August 2025

August 2025 – CBHC Newsletter
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CBHC 2025 Annual Behavioral Health Conference

The countdown is on—CBHC’s 2025 Annual Behavioral Health Conference is less than a month away!

Colorado’s Budget Faces New Challenges

Just when we thought Colorado’s budget was on solid ground, the state has been hit with a significant new challenge. Although the new fiscal year started on July 1 with a balanced budget, it didn’t last long.


On July 4, the enactment of HR 1 (the federal budget reconciliation bill, formally the “One Big Beautiful Bill Act”) immediately created a deficit for Colorado. This happened because of Colorado’s “rolling conformity” policy which automatically incorporates federal tax code changes into state law, meaning the corporate and individual tax provisions of HR 1 took effect immediately. The retroactive nature of these changes means there was no phase-in period, causing immediate revenue losses for the fiscal year 2025–2026 budget cycle.


As a result, the state anticipates a revenue loss of $1.2 billion this fiscal year. This does not mean the budget is $1.2 billion short, however. Because the state’s revenue was already projected to be above the Taxpayer’s Bill of Rights (TABOR) cap, some of the lost revenue simply reduces a potential tax refund. This results in a smaller but still significant immediate budget shortfall of between $680 million and $783 million.

This is not a one-time issue. Experts anticipate a continued drop in tax revenue, with forecasts suggesting the state will remain below the TABOR cap for the foreseeable future. The long-term fiscal picture is further complicated by expected cuts to federal funding for programs like Medicaid. These cuts will likely require the state to cover more of the costs, potentially leading to a larger structural deficit over the next several years and a total deficit of up to $3 billion over five years.

The State’s Proposed Solutions

To address this shortfall, the state is considering a three-part strategy:

  • Using Reserve Funds: The fastest way to close the immediate gap is to use the state’s budget reserve. The proposal is to draw between $200 million and $300 million, which would drop the reserve from its current 15%. This action, which would put the reserve below the legally required amount, would leave the state vulnerable to a forecasted mild recession.

  • Enhancing Revenue: The governor’s office is proposing a number of measures to increase state revenue. These include closing various corporate and business tax loopholes and ending certain tax benefits. The state is also considering a plan that would allow some large taxpayers to prepay their future taxes in exchange for a discount.

  • Departmental Budget Cuts: The final part of the strategy involves cutting between $250 million and $300 million in previously-approved spending on existing programs and services.


The state will need to navigate these significant financial challenges by carefully considering the proposed strategies. The decisions made will not only affect the current fiscal year but will also shape the state’s economic landscape for years to come. We will continue to monitor the situation and provide updates as the state works to address this substantial budget shortfall.

Governor Polis Calls for Special Session

On August 6th, Governor Polis issued a call for a special session to address the fallout from HR 1. The session will convene on August 21 and is expected to last through Tuesday August 26. It will focus on rebalancing the state’s budget and protecting essential services. In addition, the Governor has directed state agencies to implement a hiring freeze from August 27 through the end of the year to help control costs.

The governor’s proclamation outlines several key issues for the legislature to address, including:

  • Fiscal Matters: The primary focus is to find a path to a balanced budget, which may involve using the state’s reserve fund and closing tax loopholes.

  • Health Care: The session will address how to ensure Medicaid members can continue to access services at Planned Parenthood and work to mitigate a projected 28% increase in health insurance rates.

  • Food Security: Lawmakers will consider how to continue funding the Supplemental Nutrition Assistance Program (SNAP), as the federal government has reduced its contribution to administrative costs and may no longer fully fund benefits.

  • Artificial Intelligence: The proclamation also includes a review of a recently passed AI law, SB24-205, before its provisions take effect next year. This is necessary because an effort to modify the law’s impact on a wide variety of businesses–including healthcare providers–failed in the 2025 regular legislative session.

Note that the Governor’s call does not include broader Medicaid-specific impacts from the bill. He has indicated that he expects these to be addressed by the legislature during the regular session next year. Indeed, that is consistent with what patient advocates, providers and counties have recommended. These challenges demand more time and thoughtful debate than is possible in a brief special session. At this writing, a few days before the special session begins, more than 20 bills have already been released; we anticipate many more by the time it begins Aug. 21.

CCBHC Update: Planning Phase Underway

(CCBHC) demonstration grant is advancing. Key decisions are being made regarding the Prospective Payment System model, quality measure data requirements, and the provider certification process, and stakeholder feedback is being discussed. The state plans to certify CCBHCs in cohorts or phases, rather than all at once, in order to enable a faster rollout.

The Steering Committee meetings are open to the public for observation, with time reserved for comments and questions, held the last Monday of each month from 3:00 p.m. – 4:00 p.m. on Zoom. Register with Zoom to attend.

In addition to the Steering Committee, several subcommittees are actively engaged in the planning process. We encourage you to observe and participate:

  • The Quality Measure Data Management subcommittee meets on the 3rd Tuesday of each month from 2pm-3pm. Register with Zoom to attend.

  • The Certification and Provider Readiness subcommittee meeting the 1st Tuesday of each month from 2pm-3pm. Register with Zoom to attend. They are reviewing the certification process to establish a realistic timeline for implementation and to assess what support providers may need.

  • The Prospective Payment System and Finance subcommittee meets  the 3rd Wednesday of each month from 2pm-3pm. Register with Zoom to attend. The state has decided to use the PPS 1 model (based on a daily rate), which is closest to the current PPS for comprehensive providers.

Provider Stabilization Fund

Implementation of the Provider Stabilization Fund established by SB 25-290 is moving forward. The Advisory Board has been appointed and will have its first meeting August 27. CBHC CEO Kara Johnson-Hufford has been appointed to the board along with other provider and consumer representatives. The first payment to the fund from the Unclaimed Property Trust Fund was due Aug. 1, and donations are coming in from private sector organizations to fulfill that part of the funding commitment. When the board meets this month, they will begin developing the distribution model in order to make the first disbursements this fall.

Meaningful change is a collaborative effort. The launch of Colorado’s new BHASOs and LIFTS care coordination infrastructure marks a major milestone for our state’s behavioral health system.

At CBHC, we are committed to partnering with the state, the BHASOs, other providers, and consumer stakeholders to make our safety-net system more efficient and responsive. This new system promises smoother transitions and clearer pathways to care for the most vulnerable.

Read Kara’s full blog to learn how we’re working together to build a more accessible, coordinated, and compassionate behavioral health system for all Coloradans.

Member Spotlight: On the Road with Our Team

Our team recently had the privilege of visiting a few of our dedicated members. These on-site tours provided an invaluable opportunity to see their work firsthand, celebrate their recent successes, and gain a deeper understanding of the challenges they face. All those we visited shared real-world illustrations of the strengths of Colorado’s new behavioral health system as well as how new regulatory requirements play out in their care settings—invaluable information to share with our partners at the Behavioral Health Administration and Department of Health Care Policy and Financing.

We believe that hearing directly from our members is the most effective way to stay connected to the real-world impacts of their work. These visits not only inspire us but also inform our advocacy efforts.

Mark Your Calendar: International Overdose Awareness Day – August 31

Join us on August 31 as we observe International Overdose Awareness Day, a global event dedicated to remembering those lost to overdose and raising awareness about prevention. This day is an opportunity to honor lives, reduce stigma, and promote education and support for individuals and families affected by substance use. Together, we can foster hope, compassion, and community action.

Mental Health First Aid Colorado (MHFACO): Grant Funding Now Open

Applicants are eligible to receive $55 per participant successfully certified in any of the approved MHFA curriculums, including Adult, Youth, Teen, and community-specific modules (e.g., Fire/EMS, Public Safety, Higher Education, Older Adults). Funding is intended to cover essential training expenses such as participant guides, manuals, instructor time, and other logistical costs. Funding is provided as reimbursement and is limited to ten classes per instructor or organization, with additional support considered based on availability. Requests are reviewed on a first-submitted, first-served basis. For complete funding details and to apply, visit www.mhfaco.org. For questions, contact Betsy Molgano at bmolgano@cbhc.org.

San Luis Valley Behavioral Health Group

Colorado Attorney General Phil Weiser recently participated in a roundtable discussion with local leaders, educators, and mental health advocates in the San Luis Valley. The event focused on addressing the mental health challenges faced by youth in the region. Weiser emphasized the importance of collaboration among community members to develop effective strategies and support systems for young individuals. The roundtable served as a platform to share insights, discuss resources, and explore solutions aimed at improving youth mental health in the area. Read the full article here.


Valley-Wide Health Systems

Alamosa County is advancing several key development projects aimed at revitalizing the community. A major initiative involves the renovation of the former Alamosa State Bank Building in downtown Alamosa. Once completed, the facility will house the offices of the district attorney, public defender, and probation departments. This project is expected to enhance the efficiency of local legal services and contribute to the revitalization of the downtown area. Read the full article here.


Valley-Wide Health Systems

Valley-Wide hosted its ninth annual Ag Worker Appreciation Barbecue and Resource Fair, providing free food and valuable information to agricultural workers and their families. The event recognized the hard work of those in the agriculture industry while connecting them with essential community resources. Attendees had the opportunity to access support services and learn about available assistance programs, fostering a sense of community and appreciation for the agricultural workforce. Read the full article here.


Jefferson Center for Mental Health

Jefferson Center is hosting a 24/7 Services Webinar Series this month to showcase their life-saving crisis and recovery services, including Youth Crisis Stabilization, Withdrawal Management, Youth and Adult Residential Recovery, and their Walk-in Crisis Center. These webinars are a great opportunity to learn about their services, the referral process, and get your questions answered.


Upcoming Youth Crisis Stabilization Unit Webinars:

August 19 at 5:00 PM

August 20 at 9:00 AM

August 20 at 12:00 PM

*Register Here

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