Opinion: Colorado Must Invest in Evidence-Based Policies to Prevent Harm From Substances, Not Costly Criminalization

A recent Brookings study found that nearly 90% of treatment for opioid addiction is paid for, at least in part, by Medicaid. These cuts will leave our already strained systems unable to meet the growing demand, particularly for low-income and disabled individuals who will have fewer treatment options and more barriers to care.

Meanwhile, Colorado faced a $1.2 billion budget shortfall this year, and even more deficits are on the horizon for 2026. The state is stuck in a cycle of annual budget shortfalls of roughly $1 billion, making it increasingly difficult to cover existing programs and skyrocketing Medicaid costs. That means fewer resources to fill in federal funding gaps, a fraying behavioral health safety net, and an increasingly stressed population that is highly vulnerable to substance use and harm.