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HB26-1235 Requires Transportation Provider Reporting by Medicaid Transportation Brokers

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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

  1. Transportation brokers administering nonemergency medical transportation should prepare to submit provider information to the state department by December 1, 2026
  2. Home- and community-based service agencies should prepare to submit annual medical loss ratio data by January 1, 2027
  3. Monitor HB26-1235 legislative progress through the Colorado House

Archived snapshot

Apr 15, 2026

GovPing 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


Representative

Lisa Feret
Senator

Lindsey Daugherty

Committees

House

Health & Human Services

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Status

Under Consideration

Introduced

Under Consideration


Upcoming Schedule

1 meeting

Wed

Apr 15

House Third Reading of Bills - Final Passage

9:00 AM House Chamber


Related Documents & Information

Date Version Documents
04/13/2026 Engrossed PDF
02/18/2026 Introduced PDF
Date Version Documents
03/12/2026 PA1 PDF
Date Version Documents
03/13/2026 First Revised Fiscal Note PDF
03/06/2026 Initial Fiscal Note PDF
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

Rep. L. Feret


Sen. L. Daugherty

Sponsor

(None) Co-Sponsor

(None)

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Last updated

Classification

Agency
CO Legislature
Instrument
Consultation
Legal weight
Non-binding
Stage
Consultation
Change scope
Substantive
Document ID
HB26-1235

Who this affects

Applies to
Healthcare providers Government agencies
Industry sector
6211 Healthcare Providers
Activity scope
Medical transportation services Healthcare reimbursement Medicaid administration
Geographic scope
Colorado US-CO

Taxonomy

Primary area
Healthcare
Operational domain
Compliance
Topics
Healthcare Government Contracting

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