Colorado 2026 Regular Session Status: Enacted 7 D cosponsors

HB 1235 — Updates to Medicaid

Last action — Governor Signed

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced February 18, 2026. Enacted.

Signed by Governor Jared Polis (Democratic) on June 03, 2026.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 82% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 12 sponsors

    2 primary, 10 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (7 D).

  • Cleared a recorded vote

    Passed 6 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

The bill updates Medicaid requirements and processes related to nonemergency transportation and therapy services.

This bill mandates transportation brokers to report information on their providers and requires the state to notify therapists about payment changes. It also aligns terminology with federal standards and includes provisions for community engagement data.

What this means for you
  • Workers: Workers in the healthcare sector may be involved in discussions regarding new payment reductions and community engagement requirements.
  • Families: Families utilizing Medicaid transportation services should expect changes in how transportation brokers report their service providers.
  • Healthcare: Healthcare providers need to be aware of new reporting requirements and potential changes to payment structures.

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 Text

What changed in the latest version

358 added · 418 removed

Plain-language change summary

The latest version of Bill HB 1235 adds a requirement for transportation brokers to report specific data about the rides they manage for Medicaid members starting December 1, 2026. These reports will include the total number of ride requests and completed rides for each transportation provider they work with. This change is important because it aims to improve transparency and oversight of non-emergency medical transportation services, ensuring better accountability in the assistance provided to Medicaid recipients.

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Second Regular Session Seventy-fifth General Assembly STATE OF COLORADO REREVISED This Version Includes All Amendments Adopted in the Second House LLS NO.
NOTE:
26-0390.01 Chelsea Princell x4335 HOUSE BILL 26-1235 HOUSE SPONSORSHIP Feret,Carter, Clifford, Jackson, Nguyen, Story, Velasco SENATE SPONSORSHIP Daugherty, Coleman, Exum, Kipp, Snyder e n e 6 E a 0 A U , N g 4 S d a House Committees Senate Committees e M Health & Human Services Health & Human Services R r e A BILL FOR AN ACT n m 2 C ONCERNING UPDATES TO THE MEDICAL ASSISTANCE PROGRAM .
This bill has been prepared for the signatures of the appropriate legislative officers and the Governor.
T n 2 N U 1 E i a Bill Summary S a M R n (Note:
To determine whether the Governor has signed the bill or taken other action on it, please consult the legislative status sheet, the legislative history, or the Session Laws.
This summary applies to this bill as introduced and does 2 notreflectanyamendmentsthatmaybesubsequentlyadopted.Ifthisbill passes third reading in the house of introduction, a bill summary that e applies to the reengrossed version of this bill will be available at n http://leg.colorado.gov.) m 2 E n 2 U U 6 BeginningDecember1,2026,thebillrequireseachtransportation O i l H a p brokerthatadministersnonemergencymedicaltransportationtomedicaid R A r members to submit certain information to the state department regarding 3 transportationprovidersthatthetransportationbrokercontractswith.The department of health care policy and financing (state department) is required to include this information in its annual "SMART Act" g d 6 presentation.
HOUSE BILL 26-1235 BY REPRESENTATIVE(S) Feret, Carter, Clifford, Jackson, Nguyen, Story, Velasco;
E e 0 The bill requires the medical services board to adopt rules to S R , U d 1 H 2 r Shading denotes HOUSE amendment.
also SENATOR(S) Daugherty, Exum, Kipp, Snyder, Coleman.
Double underlining denotes SENATE amendment.
C ONCERNING UPDATES TO THE MEDICAL ASSISTANCE PROGRAM .
e Ap Capital letters or bold & italic numbers indicate new material to be added to existing law.n Dashes through the words or numbers indicate deletions from existing law.
e A implement the federal community engagement requirements.
Under current law, the state department is required to reimburse an opioid treatment program for administering medication-assisted treatmentinajailsetting.Thebill amends this requirement to require the state department to reimburse a licensed provider who is licensed and authorized to prescribe, dispense, compound, or administer medication-assisted treatment in a jail setting.
The bill prohibits the state department from implementing a multiple procedure payment reduction, compound billing methodology, or substantially similar reimbursement policy for outpatient therapy services.
Beginning January 1, 2027, the bill requires home- and community-based service agencies to submit their medical loss ratio to the state department.
The state department is required to publish this medical loss ratio data on the state department's website on an annual basis.
The bill repeals the state medical assistanceandservices advisory council.
(1) O N OR BEFORED ECEMBER 1,2026, AND ON OR BEFORE EACH DECEMBER 1 THEREAFTER ,EACH TRANSPORTATION BROKER SHALL REPORT THE FOLLOWING INFORMATION TO THE STATE DEPARTMENT :
(1) O N OR BEFORE DECEMBER 1, 2026,AND ON OR BEFORE EACH D ECEMBER 1 THEREAFTER ,EACHTRANSPORTATIONBROKERSHALLREPORT THE FOLLOWING INFORMATION TO THE STATE DEPARTMENT :
(II) TE TOTAL NUMBER OF RIDES COMPLETED ;
________ Capital letters or bold & italic numbers indicate new material added to existing law;
(III) TE TOTAL NUMBER OF RIDES CANCELED BY MEMBERS AND THE TRANSPORTATION PROVIDER ;
dashes through words or numbers indicate deletions from existing law and such material is not part of the act.
(IV) T HE TOTAL COST OF RIDES COMPLETED CATEGORIZED BY -2- 1235 PROCEDURE CODE ;AND (V) T HE TOTAL NUMBER OF CALLS RECEIVED FROM MEMBERS REQUESTING NONEMERGENCY MEDICAL TRANSPORTATION AND THE AVERAGE TIME A MEMBER SPENT ON HOLD;
(II) THE TOTAL NUMBER OF RIDES COMPLETED ;
(b) THE NUMBER OF GRIEVANCES SUBMITTED BY MEMBERS REGARDING A TRANSPORTATION PROVIDER THAT WERE SUBSTANTIATED , AND THE TRANSPORTATION PROVIDER THAT THE GRIEVANCE CONCERNS ;
(III) TETOTALNUMBEROFRIDESCANCELEDBYMEMBERSANDTHE TRANSPORTATION PROVIDER ;
AND (c) THE TOTAL NUMBER OF TRANSPORTATION PROVIDERS TERMINATED FROM THE TRANSPORTATION BROKER S NETWORK , ON A CORRECTIVE ACTION PLAN,OR ON A PERFORMANCE IMPROVEMENT PLAN .
(IV) T HE TOTAL COST OF RIDES COMPLETED CATEGORIZED BY PROCEDURE CODE ;AND (V) T HE TOTAL NUMBER OF CALLS RECEIVED FROM MEMBERS REQUESTING NONEMERGENCY MEDICAL TRANSPORTATION AND THE AVERAGE TIME A MEMBER SPENT ON HOLD ;
(2) BEGINNINGJANUARY 1,2027,THESTATEDEPARTMENTSHALL INCLUDE AS PART OF THE STATE DEPARTMENT S "SMART A CT" PRESENTATION REQUIRED BY SECTION 2-7-203 THE INFORMATION SUBMITTED TO THE STATE DEPARTMENT BY THE TRANSPORTATION BROKERS AS REQUIRED BY SUBSECTION(1)OF THIS SECTIO.
(b) THE NUMBER OF GRIEVANCES SUBMITTED BY MEMBERS REGARDING A TRANSPORTATION PROVIDER THAT WERE SUBSTANTIATED , ANDTHETRANSPORTATIONPROVIDERTHATTHEGRIEVANCECONCERNS ;AND (c) THE TOTAL NUMBER OF TRANSPORTATION PROVIDERS TERMINATED FROM THE TRANSPORTATION BROKER S NETWORK , ON A CORRECTIVE ACTION PLAN ,OR ON A PERFORMANCE IMPROVEMENT PLAN .
(2) BEGINNING ANUARY 1, 2027,THE STATE DEPARTMENT SHALL INCLUDE AS PART OF THE STATE DEPARTMENT S "SMART A CT" PRESENTATION REQUIRED BY SECTION 2-7-203 THE INFORMATION SUBMITTEDTOTHESTATEDEPARTMENTBYTHETRANSPORTATIONBROKERS AS REQUIRED BY SUBSECTION (1)OF THIS SECTION.
(20) "Qualifiedalien"shallhavUALIFIEDNONCITIZEN"HAS the meaning ascribed to that term in section 431 (b) of the federal "Personal ResponsibilityandWorkOpportunityReconciliationActof1996",Public Law 104-193, as amended.
(20) "Qualified alien"shall haveUALIFIED NONCITIZEN"HAS the meaning ascribed to that term in section 431 (b) of the federal "Personal Responsibilityand Work OpportunityReconciliation Act of 1996", Public Law 104-193, as amended.
SECTION 3.
PAGE 2-HOUSE BILL 26-1235 SECTION 3.
In Colorado Revised Statutes, add 25.5-4-217 as follows:
-3- 1235 25.5-4-217.
Multiple procedure payment reductions for outpatient therapy - prohibition - definitions.
(1) AS USED IN THIS SECTI,UNLESS THE CONTEXT OTHERWISE REQUIRES:
6 (a) "M ULTIPLE PROCEDURE PAYMENT REDUCTION " MEANS A REIMBURSEMENT METHODOLOGY THAT REDUCES PAYMENT FOR ONE OR MORE DIFFERENT SERVICES FURNISHED TO A MEMBER DURING THE SAME DATE OF SERVICE,ENCOUNTER ,OR EPISODE OF CARE BASED SOLELY ON THE NUMBER ,SEQUENCING ,OR COMBINATION OF DIFFERENT SERVICES PERFORMED .
(b) "O UTPATIENT THERAPY SERVICES" MEANS PROFESSIONAL SERVICES PROVIDED BY AN OCCUPATIONAL THERAPIST , PHYSICAL THERAPIST, OR SPEECH LANGUAGE PATHOLOGIST IN A SETTING OTHER THAN A HOSPITAL.
(2) F THE STATE DEPARTMENT PLANS TO IMPLEMENT,APPLY,OR ENFORCE A NEW MULTIPLE PROCEDURE PAYMENT REDUCTION FOR OUTPATIENT THERAPY SERVICES PROVIDED UNDER THE MEDICAL ASSISTANCEPROGRAM ,THESTATEDEPARTMENTMUSTPROVIDENOTICETO THE IMPACTED PROVIDERS OF THE FORTHCOMING CHANGE AT LEAST SIX MONTHS PRIOR TO IMPLEMENTING THE CHANGE TO ENSURE ADEQUATE TIMEFORPROVIDERSTOPREPAREANDHOLDATLEASTONESTAKEHOLDER MEETING TO DISCUSS THE IMPLEMENTATION , APPLICATIO, AND ENFORCEMENT OF THE NEW MULTIPLE PROCEDURE PAYMENT REDUCTION FOR OUTPATIENT THERAPY SERVICES.THE STAKEHOLDER PROCESS MUST INCLUDEADISCUSSIONREGARDINGTHEMETRICSTHESTATEDEPARTMENT PLANS TO USE IN IMPLEMENTING THE CHANGE.
-4- 1235 SECTION 4.
Community engagement requirements for medicaid eligibilitynotice to revisor of statutes - rules - reporting - repeal.
Multiple procedure payment reductions for outpatient therapy - prohibition - definitions.
(1) ON OR BEFORE JANUARY 1, 2027,THE STATE BOARD SHALL ADOPT RULES THAT ARE NECESSARY TO IMPLEMENT THE COMMUNITY ENGAGEMENT REQUIREMENTS OF TITLEXIX OF THE FEDERAL "SOCIAL SECURITY A CT OF1965", 42 U.S.C.SEC.
(1) A S USED IN THIS SECTIO,UNLESS THE CONTEXT OTHERWISE REQUIRES:
1396a(xx)AS AMENDED OR RELOCATED ,INAMANNERTHATENSURESALLAPPLICANTSANDMEMBERS CAN OBTAIN OR MAINTAIN COVERAGE WITH THE LEAST AMOUNT OF ADMINISTRATIVE BURDENS .
(a) "M ULTIPLE PROCEDURE PAYMENT REDUCTION " MEANS A REIMBURSEMENT METHODOLOGY THAT REDUCES PAYMENT FOR ONE OR MORE DIFFERENT SERVICES FURNISHED TO A MEMBER DURING THE SAME DATE OFSERVICE ,ENCOUNTER ,OR EPISODE OFCARE BASEDSOLELYON THE NUMBER , SEQUENCING , OR COMBINATION OF DIFFERENT SERVICES PERFORMED .
(2) THE STATE BOARDS AUTHORITY TO ADOPT RULES PURSUANT TO SUBSECTION (1)OF THIS SECTION IS REPEALED IF THE COMMUNITY ENGAGEMENT REQUIREMENTS OF TITLEXIX OF THE FEDERAL "SOCIAL SECURITY A CT OF1965", 42 U.S.C.SEC.
(b) "O UTPATIENT THERAPY SERVICES " MEANS PROFESSIONAL SERVICESPROVIDEDBYANOCCUPATIONALTHERAPIST ,PHYSICALTHERAPIST, ORSPEECHLANGUAGEPATHOLOGISTINASETTINGOTHERTHANAHOSPITAL .
1396a(xx)AS AMENDED OR RELOCATED ,ARE REPEALED.
(2) IF THE STATE DEPARTMENT PLANS TO IMPLEMENT , APPLY,OR ENFORCE A NEW MULTIPLE PROCEDURE PAYMENT REDUCTION FOR OUTPATIENTTHERAPYSERVICESPROVIDEDUNDERTHEMEDICALASSISTANCE PROGRAM , THE STATE DEPARTMENT MUST PROVIDE NOTICE TO THE IMPACTEDPROVIDERSOFTHEFORTHCOMINGCHANGEATLEASTSIXMONTHS PRIOR TO IMPLEMENTING THE CHANGE TO ENSURE ADEQUATE TIME FOR PROVIDERS TO PREPARE AND HOLD AT LEAST ONE STAKEHOLDER MEETING TODISCUSSTHEIMPLEMENTATION APPLICATION,ANDENFORCEMENTOFTHE NEWMULTIPLEPROCEDUREPAYMENTREDUCTIONFOROUTPATIENTTHERAPY SERVICES.
(3) THE STATE BOARD SHALL NOTIFY THE REVISOR OF STATUTES IN WRITING OFTHE DATE WHENTHE CONDITION SPECIFIED IN SUBSECTION (2) OF THIS SECTION HAS OCCURRED BY EMAILING THE NOTICE TO REVISOROFSTATUTES GA @ COLEG.GOV.
THE STAKEHOLDER PROCESS MUST INCLUDE A DISCUSSION REGARDING THE METRICS THE STATE DEPARTMENT PLANS TO USE IN IMPLEMENTING THE CHANGES .
T HIS SECTION IS REPEALED , EFFECTIVE UPON THE DATE IDENTIFIED IN THE NOT,OR IF THE NOTICE DOES NOT SPECIFY THAT DATE,UPON THE DATE OF THE NOTICE TO THE REVISOR OF STATUTES.
SECTION 4.
(4) (a) B EGINNING M ARCH 1, 2027, AND EACH MONTH THEREAFTER THESTATEDEPARTMENTSHALLMAKETHEFOLLOWINGDATA CONCERNING ENROLLMENT IN THE MEDICAL ASSISTANCE PROGRAM -5- 1235 AVAILABLE ON THE STATE DEPARTMENT'S WEBSIT:
In Colorado Revised Statutes, add 25.5-4-219 as follows:
(I) HENUMBEROFAPPLICATIONSFORMEDICALASSISTANCETHAT WERE APPROVED AND DENIED ;
25.5-4-219.
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(II) THE NUMBER OF RENEWAL APPLICATIONS FOR MEDICAL ASSISTANCE THAT WERE APPROVED AND DENIED;
Communityengagementrequirementsformedicaid eligibility - notice to revisor of statutes - rules - reporting - repeal.
(III) HE NUMBER OF MEMBERS WHOSE MEDICAL ASSISTANCE ELIGIBILITYWASRENEWEDUSINGEXISTINGDATAANDRECORDSWITHOUT REQUIRING THE MEMBER TO SUBMIT ADDITIONAL INFORMATION;
(1) O N OR BEFORE JANUARY 1, 2027,THE STATE BOARD SHALL PAGE 3-HOUSE BILL 26-1235 ADOPT RULES THAT ARE NECESSARY TO IMPLEMENT THE COMMUNITY ENGAGEMENT REQUIREMENTS OF TITLE XIX OF THE FEDERAL "SOCIAL SECURITY ACT OF 1965", 42 U.S.C.
(IV) THE RATE OF REENROLLMENT IN THE MEDICAL ASSISTANCE PROGRAM WITHIN NINETY DAYS AFTER A MEMBER S RENEWAL APPLICATION FOR MEDICAL ASSISTANCE WAS DENIE;AND (V) O THER DATA THE STATE DEPARTMENT DETERMINES IS NECESSARYTOSHAREWITHTHEPUBLICANDANYOTHERDATATHATMAY BE FEDERALLY REQUIRED TO COMPLY WITH THE COMMUNITY ENGAGEMENT REQUIREMENTS OF TITLEXIX OF THE FEDERAL"SOCIAL SECURITY A CT OF1965", 42 U.S.CSEC.
SEC.
1396a(xx),AS AMENDED OR RELOCATED ,IN A MANNER THAT ENSURES ALL APPLICANTS AND MEMBERS CAN OBTAIN OR MAINTAIN COVERAGE WITH THE LEAST AMOUNT OF ADMINISTRATIVE BURDENS .
(2) THE STATE BOARD'S AUTHORITY TO ADOPT RULES PURSUANT TO SUBSECTION (1) OF THIS SECTION IS REPEALED IF THE COMMUNITY ENGAGEMENT REQUIREMENTS OF TITLE XIX OF THE FEDERAL "SOCIAL SECURITY ACT OF 1965", 42 U.S.C.
SEC.
1396a(xx),AS AMENDED OR RELOCATED ,ARE REPEALED .
(3) THE STATE BOARD SHALL NOTIFY THE REVISOR OF STATUTES IN WRITING OF THE DATE WHEN THE CONDITION SPECIFIED IN SUBSECTION2) OF THIS SECTION HAS OCCURRED BY EMAILING THE NOTICE TO REVISOROFSTATUTES .GA@ COLEG .GOV .
THIS SECTION IS REPEALED , EFFECTIVE UPON THE DATE IDENTIFIED IN THE NOTIC,OR IF THE NOTICE DOES NOT SPECIFY THAT DATE ,UPON THE DATE OF THE NOTICE TO THE REVISOR OF STATUTES.
(4)(a) BEGINNINGM ARCH 1,2027,ANDEACHMONTHTHEREAFTER , THE STATE DEPARTMENT SHALL MAKE THE FOLLOWING DATA CONCERNING ENROLLMENT IN THE MEDICAL ASSISTANCE PROGRAM AVAILABLE ON THE STATE DEPARTMENT 'S WEBSITE:
(I) THE NUMBER OF APPLICATIONS FOR MEDICAL ASSISTANCE THAT WERE APPROVED AND DENIED ;
(II) T HE NUMBER OF RENEWAL APPLICATIONS FOR MEDICAL ASSISTANCE THAT WERE APPROVED AND DENIED ;
(III) THE NUMBER OF MEMBERS WHOSE MEDICAL ASSISTANCE ELIGIBILITY WAS RENEWED USING EXISTING DATA AND RECORDS WITHOUT REQUIRING THE MEMBER TO SUBMIT ADDITIONAL INFORMATION ;
(IV) T HE RATE OF REENROLLMENT IN THE MEDICAL ASSISTANCE PROGRAMWITHINNINETYDAYSAFTERA MEMBER SRENEWALAPPLICATION FOR MEDICAL ASSISTANCE WAS DENIED;
AND PAGE 4-HOUSE BILL 26-1235 (V) OTHER DATA THE STATE DEPARTMENT DETERMINES IS NECESSARY TO SHARE WITH THE PUBLIC AND ANY OTHER DATA THAT MAY BE FEDERALLYREQUIRED TO COMPLY WITH THE COMMUNITYENGAGEMENT REQUIREMENTS OF T ITLEXIX OF THE FEDERAL"S OCIALSECURITY A CT OF 1965", 42 U.S.CSEC.
(b) THE PURPOSE OF THE REPORTING REQUIREMENT SET FORTH IN THIS SUBSECTION (4)IS TO DEMONSTRATE THE IMPACTS OF THE COMMUNITYENGAGEMENTREQUIREMENTSOF TITLEXIX OFTHEFEDERAL "SOCIAL SECURITY ACT OF 1965", 42 U.S.C.SEC.
(b) THE PURPOSE OF THE REPORTING REQUIREMENT SET FORTH IN THISSUBSECTION (4)ISTODEMONSTRATETHEIMPACTSOFTHECOMMUNITY ENGAGEMENT REQUIREMENTS OF TITLE XIX OF THE FEDERAL "SOCIAL SECURITY A CT OF 1965", 42 U.S.C.SEC.
1396a (xx),AS AMENDED OR RELOCATED , ON ELIGIBILITY AND ENROLLMENT IN THE MEDICAL ASSISTANCE PROGRAM .
1396a (xx),AS AMENDED OR RELOCATED ,ONELIGIBILITYANDENROLLMENTINTHEMEDICALASSISTANCE PROGRAM .
(c) THE STATE DEPARTMENTS DUTY TO POST DATA ON THE STATE DEPARTMENT 'S WEBSITE PURSUANT TO THIS SUBSECTI(4)ISREPEALED IF THE COMMUNITY ENGAGEMENT REQUIREMENTS OF TITLEXIX OF THE FEDERAL "SOCIALSECURITY ACTOF 1965",42U.S.C.SEC.1396a(xx),AS -6- 1235 AMENDED OR RELOCATED ,ARE REPEALED .
(c) THE STATE DEPARTMENT 'S DUTY TO POST DATA ON THE STATE DEPARTMENT SWEBSITE PURSUANT TOTHIS SUBSECTION (4)ISREPEALEDIF THE COMMUNITY ENGAGEMENT REQUIREMENTS OF T ITLEXIX OF THE FEDERAL "SOCIAL SECURITY A CT OF1965",42U.S.C.
(d) THE EXECUTIVE DIRECTOR OFTHE STATE DEPARTMENT SHALL NOTIFY THE REVISOR OF STATUTES IN WRITING OF THE DATE WHEN THE CONDITION SPECIFIED IN SUBSECTION (4)(c) OF THIS SECTION HAS O C C U R R E D B Y E M A I L I N G T H E N O T I C E T O REVISOROFSTATUTES .GA @ COLEG GOV .
SEC.
THIS SECTION (4)IS REPEALED EFFECTIVE UPON THE DATE IDENTIFIED IN THE NOTIC,OR IF THE NOTICE DOES NOT SPECIFY THAT DATE ,UPON THE DATE OF THE NOTICE TO THE REVISOR OF STATUTES.
1396a (xxAS AMENDED OR RELOCATED ,ARE REPEALED .
SECTION 5.
(d) THE EXECUTIVE DIRECTOR OF THE STATE DEPARTMENT SHALL NOTIFY THE REVISOR OF STATUTES IN WRITING OF THE DATE WHEN THE CONDITIONSPECIFIEDINSUBSECTION (4)(c)OFTHISSECTIONHASOCCURRED BY EMAILING THE NOTICE TO REVISOROFSTATUTES GA @ COLEG.GOV.
InColoradoRevisedStatutes,25.5-4-401.5,amend (1)(c)(I) as follows:
THIS SECTION (4)IS REPEALED EFFECTIVE UPON THE DATE IDENTIFIED IN THE NOTICE,ORIFTHENOTICEDOESNOTSPECIFYTHATDATE ,UPONTHEDATEOF THE NOTICE TO THE REVISOR OF STATUTES SECTION 5.
In Colorado Revised Statutes, 25.5-4-401.5, amend (1)(c)(I) as follows:
(1)(c)(I) Thestatedepartmentmayproposetoexcluderatesfrom the schedule established pursuant to subsection (1)(a) of this section if those rates are adjustedREVIEWED on a periodic basis as a result of otherstatestatuteorfederallaworregulation.Thestatedepartmentshall include the proposed list of exclusions with the schedule established pursuant to subsection (1)(a) of this section.
(1) (c) (I) The state department may propose to exclude rates from thescheduleestablishedpursuanttosubsection(1)(a)ofthissectionifthose rates are adjustedEVIEWED on a periodic basis as aresult of other state statute or federal law or regulation.
SECTION 6.
The state department shall include the proposed list of exclusions with the schedule established pursuant to subsection (1)(a) of this section.
InColoradoRevisedStatutes,25.5-4-505.5,amend (5) as follows:
PAGE 5-HOUSE BILL 26-1235 SECTION 6.
In Colorado Revised Statutes, 25.5-4-505.5, amend (5) as follows:
Federalauthorizationrelatedtopersonsinvolved inthecriminaljusticesystem-report-rules-legislativedeclaration.
Federal authorization related to persons involved in the criminal justice system - report - rules - legislative declaration.
(5) (a) The state department shall only reimburse an opioid treatment program, as defined in section 27-80-203, for administering medication-assisted treatmentIMBURSE A PROVIDER WHO IS LICENSED AND AUTHORIZED TO PRESCRIBE ,DISPENSE ,COMPOUND ,OR ADMINISTER -7- 1235 MEDICATION ASSISTED TREATMENT in a jail setting.
(5)(a) Thestatedepartmentshallonlyreimburseanopioidtreatment program, as defined in section 27-80-203, for administering medication-assisted treatment REIMBURSE A PROVIDER WHO IS LICENSED AND AUTHORIZED TO PRESCRIBE ,DISPENSE , COMPOUND ,OR ADMINISTER MEDICATION -ASSISTED TREATMENT in a jail setting.
At a minimum, an opioidtreatmentprogramthatadministersmedication-assistedtreatment shall:
At a minimum, an opioid treatment program that administers medication-assisted treatment shall:
(II) Ensuretheindividualreceivingmedication-assistedtreatment undergoes a minimum observation period after receiving medication-assisted treatment as determined by behavioral health administration rule pursuant to section 27-80-204;
(II) Ensure the individual receiving medication-assisted treatment undergoes a minimum observation period after receiving medication-assisted treatment as determined by behavioral health administration rule pursuant to section 27-80-204;
and (III) Meet all critical incident reporting requirements as determined by behavioral health administration rule pursuant to section 27-80-204.
and (III) Meetallcriticalincidentreportingrequirementsasdetermined by behavioral health administration rule pursuant to section 27-80-204.
(b) The state department shall ensure as part of the state department's quality oversight that opioid treatment programs that LICENSED PROVIDERS WHO administer medication-assisted treatment in a jail setting maintain emergency policies and procedures that address adverse outcomes.
(b) The state department shall ensure as part of the state department'squalityoversightthatopioidtreatmentprogramsthat LICENSED PROVIDERS WHO administer medication-assisted treatment in a jail setting maintainemergencypoliciesandproceduresthataddressadverseoutcomes.
SECTION 7.
SECTION7.
In Colorado Revised Statutes, 25.5-5-101, repeal (2);
InColoradoRevisedStatutes,25.5-5-101,repeal(2);
Pursuant to federal law and except as provided in subsection (2) of this section, any person who is eligible for medical assistance under the mandated groups specified in this section must receive both the mandatory services that are specified in sections 25.5-5-102 and 25.5-5-103 and the optional services that are specified in sections25.5-5-202and25.5-5-203.
Pursuant to federal law and except as provided in subsection (2) of this section, any person who is eligible for medical assistanceunderthemandatedgroupsspecifiedinthissectionmustreceive both the mandatory services that are specified in sections 25.5-5-102 and PAGE 6-HOUSE BILL 26-1235 25.5-5-103 and the optional services that are specified in sections 25.5-5-202 and 25.5-5-203.
Subjecttotheavailabilityof federal -8- 1235 financialparticipation,thefollowingaretheindividualsorgroupsthatare mandated under federal law to receive benefits under this article 5 and articles 4 and 6 of this title 25.5:
Subject to the availability of federal financial participation,thefollowingaretheindividuals or groups thataremandated under federal law to receive benefits under this article 5 and articles 4 and of this title 25.5:
(n) AQUALIFIED NONCITIZEN WHO ENTERED THEUNITED STATES BEFORE AUGUST 22,1996,SHALLRECEIVEBENEFITSUNDERTHISARTICLE 5 AND ARTICLES4 AND 6OF THIS TITL25.5;
(n) A QUALIFIED NONCITIZEN WHO ENTERED THE UNITED STATES BEFORE AUGUST 22,1996,SHALLRECEIVE BENEFITSUNDERTHISARTICLE 5 AND ARTICLES 4AND 6 OF THIS TITL25.5;
(o) AQUALIFIED NONCITIZEN WHO ENTERED THEUNITED STATES ONORAFTER AUGUST 22,1996,ISNOTELIGIBLEFORBENEFITSUNDERTHIS ARTICLE 5OR ARTICLE4 OR 6OF THIS TITL25.5FOR FIVE YEARS AFTER THE DATE OF ENTRY IN THEU NITEDSTATES ;EXCEPT THAT THE STATE DEPARTMENT MAY PROVIDE BENEFITS UNDER THIS ARTICLE 5 AND ARTICLES 4AND 6 OF THIS TITL25.5TO A PREGNANT PERSON WHO IS A QUALIFIED ALIEN NONCITIZEN AND A CHILD UNDER NINETEEN YEARS OLD WHO IS A QUALIFIED NONCITIZ,SO LONG AS THE PREGNANT PERSON OR CHILDMEETSELIGIBILITYCRITERIAOTHERTHANCITIZENSHIP .COVERAGE OF INDIVIDUALS IN THIS GROUP IS SUBJECT TO THE RECEIPT OF FEDERAL FINANCIAL PARTICIPATION,UNLESS STATE FUNDS ARE SPECIFICALLY APPROPRIATEDFORCOVERAGEOFGROUPSFORWHOMFEDERALFINANCIAL PARTICIPATION IS UNAVAILABL.
(o) AQUALIFIEDNONCITIZENWHOENTEREDTHE U NITEDSTATESON OR AFTER A UGUST 22,1996, IS NOT ELIGIBLE FOR BENEFITS UNDER THIS ARTICLE 5ORARTICLE 4 OR6 OFTHISTITLE 25.5FORFIVE YEARSAFTERTHE DATE OF ENTRY IN THE UNITED STATES;
(2) (a) A qualified alien who entered the United States before August 22, 1996, who meets the exceptions described in the federal "Personal Responsibility and Work Opportunity Reconciliation Act of 1996",PublicLaw104-193,asamended,shallreceivebenefitsunderthis article and articles 4 and 6 of this title.
EXCEPT THAT THE STATE DEPARTMENTMAYPROVIDEBENEFITSUNDERTHISARTICLE 5ANDARTICLES AND 6 OF THIS TITL25.5TO A PREGNANT PERSON WHO IS A QUALIFIED ALIEN NONCITIZEN AND A CHILD UNDER NINETEEN YEARS OLD WHO IS A QUALIFIEDNONCITIZEN ,SOLONGASTHEPREGNANTPERSONORCHILDMEETS ELIGIBILITYCRITERIAOTHERTHANCITIZENSHIP.C OVERAGEOFINDIVIDUALS IN THIS GROUP IS SUBJECT TO THE RECEIPT OF FEDERAL FINANCIAL PARTICIPATION,UNLESSSTATEFUNDSARESPECIFICALLYAPPROPRIATEDFOR COVERAGE OF GROUPS FOR WHOM FEDERAL FINANCIAL PARTICIPATION IS UNAVAILABLE .
(b) (I) A qualified alien who entered the United States on or after August 22, 1996, shall not be eligible for benefits under this article or article4or6ofthistitle,exceptasprovidedinsection25.5-5-103(3),for -9- 1235 five years after the date of entry into the United States unless he or she meets the exceptions described in the federal "Personal Responsibility andWorkOpportunityReconciliationActof1996",PublicLaw104-193, as amended.
(2) (a) A qualified alien who entered the United States before August 22, 1996, who meets the exceptions described in the federal "Personal Responsibility and Work Opportunity Reconciliation Act of 1996", Public Law 104-193, as amended, shall receive benefits under this article and articles 4 and 6 of this title.
(II) Notwithstanding the five-year waiting period established in subparagraph (I) of this paragraph (b), but subject to the availability of sufficientappropriationsandthereceiptoffederalfinancialparticipation, the state department may provide benefits under this article and articles 4 and 6 of this title to a pregnant woman who is a qualified alien and a child under nineteen years of age who is a qualified alien so long as such woman or child meets eligibility criteria other than citizenship.
(b) (I) A qualified alien who entered the United States on or after August 22, 1996, shall not be eligible for benefits under this article or article 4 or 6 of this title, except as provided in section 25.5-5-103 (3), for five years after the date of entry into the United States unless he or she meets the exceptions described in the federal "Personal Responsibilityand Work Opportunity Reconciliation Act of 1996", Public Law 104-193, as amended.
(II) Notwithstanding the five-year waiting period established in subparagraph (I) of this paragraph (b), but subject to the availability of PAGE 7-HOUSE BILL 26-1235 sufficient appropriations and the receipt of federal financial participation, the state department may provide benefits under this article and articles 4 and 6 of this title to a pregnant woman who is a qualified alien and a child under nineteen years of age who is a qualified alien so long as such woman or child meets eligibility criteria other than citizenship.
(1) The federal government allows the state to select optional groupstoreceive medical assistance.
(1) Thefederalgovernmentallowsthestatetoselectoptionalgroups to receive medical assistance.
Pursuanttofederallaw,anyperson whoiseligibleformedicalassistanceundertheoptionalgroupsspecified in this section must receive both the mandatory services specified in sections25.5-5-102and25.5-5-103andtheoptionalservicesspecifiedin sections25.5-5-202and25.5-5-203.Subjecttotheavailabilityof federal financial aid funds, the following are the individuals or groups that Colorado has selected as optional groups to receive medical assistance pursuant to this article 5 and articles 4 and 6 of this title 25.5:
Pursuant to federal law, any person who is eligible for medical assistance under the optional groups specified in this section must receive both the mandatory services specified in sections 25.5-5-102 and 25.5-5-103 and the optional services specified in sections 25.5-5-202 and 25.5-5-203.
(j) Individuals who are qualified aNONCITIZENS and were or would have been eligible for supplemental securityincome as a result of a disabilitybut are not eligible for such supplemental securityincome as a result of the passage of the federal "Personal Responsibility and Work -10- 1235 Opportunity Reconciliation Act of 1996", Public Law 104-193;
Subject to the availability of federal financial aid funds, the following are the individuals or groups that Colorado has selected as optional groups to receive medical assistance pursuant to this article 5 and articles 4 and 6 of this title 25.5:
(k) Other qualified alienNONCITIZENS who entered or were present in the United States before August 22, 1996;
(j) Individuals who are qualified aliens NONCITIZENS and were or would have been eligible for supplemental security income as a result of a disability but are not eligible for such supplemental security income as a result of the passage of the federal "Personal Responsibility and Work Opportunity Reconciliation Act of 1996", Public Law 104-193;
(2)(a) Aqualifiedalien,whoenteredtheUnitedStatesonorafter August 22, 1996, shall not be eligible for benefits under this article and articles 4 and 6 of this title, except as provided in section 25.5-5-103 (3), forfiveyearsafterthedateofentryintotheUnitedStatesunlessheorshe meets the exceptions described in the federal "Personal Responsibility andWorkOpportunityReconciliationActof1996",PublicLaw104-193, as amended.
(k) Otherqualifiedaliens NONCITIZENS whoenteredorwerepresent in the United States before August 22, 1996;
After five years, such qualified alien shall be eligible for benefits under this article and articles 4 and 6 of this title but shall have sponsor income and resources deemed to the individual or family under rulesestablishedbythestateboardof humanservicespursuanttosection 26-2-137, C.R.S.
(2) (a) A qualified alien, who entered the United States on or after August 22, 1996, shall not be eligible for benefits under this article and articles4and6ofthistitle,exceptasprovidedinsection25.5-5-103(3),for five years after the date of entry into the United States unless he or she meets the exceptions described in the federal "Personal Responsibilityand Work Opportunity Reconciliation Act of 1996", Public Law 104-193, as amended.Afterfiveyears,suchqualifiedalienshallbeeligibleforbenefits under this article and articles 4 and 6 of this title but shall have sponsor income and resources deemed to the individual or family under rules established by the state board of human services pursuant to section PAGE 8-HOUSE BILL 26-1235 26-2-137, C.R.S.
(b) Notwithstanding the five-year waiting period established in paragraph (a) of this subsection (2), but subject to the availability of sufficientappropriationsandthereceiptoffederalfinancialparticipation, the state department may provide benefits under this article and articles 4 and 6 of this title to a pregnant woman who is a qualified alien and a child under nineteen years of age who is a qualified alien so long as such woman or child meets eligibility criteria other than citizenship.
(b) Notwithstanding the five-year waiting period established in paragraph (a) of this subsection (2), but subject to the availability of sufficient appropriations and the receipt of federal financial participation, the state department may provide benefits under this article and articles 4 and 6 of this title to a pregnant woman who is a qualified alien and a child under nineteen years of age who is a qualified alien so long as such woman or child meets eligibility criteria other than citizenship.
Home- and community-based service provider agencies-disclosureofdirectcareservicecostratiotoadministrative cost ratio - definition.
Home- and community-based service provider agencies - disclosure of direct care service cost ratio to administrative cost ratio - definition.
(1) A S USED IN THIS SECTI,UNLESS THE CONTEXT OTHERWISE -11- 1235 REQUIRES,"DIRECTCARESERVICECOSTTOADMINISTRATIVECOSTRATIO " MEANSTHEPERCENTAGEOFMEDICAIDSERVICESREVENUETHATAHOME - ANDCOMMUNITY -BASEDSERVICEPROVIDERAGENCYTHATRENDERSBASE WAGE QUALIFYING SERVICES SPENDS ON DIRECT CARE WORKFORCE COMPENSATION AND DIRECT CARE SERVICE RELATED TRAINING AND SUPPORTS AS COMPARED TO ADMINISTRATIVE AND GENERAL EXPENSES.
(1) A S USED IN THIS SECTION ,UNLESS THE CONTEXT OTHERWISE REQUIRES , DIRECT CARE SERVICE COST TO ADMINISTRATIVE COST RATIO " MEANS THE PERCENTAGE OF MEDICAID SERVICES REVENUE THAT A HOME - AND COMMUNITY -BASED SERVICE PROVIDER AGENCY THAT RENDERS BASE WAGE QUALIFYING SERVICES SPENDS ON DIRECT CARE WORKFORCE COMPENSATION AND DIRECT CARE SERVICE RELATED TRAINING AND SUPPORTS AS COMPARED TO ADMINISTRATIVE AND GENERAL EXPENSES .
(2) (a)HE STATE DEPARTMENT SHALL COLLECT THE FOLLOWING INFORMATION FROM EACH HOME - AND COMMUNITY -BASED SERVICE PROVIDER AGENCY THAT SERVES MORE THAN THIRTY MEMBERS AND IS SUBJECT TO THE BASE WAGE REQUIREMENTS SET BY THE STATE DEPARTMENTINRULE ,ANDMAYCOLLECTTHEFOLLOWINGINFORMATION FROMAHOME -ANDCOMMUNITY BASEDSERVICEPROVIDERAGENCYTHAT SERVES THIRTY OR FEWER MEMBERS:
(2) (a) THE STATE DEPARTMENT SHALL COLLECT THE FOLLOWING INFORMATION FROM EACH HOME - AND COMMUNITY BASED SERVICE PROVIDER AGENCY THAT SERVES MORE THAN THIRTY MEMBERS AND IS SUBJECTTOTHEBASEWAGEREQUIREMENTSSETBYTHESTATEDEPARTMENT IN RULE,AND MAY COLLECT THE FOLLOWING INFORMATION FROM A HOME - AND COMMUNITY BASED SERVICE PROVIDER AGENCY THAT SERVES THIRTY OR FEWER MEMBERS :
(I) HE TOTAL MEDICAL ASSISTANCE PROGRAM REIMBURSEMENT AND VOLUME DATA FOR HOME -AND COMMUNITY -BASED SERVICES THAT ARE SUBJECT TO THE BASE WAGE REQUIREMENTS ,SORTED BY SERVICE CODES AND SUBMITTED SEPARATELY FOREMPLOYEES AND INDEPENDENT CONTRACTORS ;
(I) T HE TOTAL MEDICAL ASSISTANCE PROGRAM REIMBURSEMENT ANDVOLUMEDATAFORHOME -ANDCOMMUNITY -BASEDSERVICESTHATARE SUBJECT TO THE BASE WAGE REQUIREMENTS ,SORTED BY SERVICE CODES AND SUBMITTED SEPARATELY FOR EMPLOYEES AND INDEPENDENT CONTRACTORS ;
(II) IRECTWAGESANDCASHCOMPENSATION ,WHICHARELIMITED TO WAGES ,OVERTIME PAY ,BONUSES ,AND OTHER DIRECT MONETARY COMPENSATION PAID TO DIRECT CARE WORKERS;
(II) DIRECT WAGES AND CASH COMPENSATION ,WHICH ARE LIMITED PAGE 9-HOUSE BILL 26-1235 TO WAGES , OVERTIME PAY , BONUSES, AND OTHER DIRECT MONETARY COMPENSATION PAID TO DIRECT CARE WORKERS ;
(III)AIDLEAVEANDEMPLOYEEBENEFITS WHICHARELIMITEDTO PAID LEAVE, HEALTH INSURANCE ,RETIREMENT CONTRIBUTIONS , AND OTHER INSURANCE BENEFITS , WELLNESS SUPPORT ,TRANSPORTATION BENEFITS,AND OTHER MONETARY OR NON MONETARY EMPLOYMENT BENEFITS;
(III) PID LEAVE AND EMPLOYEE BENEFITSWHICH ARE LIMITED TO PAIDLEAVE ,HEALTHINSURANCE ,RETIREMENTCONTRIBUTIONS ANDOTHER INSURANCEBENEFITS WELLNESSSUPPORT TRANSPORTATIONBENEFITS AND OTHER MONETARY OR NON MONETARY EMPLOYMENT BENEFITS ;
(IV) EMPLOYER PAYROLL TAXES AND STATUTORY EMPLOYMENT -12- 1235 COSTS, WHICH ARE LIMITED TO EMPLOYER PAYROLL TAXES , STATE UNEMPLOYMENT INSURANCE CONTRIBUTIONS , AND FEDERAL UNEMPLOYMENT INSURANCE CONTRIBUTIONS ;
(IV) EMPLOYER PAYROLL TAXES AND STATUTORY EMPLOYMENT COSTS, WHICH ARE LIMITED TO EMPLOYER PAYROLL TAXES , STATE UNEMPLOYMENT INSURANCE CONTRIBUTIONS , AND FEDERAL UNEMPLOYMENT INSURANCE CONTRIBUTIONS ;
(V) W ORKFORCE RECRUITMENT , RETENTION, AND INCENTIVE SUPPORTS , WHICH ARE LIMITED TO STIPENDS , REIMBURSEMENTS , ALLOWANCES INCENTIVEPROGRAMS ,ANDOTHERBENEFITSDESIGNEDTO RECRUIT, RETAIN AND SUPPORT THE WELL -BEING OF DIRECT CARE WORKERS ;
(V) W ORKFORCE RECRUITMENT , RETENTION, AND INCENTIVE SUPPORTS , WHICH ARE LIMITED TO STIPENDS, REIMBURSEMENTS , ALLOWANCES ,INCENTIVE PROGRAMS ,AND OTHER BENEFITS DESIGNED TO RECRUIT,RETAINANDSUPPORTTHEWELL -BEINGOFDIRECTCAREWORKERS ;
(VI) W ORKFORCE SUPERVISION ,TRAINING AND OPERATIONAL SUPPORT WHICHARELIMITEDTOCOSTSRELATEDTOSUPERVISINGDIRECT CARE WORKERS , PROVIDING TRAININ, AND MAINTAINING WORKFORCE SUPPORT SERVICES NECESSARY FOR SAFE SERVICE DELIVERY AND REGULATORY COMPLIANCE ;
(VI) W ORKFORCE SUPERVISION , TRAINING AND OPERATIONAL SUPPORT,WHICH ARE LIMITED TO COSTS RELATED TO SUPERVISING DIRECT CARE WORKERS ,PROVIDING TRAINING ,AND MAINTAINING WORKFORCE SUPPORT SERVICES NECESSARY FOR SAFE SERVICE DELIVERY AND REGULATORY COMPLIANCE ;
(VII) O PERATIONAL AND COMPLIANCE COSTS TIED TO EMPLOYMENT OF DIRECT CARE WORKERS , WHICH ARE LIMITED TO EMPLOYER EXPENSES NECESSARY TO RECRUIT ,EMPLOY , SUPERVISE, SUPPORT AND RETAIN DIRECT CARE WORKERS,INCLUDING OPERATIONAL COSTSREQUIREDTOSAFELYDELIVERMEDICALASSISTANCESERVICESAND COMPLY WITH MEDICAL ASSISTANCE PROGRAM REQUIREMENTS ;AND (VIII) E XISTING BASE WAGE REPORTING AND ATTESTATION DOCUMENTATION VERIFYING THAT DIRECT CARE WORKER WAGES MEET THE STATE BASE WAGE REQUIREMENTS .
(VII) OPERATIONALANDCOMPLIANCECOSTSTIEDTOEMPLOYMENT OF DIRECT CARE WORKERS ,WHICH ARE LIMITED TO EMPLOYER EXPENSES NECESSARYTORECRUIT ,EMPLOY ,SUPERVISESUPPORT ANDRETAINDIRECT CARE WORKERS ,INCLUDING OPERATIONAL COSTS REQUIRED TO SAFELY DELIVER MEDICAL ASSISTANCE SERVICES AND COMPLY WITH MEDICAL ASSISTANCE PROGRAM REQUIREMENTS ;AND (VIII) EXISTING BASE WAGE REPORTING AND ATTESTATION DOCUMENTATIONVERIFYINGTHATDIRECTCAREWORKERWAGESMEETTHE STATE BASE WAGE REQUIREMENTS .
(b) AHOME -ANDCOMMUNITY -BASEDSERVICEPROVIDERAGENCY SHALLSUBMITTOTHESTATEDEPARTMENTITSDIRECTCARESERVICECOST TO ADMINISTRATIVE COST RATIO AND THE INFORMATION REQUIRED PURSUANTTOTHISSUBSECTION (2)NOLATERTHAN S EPTEMBER 30,2027.
(b) A HOME -AND COMMUNITY BASED SERVICE PROVIDER AGENCY SHALL SUBMIT TO THE STATE DEPARTMENT ITS DIRECT CARE SERVICE COST TO ADMINISTRATIVE COST RATIO AND THE INFORMATION REQUIRED PURSUANT TO THIS SUBSECTION(2)NO LATER THAN SEPTEMBER 30, 2027.
(3) THE STATE DEPARTMENT SHALL SUBMIT A REPORT DETAILING -13- 1235 THE INFORMATION COLLECTED PURSUANT TO SUBSECTION (2) OF THIS SECTION TO THE HOUSE OF REPRESENTATIVES AND SENATE HEALTH AND HUMAN SERVICES COMMITTEES AND THE JOINT BUDGET COMMITTEE ,OR ANY SUCCESSOR COMMITTEES ,NO LATER THAN DECEMBER 31, 2027.
PAGE 10-HOUSE BILL 26-1235 (3) HESTATEDEPARTMENTSHALLSUBMITAREPORTDETAILINGTHE INFORMATION COLLECTED PURSUANT TO SUBSECTION (2)OF THIS SECTION TO THE HOUSE OF REPRESENTATIVES AND SENATE HEALTH AND HUMAN SERVICES COMMITTEES AND THE JOINT BUDGET COMMITTEE , OR ANY SUCCESSOR COMMITTEES ,NO LATER THAND ECEMBER 31, 2027.
(4) THE DATA COLLECTED AND PUBLISHED PURSUANT TO THIS SECTION MUST BE USED SOLELY FOR LEGISLATIVE INFORMATIONAL PURPOSES AND IS NOT SUBJECT TO DISCLOSURE UNDER TH"COLORADO O PENR ECORDS ACT,"PART 2OF ARTICLE72 OF TITL24.
(4) T HE DATA COLLECTED AND PUBLISHED PURSUANT TO THIS SECTIONMUSTBEUSEDSOLELYFORLEGISLATIVEINFORMATIONALPURPOSES AND IS NOT SUBJECT TO DISCLOSURE UNDER THE "COLORADO O PEN RECORDS A CT,"PART 2OF ARTICLE72 OF TITL24.
InColoradoRevisedStatutes,repeal25.5-4-203.
In Colorado Revised Statutes, repeal 25.5-4-203.
on the day following the expiration of the ninety-dayperiodafterfinaladjournmentofthegeneralassembly(August 12, 2026, if adjournment sine die is on May 13, 2026);
on the day following the expiration of the ninety-dayperiod after final adjournment of the general assembly(August 12, 2026, if adjournment sine die is on May 13, 2026);
except that, if a referendum petition is filed pursuant to section 1 (3) of article V of the state constitution against this act or an item, section, or part of this act within such period, then the act, item, section, or part will not take effect unless approved by the people at the general election to be held in November 2026 and, in such case, will take effect on the date of the official declaration of the vote thereon by the governor.
except that, if a referendumpetitionisfiledpursuanttosection1(3)ofarticleVofthestate constitution against this act or an item, section, or part of this act within such period, then the act, item, section, or part will not take effect unless PAGE 11-HOUSE BILL 26-1235 approvedbythepeopleatthegeneralelectiontobeheldinNovember2026 and, in such case, will take effect on the date of the official declaration of the vote thereon by the governor.
-14- 1235
____________________________ ____________________________ Julie McCluskie James Rashad Coleman, Sr.
SPEAKER OF THE HOUSE PRESIDENT OF OF REPRESENTATIVES THE SENATE ____________________________ ____________________________ Vanessa Reilly Esther van Mourik CHIEF CLERK OF THE HOUSE SECRETARY OF OF REPRESENTATIVES THE SENATE APPROVED________________________________________ (Date and Time) _________________________________________ Jared S.
Polis GOVERNOR OF THE STATE OF COLORADO PAGE 12-HOUSE BILL 26-1235
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Action History

  1. Governor Signed

  2. Signed by the Speaker of the House

  3. Signed by the President of the Senate

  4. Sent to the Governor

  5. Senate Third Reading Passed - No Amendments

  6. Senate Second Reading Passed - No Amendments

  7. Senate Committee on Health & Human Services Refer Unamended - Consent Calendar to Senate Committee of the Whole

  8. Introduced In Senate - Assigned to Health & Human Services

  9. House Third Reading Passed - No Amendments

  10. House Third Reading Laid Over Daily - No Amendments

  11. House Second Reading Special Order - Passed with Amendments - Committee, Floor

  12. House Second Reading Laid Over Daily - No Amendments

  13. House Committee on Health & Human Services Refer Amended to House Committee of the Whole

  14. Introduced In House - Assigned to Health & Human Services

Sponsors

Sponsorship breakdown

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2 sponsors · 10 co-sponsors · 89 not signed on · 9 voted No

Sponsors (2)

Co-sponsors (10)

Not signed on (89)

89 members have not signed on to this bill.

Show all 89 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

BILL

Passed 32 Yea · 4 Nay
Party YeaNayPresentNot Voting
Democrat 21000
Republican 6400
Unaffiliated 5000
Total 32400
% of votes cast 89%11%0%0%
How each member voted (36)
Member Party Vote
Gonzales J. — Yea
Pelton B. — Yea
Pelton R. — Yea
President — Yea
Adrienne Benavidez — Yea
Cathy Kipp Democrat Yea
Chris Kolker Democrat Yea
Dylan Roberts Democrat Yea
Iman Jodeh Democrat Yea
James Coleman Democrat Yea
Janice Marchman Democrat Yea
Jeff Bridges Democrat Yea
Jessie Danielson Democrat Yea
Judy Amabile Democrat Yea
Katie Wallace Democrat Yea
Kyle Mullica Democrat Yea
Lindsey Daugherty Democrat Yea
Lisa Cutter Democrat Yea
Marc Snyder Democrat Yea
Matt Ball Democrat Yea
Mike Weissman Democrat Yea
Nick Hinrichsen Democrat Yea
Robert Rodriguez Democrat Yea
Tom Sullivan Democrat Yea
Tony Exum Democrat Yea
William Lindstedt Democrat Yea
Barbara Kirkmeyer Republican Yea
Cleave Simpson Republican Yea
Janice Rich Republican Nay
John Carson Republican Nay
Larry Liston Republican Yea
Lisa Frizell Republican Yea
Lynda Zamora Wilson Republican Nay
Marc Catlin Republican Yea
Mark Baisley Republican Nay
Scott Bright Republican Yea

Official roll call →

Refer House Bill 26-1235 to the Committee of the Whole and with a recommendation that it be placed on the consent calendar.

Passed 7 Yea · 0 Nay
Party YeaNayPresentNot Voting
Republican 2000
Democrat 5000
Total 7000
% of votes cast 100%0%0%0%
How each member voted (7)
Member Party Vote
Iman Jodeh Democrat Yea
Kyle Mullica Democrat Yea
Lindsey Daugherty Democrat Yea
Lisa Cutter Democrat Yea
Mike Weissman Democrat Yea
Lisa Frizell Republican Yea
Scott Bright Republican Yea

Official roll call →

Refer House Bill 26-1235, as amended, to the Committee of the Whole.

Passed 7 Yea · 5 Nay · 1 Other
Party YeaNayPresentNot Voting
Republican 0500
Democrat 7001
Total 7501
% of votes cast 54%38%0%8%
How each member voted (13)
Member Party Vote
Eliza Hamrick Democrat Yea
Gretchen Rydin Democrat Yea
Karen McCormick Democrat Yea
Katie Stewart Democrat Yea
Lindsay Gilchrist Democrat Yea
Lisa Feret Democrat Yea
Regina English Democrat Not Voting
Sheila Lieder Democrat Yea
Brandi Bradley Republican Nay
Carlos Barron Republican Nay
Dusty Johnson Republican Nay
Mary Bradfield Republican Nay
Stephanie Luck Republican Nay

Official roll call →

Adopt amendment L.004 (Attachment L).

Passed 7 Yea · 5 Nay · 1 Other
Party YeaNayPresentNot Voting
Republican 0500
Democrat 7001
Total 7501
% of votes cast 54%38%0%8%
How each member voted (13)
Member Party Vote
Eliza Hamrick Democrat Yea
Gretchen Rydin Democrat Yea
Karen McCormick Democrat Yea
Katie Stewart Democrat Yea
Lindsay Gilchrist Democrat Yea
Lisa Feret Democrat Yea
Regina English Democrat Not Voting
Sheila Lieder Democrat Yea
Brandi Bradley Republican Nay
Carlos Barron Republican Nay
Dusty Johnson Republican Nay
Mary Bradfield Republican Nay
Stephanie Luck Republican Nay

Official roll call →

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HB 1235 do?
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.)
Who sponsors HB 1235?
HB 1235 is sponsored by M. Snyder, C. Kipp, T. Exum, J. Coleman, Chad Clifford (Democrat), Kenny Nguyen (Democrat), Elizabeth Velasco (Democrat), L. Daugherty, Lisa Feret (Democrat), Michael Carter (Democrat), Jamie Jackson (Democrat), and Tammy Story (Democrat).
What is the current status of HB 1235?
This bill has been enacted into law. Introduced February 18, 2026. Enacted.
Where can I track HB 1235?
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