An under-the-public-radar federal rule change is shrinking pay for migrant farmworkers at the same time a highly debated new state law is going to cut into their overtime pay. 

The U.S. Department of Labor has changed the way wages are calculated for H-2A seasonal workers and is allowing employers to pay $2 to $3 less per hour to those workers who receive housing as part of their work contracts. The federal government requires that housing for H-2A workers.

This change championed by the Trump administration will affect the estimated 3,500 H-2A workers who toil in Colorado’s fields and orchards each year. 

The Department of Labor isn’t calling this a wage decrease or a pay deduction. The new rule refers to it as a “downward compensation adjustment.” It doesn’t show up as a deduction on paychecks. The paychecks are simply smaller.

“We can’t call it a pay deduction. It’s a housing adjustment to the wage,” said Liz Talbott, who handles the accounting for H-2A workers at Talbott Farms in Palisade.

Whatever the term used to describe the change, this new federal rule means that H-2A farmworkers in Colorado who earned $17.84 per hour last year, will get $15.16 this year. 

The change could have dropped wages even further except that Colorado’s minimum wage requirement prevented the housing adjustment from taking a bigger bite out of paychecks. The hourly wage for Colorado farmworkers can’t go below $15.16. In some states without that minimum wage protection, H-2A farmworkers will receive as little as $9 per hour.

The new rule does not require employers to pay less, so some are opting to ignore the Department of Labor rule and to keep wages at the same level as last year.

“We are not changing it,” said Gwen Cameron, who employs 11 H-2A workers in the field crew at her Rancho Durazno orchards in Palisade. “We can still be profitable.”

She said she knows of other farms, including Honey Rock Landing in Dominguez Canyon between Delta and Grand Junction, and Topp Fruits in the North Fork Valley, that have also opted to keep wages at the 2025 level. 

News of lower wages delivered just before farmworkers headed north 

At Talbott Farms near Palisade where 95% of the workers are employed with H-2A visas, co-owner Bruce Talbott said they will make use of the new “formulation.” He said labor makes up 85% of his cost to produce peaches.

“I think this is good for the industry and good for the workers,” Bruce Talbott said. “These guys feel like they have won the lottery when they come here. They are treated well. They are still quite happy. These guys have no expenses except for food. They send 95% of their wages home.” 

He said this season some of those workers will be living in a newly completed 24-unit bunkhouse at Talbotts that can hold 48 workers.

Tuxedo Corn in Montrose County has long prided itself on fair treatment of its workers and is a participant in the national Fair Food Program. It has also opted to pay the lower wage.

“It gives me no pleasure to do that,” said David Harold, who co-owns Tuxedo with his father, John Harold. “We are adjusting everything we can to be legal but reduce our costs.”

Harold insists the new federal rule does not mean he is charging his workers for housing that Tuxedo has long provided at no charge. 

“I am not charging for housing,” Harold said. “I am paying the lower rate allowed because I provide housing.”

Harold said he advised his H-2A workers at the end of last year’s season that there might be cutbacks in paychecks this year.

Some migrant farmworkers had no idea about the lower pay until they showed up at the American Consulate in Monterrey, Mexico, said Iriana Medina Roy, the executive director of La Plaza, a resource center for migrant workers in Palisade. 

H-2A rules require migrant workers to travel to Monterrey to sign their work contracts and board buses that take them to jobs across the United States. Some reportedly opted to return home when they learned of the lower pay. 

“The workers are not happy. But work is work,” Medina Roy said. “For me, it seems not just. It is not fair.”

Cameron said there is still a lot of confusion among workers about the wage adjustment that is part of a byzantine set of tiered pay changes called the Adverse Effect Wage Rate.  

The primary purpose of the Adverse Effect Wage Rate is to prevent the employment of foreign workers from negatively impacting the wages and working conditions of U.S. workers.

Calculating wages to fit within that framework includes having to establish pay levels based on different tiers of skill levels and on the fact that domestic workers generally do not receive housing benefits as migrant workers do.

Liz Talbott said she tried to let workers know about the change coming in their paychecks, but for the first group of 50 Talbott’s workers who came to the Monterrey consulate in January and February, there was little information from the Department of Labor to pass on to workers. Growers say they are still sorting through the perplexing rules — an effort that has been slowed and complicated by the recent government shutdown.

“We didn’t receive a lot of guidance so we didn’t have a lot of information for our workers,” she said.

She said she hopes to be able to provide better information for 45 H-2A workers who will come to Talbott Farms in June. 

Bruce Talbott said the bigger concern for his H-2A workers now is the new state legislation, Senate Bill 121, that will increase the point at which agricultural workers are eligible for overtime pay to 56 hours per week from 48 starting on Jan. 1, 2027.

Legislation passed in 2021 that went into effect last year had set the overtime threshold at 48 hours for most workers who are classified as highly seasonal. During peak weeks of work that threshold can go up to 56 hours for some small growers. Workers must be paid time and a half over that threshold. 

Senate Bill 121 squeaked by on a vote of 33-32 after some of the most contentious debates on the House Floor this session centered on worker protections and help for struggling farmers. The bill is currently on Gov. Jared Polis’ desk awaiting his signature.

Four upstream states in the Colorado River Basin, including Colorado, agreed to release up to 325 billion gallons of water out of a Wyoming reservoir to help one of the basin’s most important water supplies, Lake Powell. 

The lake’s water levels have fallen to historical lows after 20 years of prolonged drought, and this year’s record-poor snowpack is exacerbating an already tense situation. The Upper Basin states’ approval is the first step in finalizing the releases under a 2019 agreement to help the basin respond to extremely dry years. The Department of the Interior is expected to approve the plan this week after announcing the intended drought-response releases Friday.

But pulling from the Wyoming reservoir, Flaming Gorge, will have local impacts, the state’s officials said during an Upper Colorado River Commission meeting Tuesday. 

“Nobody’s incredibly anxious to do this,” Colorado’s Commissioner Becky Mitchell said before a vote.

“All in reluctant favor?” she said, followed by unanimous approval.

The releases could begin as soon as Thursday pending the Secretary of the Interior’s final approval, said Wayne Pullen, the Upper Colorado Basin regional director for the Bureau of Reclamation.

Basin states were still waiting for the expected federal approval as of Wednesday afternoon.

The mountains in Colorado, Utah, Wyoming and New Mexico provide most of the water that flows through the Colorado River Basin to support 40 million people and multibillion-dollar industries. 

This year, the Upper Colorado River Basin’s snowpack peaked around March 9, a month early, and has been declining rapidly, Chuck Cullom, UCRC executive director, said Tuesday.

The forecast flows into Lake Powell totaled 1.4 million acre-feet as of April. It was expected to drop to 900,000 acre-feet within the next month — which roughly equals the spring runoff into the immense reservoir in 2002, another extremely dry year, Cullom said.

One acre-foot equals about 325,800 gallons, or the water used by two to four households each year.

With the small inflows at Powell, officials are warning that water levels in the reservoir, located on the Utah-Arizona border, could fall below a critical elevation. 

At that point, low water levels could lead to damage in the dam’s internal infrastructure, like the pipes that lead to electricity generating turbines, or fall below the turbine intakes, which would halt power production altogether.

“It’s clear that additional actions at Lake Powell are necessary,” Cullom said.

But the decision comes with local impacts and basinwide drawbacks.

The upstream reservoirs, including Flaming Gorge on the Wyoming-Utah border, are small and the drought releases are a limited tool, Wyoming’s Commissioner Brandon Gebhart said. 

The drought releases won’t rescue the basin from an extended water crisis, he and other state and tribal officials said. 

It’s a short-term solution: Once released, the water can’t be relied upon year after year, officials said. It’s going to take time for these reservoirs to recover before the states can do this again.

Flaming Gorge was 46% full and 57 feet below capacity as of Tuesday.

The drought releases will have significant negative impacts on water resources, local economies, fisheries, local marinas and recreation in the Upper Basin, Gebhart said.

Colorado communities felt similar impacts in 2021 and 2022 when state and federal officials agreed to draw down Blue Mesa, a federal reservoir near Gunnison and the largest in Colorado, to support water levels at Lake Powell. 

Blue Mesa recovered its lost water, but with spring runoff so low, federal and state officials do not plan to tap Blue Mesa this year as part of the drought-response plan.

This year’s decision to release additional water in response to drought wasn’t made lightly, Gebhart said. 

“We wouldn’t be recommending this release, except for the historically dry conditions,” he said.

A rare fire weather warning has been issued by the National Weather Service, warning both rural and urban residents in south central and southeastern Colorado of 60-mph wind gusts and extremely dry conditions Wednesday that pose a “significant threat to life and property.”

Strong winds out of the southwest, between 25 and 35 mph, coupled with relative humidity levels in the single digits, prompted forecasters to warn of a “particularly dangerous situation” in the Upper Arkansas Valley, the San Luis Valley, the Wet Mountains and Sangre de Cristo Mountains.

The conditions are expected from 10 a.m. to midnight Wednesday, though the highest risk will be between 2 p.m. and 7 p.m.

“In some cases, safe and timely evacuation may not be possible should a fire approach,” forecasters in Pueblo said. 

Critical fire weather conditions are forecast across much of southeastern Colorado on Wednesday, stretching from the New Mexico border to the south to the Kansas border to the east.

In the San Luis Valley, blowing dust could bring very low visibility at times, making travel difficult, and strong winds could blow down trees and power lines.

“Use caution if you must drive across the San Luis Valley on Wednesday,” forecasters warned. 

Xcel Energy said it will shut off power, starting at noon, to about 7,100 customers in Alamosa, Conejos, Costilla and Rio Grande counties to reduce the risk of wildfire. Customers can look up their address online to see if they may be impacted by the power shutoffs. 

According to the latest U.S. Drought Monitor, issued April 16, 97% of Colorado is in moderate to exceptional drought conditions, caused in part to record-high temperatures in March and historically low snowpack. 

Elevated fire danger could continue through Thursday, forecasters said.

Federal and state officials have proposed severe drought response actions, like drastically cutting water releases from Lake Powell, in face of a historically dry year and worsening conditions in the Colorado River Basin.

The Bureau of Reclamation announced Friday it will likely reduce Lake Powell water releases to 6 million acre-feet, the lowest amount in decades. It also intends to release additional water from Flaming Gorge, an upstream reservoir, to help elevate the water level in Lake Powell. The decisions could raise the specter of forced water cuts in states including Colorado, impact endangered fish populations and affect communities and economies.

Basin states, tribes and partners continue to provide feedback on the proposed releases. A final decision will be coming next week, Reclamation said Friday in a news release.

“Given the severity of the risks facing the Colorado River system, it is imperative that we take action quickly to protect a resource that supplies water to 40 million people and supports vital agricultural, hydropower production, tribal, wildlife, and recreational uses across the region,” Andrea Travnicek, Reclamation’s assistant secretary of water and science, said in the news release.

The Colorado River Basin, which stretches from Colorado’s mountains to the Pacific Ocean, saw about a quarter of its typical snowpack this year. The skimpy snowpack also shrank the amount of water flowing into the basin’s two major reservoirs, lakes Mead and Powell, the largest reservoirs in the nation. Lake Powell’s lower probable inflow is forecast to be just 2.78 million acre-feet — 29% of historical average and one of the lowest on record.

Powell held about a quarter of its storage capacity as of a Bureau of Reclamation presentation Friday. Mead held about a third of its capacity. The amount of water stored in federal reservoirs across the basin was just 36% as of Friday.

If the water level at Lake Powell falls too low, it can endanger critical infrastructure in the dam and stop hydroelectric power generation, which helps supply communities across the West with affordable, renewable energy. 

The immense reservoir’s water levels are projected to fall below these key points by August, according to a monthly federal forecast released Friday called the 24-month study.

Or it could be as early as June, the Upper Colorado River Commission said in a news release Friday. The commission is a joint body that includes the Upper Basin states, like Colorado, and is a deciding force in Upper Basin water policy.

In response, the Bureau of Reclamation, the federal agency that operates Glen Canyon Dam at Lake Powell, has already held back about 598,000 acre-feet of water to try to maintain higher water levels in the reservoir. (One acre-foot roughly equals the annual water use of two to four urban households.)

That water was scheduled to flow to downstream communities in Arizona, California, Nevada and northern Mexico. The bureau still plans to release it before the water year ends Sept. 30, according to the April 24-month study. 

But that is not enough.

To elevate water levels in Lake Powell, Reclamation officials intend to release 660,000 to 1 million acre-feet of additional water from Flaming Gorge Reservoir on the Utah-Wyoming border. The reservoir was 83% full as of Friday, and the releases over the next 12 months will reduce it to 59% of its capacity.

As of Friday, Reclamation did not plan to release water from two other upstream reservoirs — Blue Mesa, the largest reservoir in Colorado, and Navajo Reservoir on the Colorado-New Mexico border — because of their low water levels and poor forecast inflows.

The bureau also intends to release a total of 6 million acre-feet from Glen Canyon Dam this water year, which began Oct. 1 and will end Sept. 30.

For months, Reclamation has been planning to release a total of 7.48 million acre-feet from the dam. Since 2015, releases have ranged from about 7.08 million acre-feet in 2022 to 9.26 million acre-feet in 2019, according to a 2024 report from the Upper Colorado River Commission.

Reclamation only has limited authority to drop releases to 6 million acre-feet because of a near-term agreement developed in 2024 in response to the basin’s prolonged drought, shrinking flows, overuse and plummeting reservoir levels.

If the feds release 6 million acre-feet of water this year, it could open the door to legal arguments from Lower Basin states calling for upstream states to make forced water cuts.

Lawsuits — often dubbed the nuclear option — could mire the entire basin in years of legal uncertainty and expensive court battles while leaving the basin’s water future in the hands of U.S. Supreme Court justices instead of local and state water managers.

Responses around the basin

Politicians, water officials, environmental groups and other water users are voicing widespread concerns about conditions in the basin. 

The shrunken releases from Lake Powell will accelerate declining water levels in Lake Mead, potentially reducing Hoover Dam’s hydropower generating capacity by 40% as early as this fall, Reclamation’s announcement said.

At upstream reservoirs, boating access may be reduced earlier in the season than normal. In the Grand Canyon, lower flow rates will affect rafting conditions, and fishing may be more challenging. At Lake Mead National Recreation Area, reduced water levels may further limit boating access, the bureau said.

In Colorado, cities and water utilities are calling for residents with lawns and gardens to make voluntary water cutbacks. In some cases, they are implementing drought restrictions.

Some environmental advocacy groups, including Western Resource Advocates, are pushing Reclamation to time releases to mimic natural conditions to benefit native and endangered fish and other aquatic species if they have to make releases from upstream reservoirs. 

There are endangered fish in the Green River below Flaming Gorge that could benefit if the drought response releases replicate the natural surge of water during spring runoff.

“The water is going to Powell regardless, so let’s do it in a way that actually provides some benefit along the way,” said John Berggren, WRA’s regional policy manager for the healthy rivers department.

In a joint statement earlier this month, governors from the four Upper Basin states — Colorado, New Mexico, Utah and Wyoming — said their states are actively cutting off water users, like farmers and ranchers.

“This is an unprecedented year on the Colorado River, and likely will be one of the worst on record,” governors from four upstream states, including Colorado, said in a news release this month. “A dry year like this reminds us of why it is critical that all who rely on this resource learn to live within its means and adapt our uses accordingly.”

In early April, the governors spoke in favor of releasing water from Flaming Gorge or other upstream reservoirs, as long as the releases comply with existing agreements and reservoirs eventually recover the water they lost because of the drought release.

“We must have a clear understanding of how these proposed releases will effectively protect elevations at Lake Powell,” the governors said. “Once the releases conclude, we expect that all water released from Flaming Gorge and other upstream reservoirs will be fully recovered.”

This year’s water challenges come at a time of transition, Reclamation said. The existing agreements that guided Colorado River reservoir operations for 20 years are set to expire this year. 

The seven basin states have not reached consensus on a new operating framework, the bureau said. 

Without that agreement, the Interior Department, which oversees the bureau, “will be prepared to determine operations for post-2026 later this summer to provide certainty and stability for the Colorado River Basin,” Reclamation said.

The first time Toni Fernandez got high off opioids, the pills were stolen from a little orange bottle in a friend’s parent’s medicine cabinet. She was in the seventh grade, growing up in Alamosa, the region of Colorado flooded with the most prescription opioids during the height of the opioid epidemic.

“One of the kids in our school, I guess his dad was prescribed large amounts of narcotics,” Fernandez said. “And he would just bring them and share them with us.”

Alamosa, in the high-desert basin of the San Luis Valley, was flooded with more than 17 million prescription pain pills between 2006 and 2019, equating to 77 pills per resident per year. Two worlds coexist in the quaint rural town. In one, children play in the park next to the Rio Grande while neighbors wave hello to each other along Main Street. In the other, a mass dumping of opioids has led to life-altering addictions that have broken families, devastated bank accounts and left some without homes.

Fernandez found herself living in the latter world. At 21 years old, she was prescribed Percocet and Valium for a back injury. Once the pain resolved, she continued to chase the euphoric high the pills brought her.

“Living the fast life, doing drugs, selling drugs, all the things — that was just the culture,” Fernandez said. 

From there, Fernandez struggled through years of addiction, moving to meth and heroin when pills sold on the street got too expensive.

In 2020, Fernandez sought medical treatment for her addiction, accessing Medicaid, the federal government’s health insurance program for the poor and disabled, to pay for drug treatment that played a central role in her journey of recovery.

“For the first two and a half years of my recovery, I was using a Vivitrol shot, which was like a godsend,” she said, referring to a prescription drug used to treat addiction by blocking opioid receptors and reducing cravings.

But these days, the passage of Medicaid cuts under the Trump administration may make the treatments that helped turn Fernandez’s life around inaccessible to the many still struggling in Alamosa and throughout the valley. Under new work requirements and federal funding cuts, those in need of costly treatments for their addictions may face insurmountable financial barriers.

Without insurance, treatments that help curb withdrawal symptoms like Vivitrol cost around $1,000 to $1,500 per monthly injection. Suboxone, a similar treatment, costs between $150 and $500 for a 30-day supply. For someone in Fernandez’s situation, accessing these treatments without any form of insurance is nearly impossible.

“We have some of the poorest counties in Colorado, and then you add that substance use disorder on top of it (and) the lack of being able to work,” said Melissa Dominguez, a nurse and lifelong resident of the valley. She is a member of the Colorado Opioid Abatement Council who spends her time connecting people struggling with substance use disorder to recovery resources.

“It’s just not really attainable for them to be able to go to the pharmacy and pick up their script and pay a couple hundred dollars every week, or even once a month,” Dominguez said. 

Cutting holes in the safety net

The budget reconciliation bill, passed in July 2025, cuts federal funding for Medicaid by 15% over the course of 10 years. Additionally, new Medicaid provisions planned for 2027 will require nondisabled adults under the age of 65 who are childless or the parents of older teenagers to prove that they are working, volunteering or attending school for at least 80 hours a month.

 While people with substance use disorder are explicitly excluded from the work requirements, there are no written guidelines within the provisions that define how individuals can prove their exemption. 

According to Deborah Steinberg, a senior health policy attorney at the nonprofit Legal Action Center, these cuts will have dramatic consequences for substance use disorder treatment.

“We know that any cuts, whether it’s to eligibility categories or to benefits, are just going to make treatment less affordable and less accessible,” Steinberg said. “For a lot of providers, Medicaid is also their largest revenue source so it means that some providers might close.”

There is also no standardized way states will implement the exemptions or define substance use disorder, Steinberg added. She worries that many people who would qualify for an exemption for their substance use disorder could fall through the cracks and lose coverage without a formal diagnosis.

“We’re going to miss a lot of folks,” Steinberg said. “I fear these exemptions are just not going to be enough to actually protect people as they were theoretically intended.”

The Colorado Department of Health Care Policy and Financing estimated that the implementation of these work requirements would affect 375,000 Coloradans.

And while crackdowns by the Drug Enforcement Administration have reduced opioid prescriptions, street drugs like heroin and fentanyl are becoming new vices for people formerly dependent on their doctor-approved medications. Dominguez said many of her patients were first prescribed opioids for pain then were abruptly cut off, prompting them to move on to illicit drugs. 

When her prescriptions ran out, Fernandez felt she needed to fill the void. She stopped showing up to her job as a certified nursing assistant and began working different jobs — often waitressing — to earn quick money. In 2013 she began using heroin and, that same year, became pregnant with her youngest son. From there, Fernandez was in and out of jail, stealing to support her addiction. 

“People think of being a mom and being an addict, that we love the drug more than we love our kids, which is never the case,” Fernandez said. “It’s just all the trauma that’s surrounded our circumstances that keeps us there and we just don’t see a way out.”

As a high schooler, Fernandez had a 4.0 GPA and received multiple acceptance letters from universities. But, she said, substance abuse was normalized by her parents throughout her youth. When she was 17 years old, her father, who struggled with a dependency to alcohol and cocaine, died by suicide. Addiction was always in close proximity, so Fernandez followed the paths carved out by the generations before her.

“I call it valley-minded because we just don’t see outside of it,” Fernandez said. “I had never had anybody in my life show me that there was something bigger than what was here.”

Judy McNeilsmith, the director of operations and program services at La Puente, a nonprofit organization in Alamosa, said that it’s difficult to break habits and escape social groups that encourage substance abuse in the small, rural communities sprawled across the valley.

“You can’t live in a rural area without going to the grocery store and seeing somebody you know so it’s really hard to break those patterns,” McNeilsmith said.

Stopping a destructive cycle

At La Puente’s homeless shelter, on a quiet Saturday afternoon, employees serve bolognese pasta, mashed potatoes and bread. People eat their meals by a box full of Narcan, a nasal spray used to reverse opioid overdose, that is free to take. Many of the people at the shelter, McNeilsmith said, have struggled or are actively struggling with substance use disorder. She said that some people lost their homes after struggling with addiction, while others have stories that reverse that order.

“It’s kind of like the chicken and the egg,” McNeilsmith said. “Poverty begets crisis and crisis — you do what you can do to get money.”

By 2020, Fernandez had enough. She was in jail for drug charges and her kids were nearing the age she was when she tried her first prescription pill. The fear that they might repeat the same cycle that was drowning her was mortifying.

“I know how old I was when I started experimenting, so that kind of hit hard,” Fernandez said. “I just totally started rebuilding my life.”

Once she was released, Fernandez began her journey in sober living and, with Dominguez’s guidance, accessed the medication-assisted treatment that helped lift her from where she’d been stuck. She received Vivitrol shots for the first two and a half years of her recovery.

“It just took away the cravings and the thoughts. I didn’t like the smell of barbecue sauce, vinegar — any of that stuff — because it smelled like the heroin. And when I was taking the Vivitrol, that just wasn’t there,” Fernandez said.

Fernandez accessed these treatments through Medicaid. Without it, she said, she likely would not have been able to receive them and doesn’t know what her alternative treatment paths could have been. She actively works as a recovery coach for Hard Beauty, a nonprofit organization that offers peer support to those struggling with or recovering from addiction. Her clients, Fernandez said, also rely on Medicaid to pay for her coaching services.

McNeilsmith worries that Medicaid cuts will decimate the health care services for those in recovery across the valley. Approximately two in five residents in Alamosa County rely on Medicaid, and, for hospitals and treatment centers in the region, Medicaid makes up a significant portion of the payments they receive. If people lose their Medicaid coverage, these institutions will not get that money. McNeilsmith worries that with some residents losing their Medicaid, local hospitals could face devastating financial strain and be forced to close.

“We are a high-poverty area and adding those additional requirements is going to really impact the safety net and have folks with no resources,” McNeilsmith said.

New hope in the valley

One of these resources is a new detox and rehabilitation center that just celebrated its first anniversary in July.

The center opened with some help from the projected $880 million in opioid settlement funds paid by pharmaceutical companies to the state of Colorado following lawsuits over their role in the opioid crisis.

South of Main Street, nestled between railroad tracks and the Alamosa County Jail, is the aptly named Hope in the Valley. Its staff describes it as the only full-scale treatment center with withdrawal management in the San Luis Valley. Community members say it brought much-needed support to the area. The long one-story brick building is split: one side is a detox with a 10-person capacity and the other is a residential treatment program that houses up to 15 patients.

On the rehabilitation side, residents take part in a ceremony for two individuals who will soon be graduates of the program. David Herrera, the center’s community engagement coordinator, shares his favorite stories of the two residents as the room bursts into chuckles. Herrera expresses excitement that, with one of the graduates gone, he will now be the funniest person at Hope in the Valley again. The room joins hands in prayer for the two and wishes them well in their recovery journeys outside the brick walls.

Herrera himself struggled through addiction. In the backyard of the facility — which for now is just asphalt, a chicken coop, some chairs and a basketball court — Herrera says he wants to build a labyrinth for residents to walk through, a representation of the addiction and recovery process he found himself in. Herrera sought treatment for alcohol addiction in Estes Park and said that when he told his case manager he would be moving on to the valley, she expressed hesitation.

“She just said, ‘David I’m going to be honest with you. There’s not a lot of resources down in the valley,’” Herrera said. “This was only two and a half years ago.”

At that time, Herrera said, there were only about four Alcoholics Anonymous meetings a week in Alamosa. But now there are daily recovery meetings hosted by Hope in the Valley that are open to the public. According to Herrera, this shift has been needed.

“The psychological defeat from the opioids has been devastating to our community. You have people that have lost family members to this addiction — moms and uncles and dads and the whole thing,” Herrera said. “And you hear it all the time, but it’s very real here.”

Fernandez, who helps lead peer support groups at Hope in the Valley, witnessed many of her acquaintances and loved ones from her youth, including her own brother, fall victim to addiction.

“A lot of us are not here anymore,” Fernandez said.

However, Fernandez and Herrera say, because of the opening of the center, there’s more local support for people struggling with addiction.

“The first time I went to treatment, I had to go to Pueblo,” Fernandez said. “And now this treatment center has built more of a community — which I love — for all of us, not just the people that have been here.”

This community is also reliant on Medicaid. Most residents, Herrera said, use Medicaid to access Hope in the Valley’s detox treatment, 30-day residential program, any necessary hospitalizations, intensive outpatient treatment, telehealth services and medically-assisted treatment.

On a brisk Saturday in November, outside Milagros Coffee House, a focal point of downtown Alamosa, a small number of protesters gather, holding signs reading, “Medicaid protects your family” and “Unite and resist” as cars pass through the intersection.

McNeilsmith says, given the impact cuts in government benefits would have for many valley residents, the community has been protesting for health care access and rallying around food drives. This community-based activism and support is not well-recognized by the rest of the state, according to Dominguez.

“A lot of times I feel like up north they don’t see the community that we do have here,” Dominguez said. “Compared to Denver, compared to Greeley, we don’t have half of some of the resources that they have. But the resources we do have, we work really hard to connect with each other and get people connected to the resources that are going to be best for them.”

Fernandez is grateful for this community and with its backing, she’s been able to raise her kids in a healthier environment. Instead of experimenting with prescription drugs, they play basketball at the local recreation center. Still, many of the people and resources in this environment rely on Medicaid, and cuts could make the already precarious and difficult process of recovery more so.

“I think there would be people a lot worse off,” Fernandez said. “To cut somebody off their medication — people are just going to go full blown back into addiction.”