SAN JUAN COUNTY, COLORADO BOARD OF COMMISSIONERS MEETING AGENDA June 11, 2025 CALL TO ORDER: 8:30 A.M. OLD BUSINESS: Consider Bills and Authorize Warrants BOCC Regular Meeting Minutes for May 28, 2025 APPOINTMENTS: 8:40 A.M. - Becky Joyce Public Health Director 9:15 A.M. - Martha Johnson, Social Services 10:00 A.M. - Bevan Harris - Building Code Lunch - Location to be determined 1:30 P.M. - Blanche Placer Site Visit CORRESPONDENCE: NEW BUSINESS: Treasure's Report Sales Tax Update Public Comment Commissioner and Staff Reports OTHER: ADJOURN: Times listed above are approximate. Discussion of an agenda item may occur before or after the assigned time. Next Regular Meeting - 6:30 PM, Wednesday June 25, 2025 Join Zoom Meeting hpslco.w,926730N By Telephone: Dial 1 669-900-6833 and enter the Webinar ID 92136473203 when prompted. Meeting ID: 921 3647 3203 You Tube (live and recorded for later viewing, does not support public comment): htps/www.youube.com/Osmiumsountycoloradostreams SAN JUAN COUNTY BOARD OF COMMISSIONERS MET. JUNE 11, 2025 AND THE FOLLOWING BILLS WERE APPROVED FOR PAYMENT. 25957 CENTURY LINK SHERIFFS BILL 353.99 25958 KLINKE & LEW CONTRACTORS HOSPITAL WORK 300.00 25959 SILVERTON ELECTRIC HOSPITAL WORK 11117.09 25960 MOTOROLA SOLUTIONS INC SHERIFFS BILL 3180.00 25961 CREATIVE CRACKERJACK LLC GRAPHIC SIGHN SERVICES 610.00 25962 HUMANA INSURANCE CO DENTAL-VISION-LIFE INSURANCE 2091.34 25963 GARY DAVIS REIMB APRIL 25 MILEAGE 305.50 25964 SILVERTON WINDOW CLEANING CH-HOSP WINDOWS 700.00 25965 CITIZENS STATE BANK ANVIL PAYMENT 6770.33 ACH3 ALLIED BENEFIT SYS GROUP INSURANCE 20964.77 DD ABIGAIL H. ARMISTEAD SHERIFFS DEPUTY WAGES 3983.66 DD ADAM D. CLIFTON SHERIFFS DEPUTY WAGES 4051.66 DD AMIE R. GARDINER SHERIFF & NURSE ASSIST WAGES 3120.65 DD ANTHONY D. EDWARDS COMMUNICATIONS WAGES 4840.82 DD ARTHUR J. DONOVAN EPD WAGES 4958.50 DD AUSTIN P. LASHLEY COMMISSIONERS WAGES 1750.57 DD BRUCE T. CONRAD SHERIFFS WAGES 4350.98 DD CHARLE A. LANIS DEPUTY CLERK WAGES 3847.16 DD DEANNA M. JARAMILLO TREASURERS WAGES 3884.92 DD GARY L. DAVIS VETS OFFICER WAGES 1069.08 DD JOHN A. JACOBS SHERIFFS DEPUTY WAGES 1823.28 DD KERI METZLER CORONERS WAGES 1005.04 DD KIMBERLY A. BUCK ASSESSORS WAGES 3960.72 DD KRISTINA L. RHOADES SOCIAL SERVICE WAGES 3580.94 DD LADONNA L.. JARAMILLO COUNTY CLERKS WAGES 3977.22 DD. PETER C. MAISEL COMMISSIONERS WAGES 2140.27 DD REBECCA B. JOYCE COUNTY NURSES WAGES 4125.94 DD REBECCAJ. RHOADES CUSTODIANS WAGES 2095.03 DD SCOTT L. FETCHENHIER COMMISSIONERS WAGES 2153.03 DD SREPHEN W. LOWRANCE UNDERSHERIFFS WAGES 4458.68 DD WILLIAM A. TOOKEY ADMINISTRATORS WAGES 5890.01 25966 CITIZENS STATE BANK FEDERAL TAXES WITHHELD 23227.52 25967 CITIZENS STATE BANK STATE TAXES WITHHELD 3732.00 25968 25969 CITIZENS STATE BANK HS A SAVINGS 3000.00 25970 AFLAC INDIVIDUAL INSURANCE 182.78 25971 BVOID 25972 TEDDY MORSE'S MOTORSPORTS MOTOR CYCLE 2914.93 25973 GREAT-WEST LIFE GROUP RETIREMENT 3309.17 25974 CREATIVECRACRACKERJACK LLC DAVE ANDREWS DESIGN 1589.17 25975 TOWN OF SILVERTON W/S THRU 04-30-2025 4703.61 25976 SAN MIGUEL POWER BILLS 3417.90 25977 VISA BILLS 6303.13 25978 PETER C. MAISEL REIMB INSURANCE 1477.79 25979 WILLIAM A. TOOKEY REIMB INSURANCE 362.91 25980 LADONNA L. JARAMILLO REIMB INSURANCE 348.96 25981 SCOTT L. FETCHENHIER REIMB INSURANCE 372.43 25982 WEX BANK SHERIFFS FUEL 1060.99 25983 VISA COMMUNICATIONS BILL 301.55 25984 AMIE R. GARDINER REIMB MILEAGE 80.64 25985 BRUCE E. HARING, MA LPC MENTAL HEALTH PROGRAM 5100.14 25986 ROBERT ROOF, LPC COUNSELING 200.00 25987 CASSANDRA ROOF SERVICES 1540.00 25988 DAYNA KRANKER NURSE ASSISTANT PAY 1340.00 25989 CENTURY LINK ELEVATOR ROOM 103.80 25990 SFLC EMERGENCY ALLOCATION 7500.00 25991 GARY DAVIS REIMB MILEAGE 162.50 25992 VOID 25993 ALSCO UNIFORMS CUSTODIAN BILL 156.70 25994 AXXIS AUDIO CUSTODIAN BILL 208.75 25995 VERIZON SHERIFFS BILL 122.04 25996 DENNIS R. GOLBRICHT MAY 2025 SERVICES 4150.00 25997 LA PLATA DETENTION FACILITY MAY 2025 JAIL BILL 1638.00 25998 AMBULANCE ASSOCITION MAY 25 MONTHLY PAYMENT 49133.33 25999 VERO FIBER BILLS 969.10 26000 SILVERTON HARDWARE BILLS 330.86 26001 SILVERTON LP GAS COURTHOUSE-FD TANK FILL UPS 3544.62 26002 SILVERTON GROCERY BILL 174.41 26003 ANGELES MT CONSTRUCTION MAY 25 YARD WORK 5550.00 26004 MARIAH REEVES APRICITY LTD NURSE ASSISTANT PAY 2306.97 26005 SILVERTON CLINIC REIMB ERSHEV-LANGMUIR 4044.98 26006 CENTURY LINK SHERIFFS BILL 353.99 26007 CENTURY LINK SHERIFFS BILL 74.39 26008 KLINKE & LEW CONTRACTORS HOSPITAL WORK 16500.00 26009 GOVERNMENT SOFTWARE ASSESSORS BILL 3875.00 26010 IMAGE NET CONSULTING SHERIFFS BILL 128.37 26011 ORKIN CUSTODIAN BILL 75.00 TOTAL GENERAL 283129.61 ROAD 7620 MATHEW J. ZIMMERMAN FINAL PAYCHECK 5136.14 7632 HUMANS NSURANCE CO DENTAL/VISION/IFE INSURANCE 73.96 DD DANIEL W. BECHTEL ROAD OPERATOR WAGES 1412.04 DD LOUIS K. GIRODO ROAD OPERATOR WAGES 4641.82 DD MICHAEL W. KRISNOW ROAD FOREMAN WAGES 3763.54 DD RUSTY D. MELCHER ROAD OVERSEER WAGES 4991.19 DD WILLIA, T. MACDOUGALL ROAD OPERATOR WAGES 1968.87 7633 CITIZENS STATE BANK FEDERAL TAXES WITHHELD 7515.00 7634 CITIZENS STATE BANK STATE TAXES WITHHELD 1148.00 7635 GREAT WEST LIFE GROUP RETIREMENT 1177.00 7636 CITIZENS STATE BANK HS A SAVINGS 500.00 7637 VOID 7638 JOHN DEERE FINANCIAL JD GRDR PAYMENT 6589.95 7639 TOWN OF SILVERTON W/S THRU 04-30-2025 529.49 7640 ALSCO BILL 80.00 7641 RUSTY D. MELCHER REIMB CLOTHES ALLOWANCE 200.00 7642 SAN MIGUEL POWER BILLS 240.40 7643 VISA BILLS 291.90 7644 SILVERTON LP GAS TANK FILL UPS (2103-2363) 1218.68 7645 SILVERTON HARDWARE SUPPLIES 1377.93 7646 VOID 7647 FOUR CORNERS WELDING KOX-MAC 46.50 7648 WAGNER SUPPLIES 244.61 7649 POWER MOTIVE PARTS 15415.50 7650 WHISTLESTOP FUEL 3673.94 7651 CENTURY LINK BILL 156.44 TOTAL ROAD 62392.90 1095 SAN JUAN CO TOURISM LODGING TAX 25000.00 GENERAL 283129.61 ROAD 62392.90 TOURISM 25000.00 TOTAL ALL FUNDS 370522.51 WERE ALLOWED SETTLEMENT IN FULL BY ORDER OF SAN JUAN COUNTY COMMISSIONERS. AUSTIN LASHLEY, CHAIRMAN SCOTT L. FETCHENHIER, COMMISSIONER PETER C. MAISEL, COMMISSIONER LADONNA L. JARAMILLO, CLERK SAN JUAN COUNTY BOARD OF COMMISSIONERS REGULAR MEETING WEDNESDAY, MAY 28, 2025 AT 6:30 P.M. Call to Order: The meeting was called to order by Commissioner Lashley. Present were Commissioners Scott Fetchenhier, Pete Maisel and Administrator William Tookey. Commissioner Fetchenhier moved to approve the May 14, 2025 minutes as presented. Commissioner Maisel seconded the motion. The motion passed unanimously. County Road Supervisor Rusty Melcher was present to provide his monthly report. Correspondence was received from Dustin Eldridge encouraging the Commissioners to establish a wildland fire crew. The Fire Authority will be contacted to see what there current status is in developing a proposal and finding funding sources for the 2026 Budget year. Town Administrator Gloria Kaasch-Buerger submitted a letter to clarify some issues that had been discussed at the previous Commissioners meeting. Chairman Lashley will provide a letter of response. Hillary Cable submitted a letter to the Commissioners requesting that the honor the waiting list for the Anvil Mountain market rate lots. After considerable discussion concerning Anvil Mountain, it was the consensus to meet with the Silverton Housing Authority. Having no further business, the meeting was adjourned at 8:33 P.M. Austin Lashley, Chairman Ladonna L. Jaramillo, County Clerk SAN JUAN COUNTY DEPARTMENTOF SOCIAL SERVICES Department of Social Services Phone 970-387-5631 Fax 970-387-5326 Martha Johnson, Director 4/30/2025 Date 5/21/2025 Transmittal No. 4 Vendor Date Num Amount San Juan Cty 04/30/2025 11724 $ 5,842.74 La Plata County 04/30/2025 11723 $ 5,811.86 TOTAL $ 11,654.60 1, MARTHA. JOHNSON, Director of Social Services of San Juan County of Colorado, hereby certify that the payments listed above are available for inspection and have been paid to the payees listed. Warke olan 5-27- aoas MARTHA. JOHNSON 1, Austin Lashley, Chairman of the San Juan County Board of Commissioners, hereby certify that the payments as set forth above have this date been approved and warrants in payment thereof issued upon the Social Services Fund. Austin Lashley Post Office Box 376 Silverton, CO 81433-0376 (970)387-5631 San Juan County CDHS Allocation and Expenditures report For State Fiscal Year 2024-25 4/30/2025 FIPS 111 % of Fiscal % Year Program Allocation Expenditures Remaining Remaining Remaining CDHS County Admin 88,056 32,321 55,734 63.29% 16.67% HCPF Regular 23,708 4,979 18,728 79.00% 16.67% HCPF Enhanced 48,783 19,404 29,379 60.22% 16.67% APS Admin 30,000 2,238 27,762 92.54% 16.67% APS Client 2,000 2,000 100.00% 16.67% Child Care 8,867 5,210 3,657 41.24% 16.67% Colorado Works 44,697 13,144 31,553 70.59% 16.67% Colorado Works HB 22-1259 ARPA 77 -77 #DIV/O! 16.67% Child Welfare 80/20 55,445 31,650 23,795 42.92% 16.67% Child Welfare 100% 2,155 2,209 -54 -2.49% 16.67% CORE 80/20 10,351 10,351 100.00% 16.67% CORE 100% 18,869 20,000 -1,131 -6.00% 16.67% SEAP 444 0 444 100.00% 16.67% LEAP 1300.5200 530 1,732 -1,202 226.72% 41.67% Locked-in PHE Enhanc (M215.5400) 1,933 1,933 100.00% 16.67% Locked-in PHE Enhanc (M216.5405) 6,283 1,027 5,257 83.66% 16.67% Total 342,121 133,992 208,129 1 Boulder Board of County Commissioners County The Honorable Michael Bennet United States Senate Washington, DC 20510 The Honorable John Hickenlooper United States Senate Washington, DC 20510 The Honorable Joe Neguse United States House of Representatives Washington, DC 20515 The Honorable Dianne DeGette United States House of Representatives Washington, DC 20515 The Honorable Jeff Hurd United States House of Representatives Washington, DC 20515 The Honorable Lauren Boebert United States House of Representatives Washington, DC 20515 The Honorable Jeff Crank United States House of Representatives Washington, DC 20515 The Honorable Jason Crow United States House of Representatives Washington, DC 20515 The Honorable Brittany Pettersen United States House of Representatives Washington, DC 20515 The Honorable Gabe Evans United States House of Representatives Washington, DC 20515 May 13, 2025 Commissioner Claire Levy . Commissioner Marta Loachamin . Commissioner Ashley Stolzmann Boulder County Courthouse - 1325 Pearl Street . Boulder, Colorado 80302 Mailing Address: P.O. Box 471 . Boulder, CO 80306 . www.Bouercountyow Commissionersebouldercountygov . Telephone: 303.441.3500 . Fax: 303.441.4525 Oppose requiring Coloradans to resubmit paperwork and verification twice a year: Medicaid is an efficient program, more efficient than any other health care plan in the state: 96% of Colorado Medicaid's budget goes to pay health care providers, with only 4% going to administration. Like the private market, Medicaid requires redetermination each year, unless a person experiences a major life change. Increasing paperwork for Coloradans and requiring the hiring of more staff to administer twice-per-year verifications increases waste and cost in the system. Thank you for your service to our shared constituents and we respectfully request you reject changes to Medicaid that reduce access to life saving health care, create more administrative burdens for Coloradans, and increase costs fori individuals, businesses, and government. Sincerely, Boulder County Board of Commissioners CC: Governor Jared Polis Colorado Senators Judy Amabile, Janice Marchman, Katie Wallace Colorado Representatives Kyle Brown, Junie Joseph, Karen McCormick, Lesley Smith, Dan Woog LARIMER COUNTY Board of County Commissioners P.O. Box 1190, Fort Collins, Colorado 80522-1190, 970.498.7010, Larimer.gov June 2, 2025 The Honorable Michael Bennet The Honorable John Hickenlooper United States Senate United States Senate Washington, DC 20510 Washington, DC 20510 The Honorable Joe Neguse The Honorable Gabe Evans United States House of Representatives United States House of Representatives Washington, DC 20510 Washington, DC 20510 The Honorable Lauren Boebert United States House of Representatives Washington, DC 20510 Dear Senator Michael Bennet, Senator John Hickenlooper, Representative Joe Neguse, Representative Gabe Evans, and Representative Lauren Boebert, We write in strong opposition to the changes passed in the One Big Beautiful Bill Act (OBBB, H.R. 1) to the Supplemental Nutrition Assistance Program (SNAP) and Medicaid program that would greatly impact the most vulnerable Coloradans. These changes will cause Coloradans to lose access to crucial food and medical services while shifting significant costs and administrative burden to state and local governments. These changes are predicated on false information that SNAP and Medicaid recipients are not working, when in fact most recipients are working or involved in employment or educational training programs. Nationally, SNAP is the largest federal nutritional program reaching nearly 41 million Americans, particularly in rural communities. In Colorado, we have seen staggering increases in the number of low-income households receiving SNAP as the cost of living has increased dramatically. For Larimer County, we have seen a 156% increase in households receiving SNAP from 2020 to 2025 with the fastest growing population being older adults living on fixed incomes. Beyond helping the 50,000 Larimer County residents (14% of the county population) gain access to food through SNAP, it brought $74 million in 2024 to our local economy. The proposed cuts of $300 billion to SNAP over the next ten years would shift a significant portion of the program's costs to states and counties in two ways. First, the changes would increase the non-federal share of the administrative funding from 50% to 75%. Second, it would impose an additional punitive cost-share methodology to error rates both SNAP and Medicaid client data. Providing this level of data is a violation of state and federal data privacy regulations and is a violation of the SNAP recipients' data protection. We respectfully request that you: Oppose cuts to SNAP or Medicaid. Oppose FNS gaining access to any PII data for SNAP recipients, also putting their health-related data at risk. Oppose work requirements on Medicaid and the aggressive and unfunded implementation deadlines. Oppose Medicaid process changes to require that recipients resubmit paperwork verification twice a year which will more than double county administrative workload with less federal funding available. Act to waive commensurate cuts to Medicare as required by the 2010 "PAYGO" law. We thank you for your service to Colorado and your time and attention to these crucial issues facing all Coloradans. Please reach out with any questions. Sincerely, %L Syhens Kristin Stephens Chair, Board of County Commissioners CC: Governor Jared Polis, Senator Cathy Kipp, Senator Janice Marchman, Senator Barb Kirkmeyer, Representative Lesley Smith, Representative Rob Weinberg, Representative Yara Zokaie, Representative Andy Boesenecker, Representative Ryan Armagost, and Representative Lori Sander NACHSA NATIONAL ASSOCIATION OF COUNTY HUMAN SERVICES ADMINISTRATORS The Honorable Mike Johnson The Honorable Hakeem Jeffries Speaker United States Minority Leader House of Representatives United States House of Representatives May 21, 2025 Dear Speaker Johnson and Minority Leader Jeffries: The National Association of County Human Services Administrators (NACHSA), a professional affiliate of the National Association of Counties (NACo) representing the administrators of essential economic support programs serving low-income county residents, writes in opposition to the One Big Beautiful Bill Act (OBBB). As currently drafted, the OBBB will upend the longstanding partnership between the federal, state, and local governments in operating and jointly financing the Medicaid and Supplemental Nutrition Assistance Programs, which provide critical services to millions of our country's most vulnerable Americans, including children, the elderly, people with disabilities, and low-income adults. With more than $1 trillion in projected cuts over 10 years to these programs alone, this legislation threatens the solvency of state and county budgets while imposing new, unfunded mandates on county human services agencies. We urge Congress to reject these untenable cuts to the core health care and food assistance programs protecting the health and well-being of low-income families and individuals. As the largest federal nutrition program reaching nearly 41 million households, SNAP is a foundational part of the social safety net and has a significant impact on combating hunger and poverty in low-income households, particularly in rural communities. Beyond helping struggling families put food on the table, SNAP stimulates local economies during downturns, feeds people during natural disasters, offers nutrition education and provides certain participants with Employment and Training (E&T) services. County human services agencies are responsible for administering this key program in ten states representing 34.3 percent of total participants (14.6 million people): California, Colorado, Minnesota, New Jersey, New York, North Carolina, North Dakota, Ohio, Virginia and Wisconsin. In most of these states, counties contribute substantial local funds towards the administrative and supplemental costs toward the program. The OBBB's proposed cuts of $300 billion over 10 years to SNAP would radically transform the program's ongstanding intergovernmental partnership by shifting a significant portion of the program's costs to state and county governments, both by increasing the non-federal share of administrative funding to 75 percent and imposing a new, punitive benefit cost-share tied to National Association of County Human Services Administrators I www.nachsa.Org county residents are even more likely to lose access to these programs, face longer wait times and suffer adverse health and eçonomic outcomes as a result. NACHSA members look forward to continuing our work together as intergovernmental partners to improve health and human service delivery SO that low-income households access the economic supports they need while safeguarding program integrity. However, we urge you to reject the OBBB, which will undermine our important shared mission by cutting critical funding and imposing unworkable administrative requirements. If you have questions about our positions, please have your staff contact Tom Joseph and Rachel Mackey, Washington Representatives for NACHSA, at @parsonoobynecom and mepanonbbv.ngcon. Sincerely, Debbie-Ann Anderson NACHSA President Director, Human Services Union County, New Jersey National Association of County Human Services Administrators I www.nachsa.org NATIONAL ASSOCIATION af COUNTIES. NACO May 21, 2025 The Honorable John Thune The Honorable Mike Johnson Republican Leader Speaker United States Senate United States House of Representatives The Honorable Chuck Schumer The Honorable Hakeem Jeffries Democratic Leader Democratic Leader United States Senate United States House of Representatives Dear Leader Thune, Leader Schumer, Speaker Johnson, and Leader Jeffries, On behalf of the nation's 3,069 counties, parishes and boroughs, the National Association of Counties (NACo) writes as an intergovernmental partner to express our concerns about significant cost shifts to county governments through the Supplemental Nutrition Assistance Program (SNAP) currently under consideration. Counties are trusted stewards of public resources and responsible for administering SNAP in ten states (California, Colorado, Minnesota, New Jersey, New York, North Carolina, North Dakota, Ohio, Virginia and Wisconsin), representing 34.3 percent of total participants, or 14.6 million people. In nine of these ten states, counties are responsible for either partially or fully funding the 50 percent non-federal match requirement for SNAP administrative funds. Already operating under tight budget constraints and facing difficulties raising additional local revenue, a cost-shift in either benefit administration or the administrative match requirement would greatly increase the demand on local service providers and hurt counties' ability to meet our residents' needs, not only for food security, but also potentially for justice, public safety, emergency management, infrastructure and economic development. While we share the goal to improve program integrity and evidence-based outcomes related to SNAP, cost shifts to county governments could have unintended consequences for county budgets and local service delivery. In California, counties cover 28 percent of the non-federal administrative match and would face an additional $173 million in annual expenses based on FY 2023 figures, while managing benefits totaling over $12 billion each year. New York counties, responsible for 100 percent of the non-federal administrative matching funds, would be forced to absorb an additional $240 million per year based on FY: 2024 figures, with benefit cost shares potentially exceeding $1.8 billion. In New Jersey, counties would see administrative costs increase by $78 million, and North Carolina counties would face a $68.5 million rise in administrative costs based on FY. 2023 and FY 2024 figures. Based on FY: 2023 figures, Minnesota counties would see costs rise by $42.8 million annually, while also managing an increased workload due to outdated eligibility systems and expanded work requirements. M COLORADO Statewide Fact Sheet Department of Health Care HCPE Policy 8 Financing Fiscal Year 2024 $12,386,962,479 Health First Colorado Claim Types* Total Health First Colorado expenditure Long Term Care $3,957,423,216 Pharmacy Claims $1,756,075,610 23.49% Professional Claims $1,535,1 148,240 of the state population is enrolled in Health First Ancillary Services $1,251,565,272 Colorado Inpatient Claims $1,118,621,674 1,390,186 Outpatient Claims $721,415,426 Average number of Health First Colorado members enrolled per month Health First Colorado Population 471,984 of these members were 398,364 Affordable Care Act (ACA) Non-Expansion Adults Expansion Adults & Parents 519,839 Children 68,566 Average number of Child Health Plan Plus (CHP +) members enrolled per month 471,984 Expansion Adults Enrollment and expenditure data is from Colorado Interchange for Fiscal Year 2024 (7/1/23-6/30/24). Population data is from Colorado Department of Local Affairs ntos//demography.dala.clerado.sov, Member counts may be hidden to protect Personal Health Information (PHI). *Capitation payments are not included in the Claim Types expenditure breakout. Health First Colorado expenditures do not include CHP+, supplemental payments, or drug rebates. Members with unknown county were included in this analysis. COLORADO San Juan Fact Sheet Care County Department of Health Policy 8 Financing Fiscal Year 2024 $839,412 Health First Colorado Claim Types* Total Health First Colorado expenditure Pharmacy Claims $139,426 Inpatient Claims $135,376 24.52% Ancillary Services $111,465 of the county population is enrolled in Health First Long Term Care $101,692 Colorado Professional Claims $84,406 194 Outpatient Claims $73,913 Average number of Health First Colorado members enrolled per month Health First Colorado Population 92 45 of these members were Non-Expansion Adults 57 Affordable Care Act (ACA) Children Expansion Adults & Parents *n/a Average number of Child Health Plan Plus (CHP +) members enrolled per month 92 Expansion Adults Enrollment and expenditure data is from Colorado Interchange for Fiscal Year 2024 (7/1/23-6/30/24). County population data is from Colorado Department of Local Affairs htips//demography.dola.colorado.sov Member counts may be hidden to protect Personal Health Information (PHI). *Capitation payments are not included in the Claim Types expenditure breakout. Health First Colorado expenditures do not include CHP+, supplemental payments, or drug rebates. 6/10/25, 1:41 PM San Juan County Mail Bevan's Staff Report Gmail Willy Tookey