HB26-1235 Requires Transportation Provider Reporting by Medicaid Transportation Brokers
Summary
Colorado House Bill 26-1235, introduced in the 2026 Regular Session, proposes multiple changes to the state's medical assistance program. Beginning December 1, 2026, transportation brokers administering nonemergency medical transportation would be required to submit information about contracted transportation providers to the Department of Health Care Policy and Financing. Home- and community-based service agencies would need to submit medical loss ratio data annually starting January 1, 2027. The bill also prohibits the state department from implementing certain payment reductions for outpatient therapy services and requires reimbursement for medication-assisted treatment in jail settings.
What changed
HB26-1235 introduces reporting requirements for transportation brokers administering nonemergency medical transportation and home- and community-based service agencies in Colorado's Medicaid program. Transportation brokers must submit information about their contracted transportation providers to the Department of Health Care Policy and Financing, with data to be included in the annual SMART Act presentation. Home- and community-based service agencies must submit medical loss ratio data annually for state publication.
Affected parties including transportation brokers and home- and community-based service agencies should monitor this legislation as it progresses through the Colorado legislature. The reporting deadlines of December 1, 2026 and January 1, 2027 provide lead time for compliance preparation. The bill's prohibition on multiple procedure payment reductions for outpatient therapy services may affect reimbursement practices for therapy providers.
What to do next
- Transportation brokers administering nonemergency medical transportation should prepare to submit provider information to the state department by December 1, 2026
- Home- and community-based service agencies should prepare to submit annual medical loss ratio data by January 1, 2027
- Monitor HB26-1235 legislative progress through the Colorado House
Archived snapshot
Apr 15, 2026GovPing captured this document from the original source. If the source has since changed or been removed, this is the text as it existed at that time.
HB26-1235
Updates to Medicaid
| Type | Bill |
|---|---|
| Session | 2026 Regular Session |
| Subjects | Civil Law Health Care & Health Insurance |
Concerning updates to the medical assistance program.
Recent Bill (PDF) Recent Fiscal Note (PDF) Bill Summary:
Beginning December 1, 2026, the bill requires each transportation broker that administers nonemergency medical transportation to medicaid members to submit certain information to the state department regarding transportation providers that the transportation broker contracts with. The department of health care policy and financing (state department) is required to include this information in its annual "SMART Act" presentation.
The bill requires the medical services board to adopt rules to i mplement the federal community engagement requirements.
Under current law, the state department is required to reimburse an opioid treatment program for administering medication-assisted treatment in a jail setting. The bill 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 assistance and services advisory council.
(Note: This summary applies to this bill as introduced.)
Prime Sponsors
Lisa Feret
Senator
Lindsey Daugherty
Committees
House
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Status
Under Consideration
Introduced
Under Consideration
Upcoming Schedule
1 meeting
Apr 15
House Third Reading of Bills - Final Passage
9:00 AM House Chamber
Related Documents & Information
| Date | Version | Documents |
|---|---|---|
| 04/13/2026 | Engrossed | |
| 02/18/2026 | Introduced |
| Date | Version | Documents |
|---|---|---|
| 03/12/2026 | PA1 |
| Date | Version | Documents |
|---|---|---|
| 03/13/2026 | First Revised Fiscal Note | |
| 03/06/2026 | Initial Fiscal Note |
| Activity | Vote | Documents |
|---|---|---|
| Adopt amendment L.001 (Attachment J). | The motion passed without objection. | Vote summary |
| Adopt amendment L.002 (Attachment K). | The motion passed without objection. | Vote summary |
| Adopt amendment L.004 (Attachment L). | The motion passed on a vote of 7-5. | Vote summary |
| Refer House Bill 26-1235, as amended, to the Committee of the Whole. | The motion passed on a vote of 7-5. | Vote summary |
| Hearing Summary | Committee Report: PDF | |
| Date | Amendment Number | Committee/ Floor Hearing |
| --- | --- | --- |
| 04/13/2026 | L.008 | Second Reading |
| 04/13/2026 | L.011 | Second Reading |
| 04/13/2026 | L.010 | Second Reading |
| 04/13/2026 | L.009 | Second Reading |
| 04/13/2026 | L.006 | Second Reading |
| 04/13/2026 | L.005 | Second Reading |
| 03/11/2026 | L.004 | HOU Health & Human Services |
| 03/11/2026 | L.002 | HOU Health & Human Services |
| 03/11/2026 | L.001 | HOU Health & Human Services |
- Amendments passed in committee are not incorporated into the measure unless adopted by the full House or Senate.
** The status of Second Reading amendments may be subsequently affected by the adoption of an amendment to the Committee of the Whole Report. Refer to the House or Senate Journal for additional information.
| Date | Location | Action |
|---|---|---|
| 04/14/2026 | House | House Third Reading Laid Over Daily - No Amendments |
| 04/13/2026 | House | House Second Reading Special Order - Passed with Amendments - Committee, Floor |
| 03/16/2026 | House | House Second Reading Laid Over Daily - No Amendments |
| 03/11/2026 | House | House Committee on Health & Human Services Refer Amended to House Committee of the Whole |
| 02/18/2026 | House | Introduced In House - Assigned to Health & Human Services |
Prime Sponsor
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