A team from the University of Colorado Cancer Center and Colorado School of Public Health tested the perception that there is insufficient access to screening colonoscopies for Medicaid enrollees in Colorado by summarizing the system-level and patient-level barriers to endoscopic screening, summarizing facilitators to increasing access to care, and characterizing the scope of the challenges in preventive service accessibility for the medically underserved. The results of this project are available in this infographic . Medicaid expansion halved the uninsured rate in Colorado, providing access to preventive health services for over 300,000 Coloradans, but these individuals experience challenges in accessing preventive services such as screening colonoscopies. Potential solutions to increase access to timely screening are perceived differently in rural as compared to urban areas. Increased reimbursement rates, from current Medicaid to Medicare levels, may increase the number of Medicaid enrollees GI facilities accept, particularly in rural areas. PN services are viewed as helpful in assuring Medicaid patients show up for appointments and are well-prepared, addressing the major barriers of both rural and urban communities. Additional efforts are necessary to understand the challenges and opportunities for increased coordination of referrals in rural Colorado. Additional information available in the Summary Report.