The cost of Medicaid services has the attention of state legislatures. Colorado is assessing their options (see Colorado Budget Panel Weighs Competing Plans On Medicaid As Costs Soar). The Colorado Medicaid Provider Rate Review Advisory Committee is recommending a plan that is different, and more expensive, than the proposal from the governor’s office.

In California, the Legislature’s Nonpartisan Fiscal And Policy Advisor just released their Medi-Cal budget report—Medi‑Cal Fiscal Outlook. It points out the largest driver of growth ($12.8 billion) comes from Increases in member utilization and rate increases. And Utah’s economists are concerned about paying for Medicaid in 2026. The federal government funded 64.4% of Utah’s Medicaid program in 2025, but the economists are making future projections…