Gabe Evans has spent two years in Congress casting votes that directly impacted Colorado families’ health insurance bills. Premiums went up, and more families lost coverage. That didn’t happen by accident — Evans’ votes made it happen. This page examines Gabe Evans’s record on health care costs compared to State Rep. Manny Rutinel’s record on affordability in the Colorado legislature, and links each claim to the reporting or public record behind it.
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One in four people in Evans’s district — about 192,000 Coloradans, including nearly 10,000 with disabilities requiring long-term care — rely on Medicaid. On July 3, 2025, Evans voted yes on H.R. 1, which the Congressional Budget Office says cuts federal Medicaid spending by roughly $1 trillion over 10 years. A Public Citizen analysis found nine Colorado hospitals at risk of service cuts or closure; a KFF analysis estimated 150,000 Coloradans could lose health insurance because of the Medicaid changes.

The day before the House voted on H.R. 1, Rep. Greg Casar confronted Evans in the Capitol holding a constituent’s letter about Medicaid. Evans said, “We’re not cutting Medicaid,” and then voted for the bill the next day.

Manny Rutinel is the son of a single mother who immigrated from the Dominican Republic. He worked as an economist for the U.S. Army Corps of Engineers and as an attorney holding corporations accountable for breaking the law. He has served as a Colorado state representative, working on legislation expanding access to health care, housing, and poverty-reducing tax credits.
