Updates to Medicaid
Concerning updates to the medical assistance program.
Official status: Became Law
Prime sponsors
- Lisa Feret (House) — Prime Sponsor
- Lindsey Daugherty (Senate) — Prime Sponsor
Progress (from the official record)
Official summary
Official text — shown in English exactly as published by the official source. The official text controls.
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.)
Status timeline
| Date | Location | Action |
|---|---|---|
| 02/18/2026 | House | Introduced In House - Assigned to Health & Human Services |
| 03/11/2026 | House | House Committee on Health & Human Services Refer Amended to House Committee of the Whole |
| 03/16/2026 | House | House Second Reading Laid Over Daily - No Amendments |
| 04/13/2026 | House | House Second Reading Special Order - Passed with Amendments - Committee, Floor |
| 04/14/2026 | House | House Third Reading Laid Over Daily - No Amendments |
| 04/16/2026 | House | House Third Reading Passed - No Amendments |
| 04/21/2026 | Senate | Introduced In Senate - Assigned to Health & Human Services |
| 04/29/2026 | Senate | Senate Committee on Health & Human Services Refer Unamended - Consent Calendar to Senate Committee of the Whole |
| 05/01/2026 | Senate | Senate Second Reading Passed - No Amendments |
| 05/04/2026 | Senate | Senate Third Reading Passed - No Amendments |
| 06/02/2026 | House | Signed by the Speaker of the House |
| 06/02/2026 | Senate | Signed by the President of the Senate |
| 06/02/2026 | Governor | Sent to the Governor |
| 06/03/2026 | Governor | Governor Signed |
Recorded votes
- 04/29/2026 — Senate Health & Human Services: “Refer House Bill 26-1235 to the Committee of the Whole and with a recommendation that it be placed on the consent calendar.” — the motion passed on a vote of 7–0.
- 03/11/2026 — House Health & Human Services: “Adopt amendment L.004 (Attachment L).” — the motion passed on a vote of 7–5.
- 03/11/2026 — House Health & Human Services: “Refer House Bill 26-1235, as amended, to the Committee of the Whole.” — the motion passed on a vote of 7–5.
Proposed amendments (9 proposed amendments)
| Amendment | Committee / floor hearing | Offered | Disposition | Official document |
|---|---|---|---|---|
| L.001 | Committee amendment — Health & Human Services (House) | 03/11/2026 | Passed | View official document |
| L.002 | Committee amendment — Health & Human Services (House) | 03/11/2026 | Passed | View official document |
| L.004 | Committee amendment — Health & Human Services (House) | 03/11/2026 | Passed | View official document |
| L.005 Sponsor: Representative Feret | Floor amendment — Second Reading (House) | 04/13/2026 | Passed | View official document |
| L.006 Sponsor: Representative Feret | Floor amendment — Second Reading (House) | 04/13/2026 | Passed | View official document |
| L.009 Sponsor: Representative Feret | Floor amendment — Second Reading (House) | 04/13/2026 | Passed | View official document |
| L.010 Sponsor: Representative Feret | Floor amendment — Second Reading (House) | 04/13/2026 | Passed | View official document |
| L.011 Sponsor: Representative Bradley | Floor amendment — Second Reading (House) | 04/13/2026 | Passed | View official document |
| L.008 Sponsor: Representative Feret | Floor amendment — Second Reading (House) | 04/13/2026 | Passed | View official document |
Source: Colorado General Assembly (leg.colorado.gov) · Data as of
Full text
- Signed Act version (official PDF), 06/03/2026
- Final Act version (official PDF), 06/01/2026
- Rerevised version (official PDF), 05/04/2026
- Revised version (official PDF), 05/01/2026
- Reengrossed version (official PDF), 04/16/2026
- Engrossed version (official PDF), 04/13/2026
- Introduced version (official PDF), 02/18/2026
Official record
View HB26-1235 on leg.colorado.gov
Source: Colorado General Assembly (leg.colorado.gov) · Data as of
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