 161, the budget-debate rule; next, adopting H.Res. 161; last, H.Con.Res. 14 itself, carried 217 to 215, a result that a lone Crank defection would have turned into a tie and a loss. Under its instructions, Energy and Commerce, which oversees Medicaid, owed at least $880 billion in deficit reduction, Agriculture, which oversees SNAP, owed at least $230 billion, and the resolution gave the tax writers on Ways and Means license to deepen deficits by as much as $4.5 trillion.
• Crank Settled Two April 2025 Votes: the Rule for the Senate Budget Text and Its Adoption. On April 9, 2025, Crank voted for ordering H.Res. 313's previous question and then adopting the rule, 216 to 215; that rule put the Senate-amended budget resolution before the House. A day later, April 10, his yes helped concur in the Senate text, 216 to 214. Of those three, the rule's adoption and the concurrence were decisive; if Crank alone changes sides, the rule loses outright, and the resolution deadlocks and dies. The Senate version left the committee instructions in place. The law Crank voted for on July 3 then cut federal Medicaid by $911 billion across the decade, by the Congressional Budget Office figure KFF cites.
• Crank Supplied a Vote the House Bill Could Not Pass Without, May 2025. On May 22, 2025, Crank twice voted for considering the H.R. 1 rule, H.Res. 436, by votes of 217 to 211 and 216 to 211, then ordered its previous question, 213 to 211, and voted to adopt the rule, 217 to 212. Crank opposed a motion to recommit, which fell 212 to 216. Then came passage of the House version, 215 to 214 with one present. Neither the previous question nor passage would have survived a Crank no. The version Crank voted for that day would have denied Planned Parenthood Medicaid payments for a "10-year period"; the final law used a "1-year period". As enacted, the Medicaid provisions push 7.5 million more Americans into the uninsured column in 2034, according to the Congressional Budget Office estimate KFF cites.
• Crank Decided Two July 2025 Procedural Votes, Then Voted for Final Passage. July 2, 2025: Crank voted to take up H.Res. 566, the rule for the Senate-passed bill, 212 to 211, and to order its previous question, 214 to 212, either of which his defection would have sunk or deadlocked. Also that day he voted for the Foxx amendment to the rule, 220 to 212. July 3: he voted for the rule, 219 to 213, and then for the motion to concur in the Senate amendment, which was final passage, 218 to 214. Signed July 4, 2025, the measure is Public Law 119-21. As enacted, the law adds 10 million people to the nation's uninsured in 2034, by the Congressional Budget Office figures KFF reports, and "cuts SNAP by $187 billion or about 20 percent by 2034," by CBPP's count.
• Crank Joined a 2026 House Majority Praising the Law as a Working-Family Tax Cut. With the law on the books, Crank on April 16, 2026 was part of the 219-to-207 House majority for H.Res. 1156, which labels it the "Working Families Tax Cuts" and says it "will result in a 15 percent tax cut for Americans whose income is in the bottom 40 percent." ITEP found that "For the poorest fifth of Americans, the average tax change from OBBBA is a small tax increase" in 2026, while the top one percent average a cut of more than $70,000.

What the One Big Beautiful Bill Act Jeff Crank Voted For Costs Colorado

• Colorado loses $12.4 billion in federal Medicaid funding. Colorado's share of the ten-year federal Medicaid reduction comes to $12.4 billion, 14% of the federal money it expected, under KFF's state split, and that money pays for checkups, hospital stays and nursing care. The votes are laid out on Jeff Crank's health care page.
• KFF sees 150,000 more Coloradans without coverage in 2034. Taken alone, the law means 150,000 more uninsured Coloradans in 2034 in KFF's projection, 2 points on the state's uninsured rate; those families pay for care out of pocket or skip it. More is on Crank's health care page.
• 156,300 people in Crank's district are on Medicaid, 49,500 of them in the group facing work rules. Of 156,300 Medicaid enrollees KFF counts in Colorado's 5th District in 2025, 21% of residents, 49,500 are expansion adults who must meet the work requirement by January 1, 2027 at the latest; see the health care page for Crank.
• Rural Colorado loses $1.66 billion in federal Medicaid funding over ten years, squeezing small-town hospitals. Over ten years, KFF estimates, federal Medicaid spending in rural Colorado falls $1.66 billion, and KFF also lists Colorado's hospital provider tax among those set to shrink, so rural hospitals have less to cover nurses and beds. Hospital effects are on that same health care page.
• CBPP's June 2025 estimate put 38,000 Coloradans near retirement or raising teenagers at risk of losing SNAP. For the Senate Agriculture Committee's proposal with the same two expansions as the law's SNAP work rules, CBPP figured in June 2025 that 23,000 Coloradans between 55 and 64 and 15,000 Colorado parents of teens stood to lose food aid, and the state now carries 75 percent of SNAP's administrative bill. The SNAP votes are on Crank's food assistance page.
• 1,036,586 Coloradans on Medicare depend on a hospital fund that will now run dry a quarter sooner, in 2033. Medicare covered 1,036,586 Coloradans in 2024, KFF reports, and the trustees now expect the hospital trust fund to run dry in the second quarter of 2033, one quarter earlier than before, primarily because the law's tax changes cut its revenue. Crank's Medicare page also covers the coverage cutoff for some immigrants.
• Most of Colorado's 14,959 nursing-home residents depend on Medicaid. Medicaid is the primary payer for nearly two-thirds, 63%, of Colorado's 14,959 certified nursing-facility residents, and the law keeps a federal staffing minimum out of those homes until 2034. More on Crank's elder care page.
• 2,749 Coloradans are waiting for Medicaid home care, and 13,800 people with disabilities in Crank's district use Medicaid. The 2026 waiting list for Medicaid home and community-based services in Colorado held 2,749 people, and 13,800 Medicaid enrollees in Colorado's 5th District qualify through a disability, people whose attendants, therapies and prescriptions run on the federal Medicaid dollars the law reduces. Crank's disability rights page has the details.
• Work reporting will attach by 2027 to the coverage of 83% of Colorado Medicaid adults with opioid use disorder. Of 27,256 adults on Colorado Medicaid with an opioid use disorder diagnosis in 2021, 83% held expansion coverage, which must carry work reporting by January 1, 2027, so a paperwork lapse can interrupt addiction medication. The exemptions are explained on Crank's mental health and addiction page.
• Low family earnings keep 30,000 children in Crank's district from the full child tax credit. In Colorado's 5th District, 19% of children, about 30,000, are in households below the earnings threshold for the full credit, by the Columbia poverty center's estimate. See the child care and families page for Crank.
• Colorado's 0.9 million Social Security beneficiaries face a $515 average monthly cut when the fund runs short. The law raises Social Security's costs by $168.6 billion, and once the retirement fund comes up short in late 2032, the average benefit for Colorado's 0.9 million beneficiaries shrinks by $515 a month in CRFB's estimate. Crank's Social Security page lists the votes behind it.
• Under the new repayment plan, Colorado borrowers from SAVE pay $2,512 more a year. American Progress's state data put the added cost for an average Colorado borrower who switches from SAVE to the law's Repayment Assistance Plan at $2,512 annually. The loan changes are on Crank's student debt page.
• Colorado veterans on SNAP lost their exemption from the time limit; 24,000 receive SNAP. Some 24,000 Colorado veterans get SNAP, by CBPP's estimate, and the law ended the exemption that kept veterans off the three-month clock, so those of working age with no child under 14 and no other exemption must now log work hours to keep it. Crank's veterans page covers the Medicaid rule too.
• Colorado households could face energy bills about $310 a year higher by 2035, on average. With clean-energy credits repealed, the average Colorado household could pay roughly $310 more a year by 2035, according to Energy Innovation's projections as reported by CNBC.

Frequently Asked Questions About Jeff Crank on One Big Beautiful Bill

Last updated: 2026-10-27

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