Health Care
The Colorado Department of Health Care Policy and Financing administers the state’s public insurance programs, like Medicaid and the Child Health Plan Plus, that are aimed at providing health coverage to low-income, elderly, and disabled Coloradans.
Despite the Department’s sizeable budget and aggressive enrollment efforts, nearly 800,000 Coloradans do not have health insurance, including 85,000 children. The Colorado Blue Ribbon Commission for Health Care reform—created in 2006 by Senate Bill 208—released its analysis of five comprehensive reform options in January, 2008. However, even the least ambitious of these plans costs hundreds of millions of dollars and identifies no recommended funding source. The 2008 legislative session made significant, yet incremental, expansions in access to health care for children, and tens of thousands remain uncovered.
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What changes would you make to health care spending?

| Option 1 - Reduce payments for medical services | The state already spends too much paying for health care for the uninsured and it is not sustainable. State government should play a smaller role and an across-the-board reduction in health care spending would relieve pressure on other parts of the budget—or on the taxpayer. Reduce the amount spent on medical services for all clients in public programs by 5%. | 1096 | %69.46 |
| Option 2 - Status Quo - Cover 8,000 more kids | The 08-09 budget includes expansion of health care to more than 8,000 previously uninsured kids. The Governor has publically committed to the Building Blocks for Health Care reform, which represents an incremental approach to health care reform and includes policies designed to address cost and quality in addition to access. | 162 | %10.27 |
| Option 3 - Cover most kids | Children are relatively cheap to cover, so why not do so? Current Colorado law includes a plan to cover all kids by 2010. Currently children living in families up to about twice the poverty level (about $40,000 for a family of four) are eligible. You could increase eligibility to include children living in families with up to three times the poverty level (about $60,000 for a family of four). | 157 | %9.95 |
| Option 4 - Cover all kids and low-income adults | In addition to covering every Colorado child, adults living below the poverty level ($10,400/yr for a single adult) would also be covered. Currently, parents are only covered by Medicaid if their incomes do not exceed 60% of the poverty level. Childless adults are presently ineligible for Colorado’s public insurance programs. | 100 | %6.34 |
| Option 5 - Cover most uninsured Coloradans | The Blue Ribbon Commission for Health Care Reform analyzed four proposals and developed one of its own. The Commission’s proposal would cover 87.6% of Coloradans who are currently uninsured, and would cost well over a billion dollars. Funding would almost certainly require a vote of the people. | 63 | %3.99 |
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Higher Education
The Department of Higher Education is responsible for vocational and higher education in the state. However, less than a third of the $2,773,769,830 budget comes from Colorado’s general fund. The Backseat Budgeter allows you to make spending adjustments in two areas: general support and financial aid.
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What changes would you make to higher education spending?

| Option 1 - Reduce higher ed spending by 6% | Reduce spending by 6% at Colorado’s public universities. Higher education should be forced to cut administration and faculty spending or look for non-public funding. However, a reduction could force cuts to administrative overhead which may inhibit universities’ ability to recruit and sustain high-quality faculty, force restructuring, and may even require the closure of certain higher education institutions. | 1002 | %65.79 |
| Option 2 - Status Quo - Provide adequate higher ed funding | In 2008 the State Legislature allocated an additional $51 million to higher education. This should adequately cover mandated salary increases for classified employees, some deferred maintenance, and utilities. | 318 | %20.88 |
| Option 3 - Fully fund community colleges | Colorado’s 13 community colleges within the Colorado Community College System serve more than 107,000 students annually across the state. According to a 2008 study, the Community College System needs an additional $100 million in order for these schools to provide the same educational opportunities to their students as other states. Voters passed Amendment 50 which will divert some revenue to community colleges. Given the uncertainly of the economy, the impact of this new revenue is still unknown. | 108 | %7.09 |
| Option 4 - Limit student tuition increases | Tuition increased at Colorado’s two largest universities by 9% for the 08-09 school year. Increased public support would limit tuition increases to match the rate of inflation. | 95 | %6.24 |
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What changes would you make to financial aid spending?

| Option 1 - Reduce average grants by 10% | A 10% cut would lower the average grant amount to $2,250 potentially forcing the schools and families to make up the difference. | 597 | %62.38 |
| Option 2 - Status Quo - Maintain funding levels for financial aid | Leave financial aid at around $100 million with small increases each year. With tuition rising 9% at CSU and CU this year, many students may take longer to get their degrees, some may not complete their studies, and others may be priced out all together. | 192 | %20.06 |
| Option 3 - Increase financial aid to match tuition increases | Historically, Colorado has provided average annual increases in funding for student aid programs between 8 and 9%. Increasing financial aid relative to tuition increases may improve higher education access for Coloradans. | 134 | %14.00 |
| Option 4 - Double financial aid | Increase the amount of financial aid for higher education by 50%. This could increase the number of students assisted by 21,000, increase the per-student grant to $3750, or a combination of both. | 34 | %3.55 |
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Human Services
The Department of Human Services provides support to Colorado’s disadvantaged residents, including child welfare services, senior services, youth corrections, services for the developmentally disabled and mental health and drug/alcohol abuse services. About one third of the funding for the department’s work comes from the state’s General Fund, another third is from the federal government and the last third is from a variety of sources, including local funds. The major cost-drivers are related to case-load and an aging population.
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What changes would you make to human services spending?

| Option 1 - Reduce Human Services budget by 5% | The state has the authority to cut back on certain services—such as those to the developmentally disabled and oversight of county human services. If necessary, policy makers could lower the human services budget line by 5% which would reduce the number and quality of services provided. | 1105 | %79.27 |
| Option 2 - Boost funding for DD and Child Welfare services - Status Quo | The 08-09 budget appropriation provides for a significant boost for services to developmentally disabled Coloradans, increases in child welfare caseloads, and cost of living adjustments to providers and staff. | 161 | %11.55 |
| Option 3 - Decrease DD wait list by 25% and fund county child services | Decrease the numbers of persons with developmental disabilities on the waiting list for services by increasing the human services budget by 25%, and fully fund child welfare services provided by county governments. | 68 | %4.88 |
| Option 4 - Decrease DD wait list by 50% and fund county child services | Increase funding to human services in order that the developmentally disabled waiting list be reduced by 50%, and fully fund child welfare services provided by county governments. | 60 | %4.30 |
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Education K-12
The largest slice of the General Fund is committed to K-12 Education. In 2000 voters passed Amendment 23, which requires state spending on education to increase by the rate of inflation plus 1% from 2001-2010, and by the rate of inflation afterward.
Yet even with the passage of Amendment 23, resources are scarce. Every spring legislators are faced with a myriad of policy issues concerning K-12 education including how much money will be allocated on a per pupil basis to Colorado schools and levels of funding for full-day kindergarten and preschool.
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What changes would you make to education: per pupil spending?

| Option 1 - Reduce K-12 Education budget by 5% | Cut funding to Colorado Department of Education by 5% across the board. However, this requires a vote of the people since Amendment 23 mandates annual spending increases. If this cut were approved by voters, local school boards would be responsible for making the necessary cuts (for example, athletic programs, larger class sizes and/ or transportation). | 888 | %52.27 |
| Option 2 - Status Quo - Fund immediate K-12 education needs | Amendment 23 requires funding increases of $162 per pupil in FY 08-09. The General Assembly actually increased the funding by $182 per pupil. This money is distributed to districts to pay teacher salaries, buy books and pay other operating expenses. This year the state allocated $2,957,050,579 in direct support to school districts. | 606 | %35.67 |
| Option 3 - Increase per-pupil funding to median of all states | Increase funding to a level that would make Colorado's per pupil funding equal to the median of all the states on an absolute dollar basis. Based on absolute dollars spent per pupil, Colorado is currently ranked 36th. Districts would prioritize how to spend this money. | 141 | %8.30 |
| Option 4 - Increase per-pupil funding based personal income | Increase funding to a level that would make Colorado’s per pupil funding equal to the median of all the states, but instead of using an absolute dollar figure, adjust for Colorado’s relatively high personal income. Based on this measure, Colorado is currently ranked 48th. Districts would prioritize how to spend this money. | 64 | %3.77 |
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What changes would you make to preschool & full-day kindergarten spending?

| Option 1 - Reduce funding for public ECE | For years the state’s commitment to early childhood education was limited to half day kindergarten and no preschool, except for those low-income students served by the Colorado Preschool and Kindergarten Program. A reduction in spending would eliminate new slots created in 2007 and 2008, and eliminate capital construction funding allocated to build classrooms for the additional students. | 718 | %65.81 |
| Option 2 - Status Quo - Invest in preschool and all-day kindergarten | The current budget includes $75 million of state funding for pre-school and all-day kindergarten slots and to support construction of additional facilities. This level of spending provides 10 hours a week of preschool to about a quarter of the state’s four-year olds and full-day kindergarten to about 12% of the state. | 274 | %25.11 |
| Option 3 - Preschool and full-day K for 1/2 Colorado's kids | You could cover 1/2 of the state's preschool and kindergarten-aged children through the Colorado Preschool and Kindergarten Program, allowing them access to preschool and full-day kindergarten services. | 52 | %4.77 |
| Option 4 - Preschool and full-day K for all | You could cover all of the state's preschool and kindergarten-aged children through the Colorado Preschool and Kindergarten Program, allowing them access to preschool and full-day kindergarten services. | 47 | %4.31 |
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Transportation
Generations of Coloradans have invested in a transportation system that includes over 9,000 miles of state highways and 3,754 bridges. A report written in 2005 under former Governor Bill Owens stated that $123 million would be needed just to keep the state’s transportation system operating through 2035 at current levels.
In January of 2008 an expert panel convened by Governor Bill Ritter made a series of recommendations to the General Assembly and the Governor. The Panel identified several revenue options that could be implemented. Although widely discussed in the 2008 legislative session, lawmakers did not take any action on the panel’s recommendations. The state currently spends around $8.5 billion on transportation. However, that amount could be supplemented with additional money from the General Fund.
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What changes would you make to transportation spending?

| Option 1 - Reduce transportation funding | If Colorado Department of Transportation (CDOT) funding is reduced, the state’s highways and roads are projected to deteriorate over the next 25 years (declining from 60%, or a “B” grade, to 32%). This would mean the majority of the state’s highways would be rated in “poor” condition. | 402 | %45.37 |
| Option 2 - Status Quo - Complete priority corridor projects | Of the 9 remaining projects designated by CDOT in 1996 as priorities, 4 traditional highway projects will be completed based on current funding levels. Only portions of the remaining 5 Major Investment Study Corridors (MIS) will be finished. MIS corridors include I-70 from DIA to Eagle County and portions of I-25 from Denver to Ft. Collins. | 208 | %23.48 |
| Option 3 - Bring roads graded "F" up to "D" levels | Colorado has 2,526 miles of state road with shoulders less than 4 feet and currently receives an “F” grade. Spending an additional $78 million would raise the level to a “D” grade. | 151 | %17.04 |
| Option 4 - Maintain bridges and surface treatments | With a substantial boost in annual revenue, Colorado drivers might see additional surface treatment and better maintenance resulting in the overall quality being upgraded from a “C” to a “B” grade. Also, Coloradans could be assured that 95% of the state’s bridges would be maintained at a “B” level. | 58 | %6.55 |
| Option 5 - Fully fund immediate transportation needs | One billion dollars sounds like, and is, an enormous amount of money. In addition to what is described in Options 2 & 3, 1 billion dollars would buy improvements to shoulders and additional funding for multi-modal transportation (offering commuters more than one form of transportation). | 67 | %7.56 |
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Corrections
The total cost to incarcerate one adult for one year in Colorado is $27,800. In 08-09, the Department of Corrections (DOC) estimates that it will be responsible for 24,327 inmates. For the last 20 years, the DOC budget has increased approximately 12% per year, which is largely due to the growing prison population (the 1980 population was 3,000). Governor Ritter has made slowing the increase or reducing the prison population a priority by seeking funds for prevention, anti-recidivism and mental health/substance abuse treatment. Since 1985, the percentage of prisoners incarcerated for drug offenses has quadrupled and non-violent drug offenders now make up more than 20% of Colorado’s prison population.
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What changes would you make to corrections spending?

| Option 1 - Reduce re-entry of parole violators by 15% | Implement a series of reforms that will reduce the re-entry rate of technical parole violators by 15%. This will reduce the inmate population growth rate to zero, thus eliminating the need to grow the DOC budget at historic rates. Savings would come in the form of reduction of private prison contracts. | 879 | %55.04 |
| Option 2 - Reduce re-entry and invest in prevention | Reduce the re-entry rate of technical parole violators by 15%, and put money into prevention and anti-recidivism programs. This combination of efforts will save the state money over time. | 568 | %35.57 |
| Option 3 - Status Quo - Fund current inmate population growth | The Corrections budget grew by $57 million in 08-09. This is due to the expanding inmate population. Currently DOC is adding 1,200 new beds a year at a rate of $78,000 per bed. DOC contracts with privately owned prisons for additional space, at a current annual price tag of $90 million. At the current rate of growth, the DOC budget will continue to grow at roughly twice the rate as the General Fund, thus increasingly crowding out all other state programs. | 75 | %4.70 |
| Option 4 - Double current investment in prevention and anti-recidivism programs | The Governor’s 08-09 Crime Prevention and Recidivism Reduction Package contains 12 initiatives with a General Fund allocation of $5,896,373. The Office of State Planning and Budgeting estimates that with the five-year costs factored in, the net savings is over $17 million. If the amount of money towards this program were doubled, Colorado could save as much as $34 million over the next decade. | 75 | %4.70 |
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Other
Colorado’s General Fund includes additional spending categories for the Departments of Public Safety, Public Health and Environment, Judicial and Revenue, in addition to those funds exempt from the spending limit. Together these make up about 10% of the General Fund. The Backseat Budgeter currently does not include any options on these items.
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