Changes to Cover All Coloradans Program

Created a new state medical assistance program for pregnant women and children under 19 who are ineligible for medical assistance solely due to immigration status and meet income requirements.

Changed dental service limits from $750 to $1,100 annually for eligible pregnant women and children starting July 1, 2026.

Added a requirement that behavioral health services for eligible individuals must be provided on a fee-for-service basis only starting January 1, 2027.

Added a prohibition on managed care services for eligible individuals starting January 1, 2027.

Added a 25,000-child enrollment cap for children under 19 for the 2026-27 fiscal year, triggered if enrollment exceeds the cap or quarterly expenditures exceed a specific threshold.

Removed the previous requirement for the state to develop an outreach and enrollment strategy for eligible groups.

Removed the provision that eliminated managed care services for children under 19 starting January 1, 2027, as this is now covered under the broader managed care prohibition for all eligible individuals.

Added a requirement for the state department to submit a report to the Joint Budget Committee by November 1, 2026, detailing enrollment drivers and cost-reduction strategies.

Repealed the state children's basic health plan and removed provisions related to repealing the requirement for an outreach strategy.

Added a note indicating the bill is prepared for signatures and updated the list of legislative sponsors.

Specific text defining eligibility for the medical assistance program based on age (27 years old), household income limits (160% of federal poverty line), and immigration status was removed from the excerpt.

A new reading status was added indicating the bill is at the 3rd Reading Unamended in the Senate, dated April 16, 2026.

The document header was updated from 'REVISED' to 'REREVISED' to reflect that all amendments adopted in the Second House have been incorporated.

The effective date for new benefit restrictions was changed from January 1, 2027, to July 1, 2026.

A new requirement was added capping annual dental services at $750 for the specified population.

Previous restrictions requiring behavioral health services to be offered on a fee-for-service basis and prohibiting managed care services were removed.

Restrictions on long-term services, home health services, and certain other care were removed.

Deleted a section establishing medical assistance eligibility for pregnant non-citizens not eligible for other aid, effective January 1, 2025.

Added a new Bill Summary section to describe the bill's provisions.

Updated the bill title from 'Engrossed' to 'Reengrossed' and added a new list of House sponsors.

Deleted the 25,000-child enrollment cap and the quarterly spending limit for the limited benefits program.

Removed the requirement that children must have received specific home health services before December 31, 2026, to continue receiving them.

Reordered and consolidated the list of restricted services, moving the dental cap restriction to a later date or removing it entirely in favor of other service limitations.

Clarified that the restrictions apply to children under 19 with immigration status regardless of whether they previously received certain services, as the prior 'grandfathering' clause was removed.