Colorado has consistently had one of the highest rates of uninsured children in the nation, due, in part, to reduced outreach budgets as a result of state fiscal pressures. A historical review of the Robert Wood Johnson Foundation’s Covering Kids & Families (CKF) grant in Colorado reveals that, as policies changed, the Colorado CKF project succeeded in targeting its work to the areas of greatest need in order to mitigate the effects of policy changes. CKF also took on a monitoring role, earning legislative respect and leading to its continued inclusion on key policy and procedural discussions. A new state funding commitment in 2008 to Medicaid and SCHIP—as well as an eligibility expansion to cover higher-income uninsured children—holds great promise for increasing coverage levels. However, there is still much to be done to achieve universal children’s health insurance coverage in Colorado.