HB 1096 Colorado House · 2026 Regular Session

Colorado Medicaid Access to Primary Care Services

Summary
The bill prohibits the department of health care policy and financing (department) from denying a medicaid member (member) the ability to purchase primary care services or enter into a direct primary care agreement. A member who purchases direct primary care services from a direct primary health-care provider or enters into a direct primary care agreement must sign a document acknowledging that the direct primary health-care provider is enrolled in the Colorado medical assistance program only as an ordering, prescribing, and referring provider; that the direct primary health-care provider does not accept medicaid payments for the services rendered; that the member cannot submit a claim for medicaid reimbursement for the services rendered by the direct primary health-care provider; and that the member retains the right to receive primary care services from a primary care provider who is enrolled in the Colorado medical assistance program.(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)
Bill status passed 3 of 5 stages cleared
Introduction
Feb 2026
Committee Review
Apr 2026
House Passage
Feb 2026
Senate Passage
Governor
Introduced Feb 3, 2026 Last action Apr 2, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Reengrossed · 3 edits · Feb 23, 2026
MINOR
The bill was reengrossed to include additional co-sponsors and updated the legislative status note to reflect that it passed third reading unamended on February 23, 2026. Substantively, the text removed specific provisions regarding a member's right to retain primary care services under the Colorado Medical Assistance Program and deleted related clauses about direct primary health-care agreements.
Scope change
The bill's scope regarding direct primary care agreements and Medicaid retention rights has been narrowed by removing specific sections.
ELIGIBILITY

Deleted the provision stating that members retain the right to receive primary care services from a provider enrolled in the Colorado Medical Assistance Program.

REQUIREMENT

Removed definitions and requirements related to direct primary health-care providers and the specific agreement terms between providers and members.

TECHNICAL

Added additional co-sponsors to the House sponsorship list and updated the legislative history note to record the third reading date.

Floor votes · House Feb 23, 2026

How they voted

3922
Passed · 3 other
Total votes 64
Feb 23, 2026
D Democratic42
18 Yea 22 Nay 2
52% Nay
R Republican22
21 Yea 1
95% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
6
Key actions
3
Committee
2
Apr 2, 2026
Upper · Passed
Senate Committee on Health & Human Services Postpone Indefinitely
upper
Feb 25, 2026
Introduced
Introduced In Senate - Assigned to Health & Human Services
upper
Feb 23, 2026
Lower · Passed
House Third Reading Passed - No Amendments
lower
Feb 17, 2026
Lower · Passed
House Committee on Health & Human Services Refer Amended to House Committee of the Whole
lower
Feb 3, 2026
Introduced
Introduced In House - Assigned to Health & Human Services
lower
4 primary · 6 co-sponsors

Sponsors