Colorado health policy has circled around greater access in rural areas and cost-effective healthcare through inciting competition in the state. Colorado's proposal to create a public option, prescription drug rebating for Medicaid, and active policy improvements in the exchange marketplace are suggestive of the same. However, public option legislation has been abandoned due to the COVID-19 pandemic and the difficulties the pandemic poses for provider negotiations. Job losses will steer enrollment into government-held plans and away from employer insurances.

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