Colorado’s long-term services and supports system serves people with physical, cognitive, and intellectual disabilities who need assistance with daily living. The system, which includes home and community-based services (HCBS), nursing facilities, supported living arrangements, and provider networks, faces significant challenges around access, workforce stability, and alignment with what people with disabilities actually need to live with independence and dignity.
The Colorado LTSS Coalition was established to build a stakeholder-driven process for examining those challenges and developing grounded, actionable recommendations. Funded by the Colorado Health Foundation and facilitated by Confluence Policy & Strategy Group as neutral process facilitator, the coalition will work from June 2026 through September 2027.
The coalition will examine a range of interconnected issues affecting Colorado's LTSS system. These are the initial issue areas identified through the kickoff process. Input opportunities will be organized by topic as the coalition's work advances.
