Colorado's health care safety net is under increasing stress because of a declining economy, state budget deficits, constitutional limits on state revenues and spending, and rapidly increasing Medicaid expenditures. Colorado has focused on using managed care plans to contain cost growth in its health care programs. These programs include Medicaid, programs for those with mental health conditions, and the Children's Basic Health Plan. While not inclined to expand eligibility for publicly-funded health care programs, Colorado has been innovative in some aspects of service delivery, particularly in long-term care.