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Colorado Medicaid Boss To Exit Amid Funding Squeeze

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Published on March 31, 2026
Colorado Medicaid Boss To Exit Amid Funding SqueezeSource: Colorado Department of Health Care Policy and Financing

Kim Bimestefer, executive director of Colorado's Department of Health Care Policy and Financing, plans to step down in April, according to CBS Colorado. Her exit lands right as the state's Medicaid operation is wrestling with shifting funding and post-pandemic enrollment shakeups that have put the agency under intense pressure.

Colorado Department of Health Care Policy and Financing records list Bimestefer as the current executive director, first appointed in January 2018 and later reappointed under Gov. Jared Polis. According to CBS Colorado, she is set to leave next month, although the report did not spell out what date in April her tenure will officially end.

Why the timing matters for Medicaid

The department oversees Health First Colorado, the state's Medicaid program, and has been handling the post-pandemic unwind of continuous coverage, a process that has brought steep enrollment drops and some very tense budget talks. Reporting by The Gazette has detailed how those enrollment shifts, combined with changes to federal funding, have strained both health care providers and state finances.

What comes next

Leadership at the Department of Health Care Policy and Financing is selected through the governor's office and state confirmation procedures, a process that Bimestefer has already been through with her appointment and reappointment. Providers, rural hospitals, and lawmakers are likely to track the handoff closely, watching for any shift in pending rate proposals, repayment decisions, or other Medicaid policy moves.

The CBS Colorado report did not offer a reason for Bimestefer's departure and did not identify a successor. Additional details and any formal statements are expected to surface through the department's communications channels and follow-up coverage as they are released.