republic-os/legislation/us/states/co/2024a/hb-24-1086.md

---
type: "Bill"
title: "Operation of Denver Health & Hospital Authority"
description: "Current law requires the department of health care policy and financing (department) to offer to enter into a direct contract with the managed care organization (MCO) operated by or under the control of the Denver health and hospital authority (Denver health) until Denver health ceases to operate a medicaid managed care program or until June 30, 2025. The act removes the option for the department to enter into a direct contract until June 30, 2025, and instead requires the department to enter into the contract from July 1, 2025, until June 30, 2032, as long as the MCO meets all MCO criteria required by the department."
jurisdiction: "us/states/co"
legislature: "Colorado General Assembly"
session: "2024A"
identifier: "HB 24-1086"
citation: "Colorado HB 24-1086 (2024A)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Dafna Michaelson Jenet", "Judy Amabile", "Richard Holtorf"]
version_count: 9
action_count: 13
vote_count: 2
first_action: "2024-01-10T07:00:00+00:00"
last_action: "2024-04-04T06:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/2090025e-7ce6-4f62-b93a-ed63c7973287"
source_url: "https://leg.colorado.gov/bills/hb24-1086"
source_hash: "be4646e22488978c79afde75df2cf4e2c60a1ae0d17e5bde4aa241b44f43b299"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-co"]
---

# Colorado HB 24-1086 (2024A) — Operation of Denver Health & Hospital Authority

Current law requires the department of health care policy and financing (department) to offer to enter into a direct contract with the managed care organization (MCO) operated by or under the control of the Denver health and hospital authority (Denver health) until Denver health ceases to operate a medicaid managed care program or until June 30, 2025. The act removes the option for the department to enter into a direct contract until June 30, 2025, and instead requires the department to enter into the contract from July 1, 2025, until June 30, 2032, as long as the MCO meets all MCO criteria required by the department.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Committee Amendment** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/2024a_hb1086_s_hhs_001.pdf)
2. **Engrossed (01/29/2024)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2024A/bills/2024a_1086_eng.pdf)
3. **Final Act (03/27/2024)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2024A/bills/2024a_1086_enr.pdf)
4. **Introduced (01/10/2024)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2024A/bills/2024a_1086_01.pdf)
5. **PA1 (01/25/2024)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2024A/bills/2024a_1086_h_hhs_01.pdf)
6. **Reengrossed (02/05/2024)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2024A/bills/2024a_1086_ren.pdf)
7. **Rerevised (03/13/2024)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2024A/bills/2024a_1086_rer.pdf)
8. **Revised (03/12/2024)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/documents/2024A/bills/2024a_1086_rev.pdf)
9. **Signed Act (04/04/2024)** (committee substitute) — [source](https://leg.colorado.gov/sites/default/files/2024a_1086_signed.pdf)

## Votes

- BILL — **55–9** (pass) · lower
- BILL — **30–4** (pass) · upper

## Sponsors

- Dafna Michaelson Jenet — primary (person)
- Judy Amabile — primary (person)
- Richard Holtorf — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2024-04-04T06:00:00+00:00** Governor Signed `executive-signature`
- **2024-03-28T06:00:00+00:00** Sent to the Governor `executive-receipt`
- **2024-03-27T06:00:00+00:00** Signed by the President of the Senate
- **2024-03-26T06:00:00+00:00** Signed by the Speaker of the House
- **2024-03-13T06:00:00+00:00** Senate Third Reading Passed - No Amendments `passage, reading-3`
- **2024-03-12T06:00:00+00:00** Senate Second Reading Passed - No Amendments `reading-2`
- **2024-03-07T07:00:00+00:00** Senate Committee on Health & Human Services Refer Unamended - Consent Calendar to Senate Committee of the Whole `committee-passage`
- **2024-02-07T07:00:00+00:00** Introduced In Senate - Assigned to Health & Human Services `introduction`
- **2024-02-05T07:00:00+00:00** House Third Reading Passed - No Amendments `passage, reading-3`
- **2024-01-30T07:00:00+00:00** House Third Reading Laid Over Daily - No Amendments
- **2024-01-29T07:00:00+00:00** House Second Reading Passed with Amendments - Committee, Floor `reading-2`
- **2024-01-24T07:00:00+00:00** House Committee on Health & Human Services Refer Amended to House Committee of the Whole `committee-passage, referral-committee`
- **2024-01-10T07:00:00+00:00** Introduced In House - Assigned to Health & Human Services `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/2090025e-7ce6-4f62-b93a-ed63c7973287`. Confidence: reported (aggregated from official Colorado legislature records).