HB 1235 Colorado House · 2026 Regular Session

Updates to Medicaid

Summary
On or before December 1, 2026, and annually thereafter, the act requires each transportation broker that administers nonemergency medical transportation to medicaid members to submit certain information to the department of health care policy and financing (state department) regarding transportation providers that the transportation broker contracts with. Beginning January 1, 2027, the state department is required to include this information in its annual 'SMART Act' presentation.     The act changes the term 'qualified alien' to 'qualified noncitizen' to align with federal requirements.     If the state department plans to implement, apply, or enforce new multiple procedure payment reductions for outpatient therapy services, the act requires the state department to provide notice to the impacted providers of the changes at least 6 months prior to implementing the changes and to hold at least one stakeholder meeting to discuss the payment reductions.     The act requires the state department to reimburse a provider who is licensed and authorized to prescribe, dispense, compound, or administer medication-assisted treatment in a jail setting.     The act requires the medical services board to adopt rules before January 1, 2027, to comply with federal community engagement requirements and requires the state department make available on its website data on the community engagement requirements and their impact on medical assistance enrollment.     The act requires the state department to collect direct care service cost to administrative cost ratio information from home- and community-based service provider agencies and submit a report to the general assembly detailing the information collected.     The act repeals the state medical assistance and services advisory council.(Note: This summary applies to this bill as enacted.)
Bill status signed all 5 stages cleared
Introduction
Feb 2026
Committee Review
Apr 2026
House Passage
Jun 2026
Senate Passage
Jun 2026
Signed into Law
Jun 2026
Introduced Feb 18, 2026 Signed Jun 3, 2026
Maddy AI version diff · 5 comparisons

What changed between versions

Rerevised Final Act · 6 edits · Jun 1, 2026
MODERATE
This bill was significantly amended to shift its focus from general Medicaid updates to specific requirements for community engagement and data transparency. The original text included provisions for transportation reporting and jail-based treatment reimbursement, which were removed. The final version adds a new section requiring the state board to adopt rules ensuring low administrative burdens for Medicaid applicants and mandates monthly public reporting on enrollment and renewal statistics to demonstrate the impact of federal community engagement requirements.
Scope change
The bill's scope narrowed from a mix of transportation, jail treatment, and general Medicaid updates to focus exclusively on community engagement requirements and data reporting for Medicaid eligibility and enrollment.
REQUIREMENT

Removed requirements for transportation brokers to report ride data and grievance information to the state department.

Removed the requirement for the state to reimburse licensed providers administering medication-assisted treatment in jail settings.

Added a requirement for the state board to adopt rules ensuring all Medicaid applicants and members can obtain coverage with the least amount of administrative burden.

Added a mandate for the state department to publish monthly data on applications, renewals, and reenrollment rates on its website to demonstrate the impact of community engagement requirements.

DEFINITION

Removed the definition of 'Qualified alien' from the definitions section.

TIMELINE

Changed the effective date for community engagement rule adoption from January 1, 2027, to on or before January 1, 2027.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
14
Key actions
7
Committee
2
Jun 3, 2026
Signed into law
Governor Signed
executive
Jun 2, 2026
Upper · Passed
Signed by the President of the Senate
upper
Jun 2, 2026
Lower · Passed
Signed by the Speaker of the House
lower
May 4, 2026
Upper · Passed
Senate Third Reading Passed - No Amendments
upper
Apr 29, 2026
Upper · Passed
Senate Committee on Health & Human Services Refer Unamended - Consent Calendar to Senate Committee of the Whole
upper
Apr 21, 2026
Introduced
Introduced In Senate - Assigned to Health & Human Services
upper
Apr 16, 2026
Lower · Passed
House Third Reading Passed - No Amendments
lower
Mar 11, 2026
Lower · Passed
House Committee on Health & Human Services Refer Amended to House Committee of the Whole
lower
Feb 18, 2026
Introduced
Introduced In House - Assigned to Health & Human Services
lower
2 primary · 10 co-sponsors

Sponsors