republic-os/legislation/us/states/co/2026a/hb-1235.md

---
type: "Bill"
title: "Updates to Medicaid"
description: "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.)"
jurisdiction: "us/states/co"
legislature: "Colorado General Assembly"
session: "2026A"
identifier: "HB 1235"
citation: "Colorado HB 1235 (2026A)"
classification: ["bill"]
subjects: ["Civil Law", "Health Care & Health Insurance"]
status: "enacted"
primary_sponsors: ["L. Daugherty", "L. Feret"]
version_count: 7
action_count: 14
vote_count: 6
first_action: "2026-02-18"
last_action: "2026-06-03"
source: "openstates"
source_identifier: "ocd-bill/0691b14e-bfac-4798-a002-774440137196"
source_url: "https://leg.colorado.gov/bills/HB26-1235"
source_hash: "ea1b171ebd92000a6123607a192736d0a6155c19378c3db4895040c87e3e14ab"
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 1235 (2026A) — Updates to Medicaid

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.)

## Version chain

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

1. **Introduced** (filed) — [source](https://leg.colorado.gov/bill_files/112166/download)
2. **Engrossed** (committee substitute) — [source](https://leg.colorado.gov/bill_files/114506/download)
3. **Final Act** (committee substitute) — [source](https://leg.colorado.gov/bill_files/116879/download)
4. **Reengrossed** (committee substitute) — [source](https://leg.colorado.gov/bill_files/114789/download)
5. **Rerevised** (committee substitute) — [source](https://leg.colorado.gov/bill_files/115666/download)
6. **Revised** (committee substitute) — [source](https://leg.colorado.gov/bill_files/115577/download)
7. **Signed Act** (committee substitute) — [source](https://leg.colorado.gov/bill_files/117067/download)

## Votes

- Adopt amendment L.001 (Attachment J). — **pass** (pass) · lower
- Refer House Bill 26-1235 to the Committee of the Whole and with a recommendation that it be placed on the consent calendar. — **pass** (pass) · upper
- Adopt amendment L.004 (Attachment L). — **pass** (pass) · lower
- BILL — **pass** (pass) · lower
- Adopt amendment L.002 (Attachment K). — **pass** (pass) · lower
- Refer House Bill 26-1235, as amended, to the Committee of the Whole. — **pass** (pass) · lower

## Sponsors

- L. Daugherty — primary (person)
- L. Feret — primary (person)
- C. Clifford — cosponsor (person)
- C. Kipp — cosponsor (person)
- E. Velasco — cosponsor (person)
- J. Coleman — cosponsor (person)
- J. Jackson — cosponsor (person)
- K. Nguyen — cosponsor (person)
- M. Carter — cosponsor (person)
- M. Snyder — cosponsor (person)
- T. Exum — cosponsor (person)
- T. Story — cosponsor (person)

## Timeline

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

- **2026-06-03** Governor Signed `executive-signature`
- **2026-06-02** Sent to the Governor `executive-receipt`
- **2026-06-02** Signed by the President of the Senate `passage`
- **2026-06-02** Signed by the Speaker of the House `passage`
- **2026-05-04** Senate Third Reading Passed - No Amendments `passage, reading-3`
- **2026-05-01** Senate Second Reading Passed - No Amendments `reading-2`
- **2026-04-29** Senate Committee on Health & Human Services Refer Unamended - Consent Calendar to Senate Committee of the Whole `committee-passage`
- **2026-04-21** Introduced In Senate - Assigned to Health & Human Services `introduction`
- **2026-04-16** House Third Reading Passed - No Amendments `passage, reading-3`
- **2026-04-14** House Third Reading Laid Over Daily - No Amendments
- **2026-04-13** House Second Reading Special Order - Passed with Amendments - Committee, Floor
- **2026-03-16** House Second Reading Laid Over Daily - No Amendments
- **2026-03-11** House Committee on Health & Human Services Refer Amended to House Committee of the Whole `committee-passage, referral-committee`
- **2026-02-18** 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/0691b14e-bfac-4798-a002-774440137196`. Confidence: reported (aggregated from official Colorado legislature records).