Colorado Bill: Nonemergency Medical Transportation Services for Medicaid

Detected February 27th, 2026

Summary

Colorado Bill SB26-063 proposes new requirements for nonemergency medical transportation services for Medicaid members. The bill mandates that transportation brokers contract with at least five providers and allows Medicaid members to preapprove services and choose preferred providers.

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What changed

Colorado Bill SB26-063, introduced for the 2026 Regular Session, introduces significant changes to the provision of nonemergency medical transportation (NEMT) services for Medicaid members. The core requirement is that any transportation broker facilitating these services must contract with a minimum of five distinct transportation providers. Additionally, the bill stipulates that transportation providers must meet specific prerequisites before offering services, and Medicaid members will gain the right to preapprove NEMT services and select a preferred provider for their transportation needs.

This proposed legislation will necessitate a review of existing NEMT contracts and provider networks by transportation brokers operating within Colorado. Brokers will need to ensure they meet the minimum provider contracting threshold and that their contracted providers comply with the new requirements. Furthermore, the enhanced patient choice provisions may require adjustments to scheduling and dispatch systems. As the bill is currently in the 'Under Consideration' stage, regulated entities should monitor its progress through the legislative process and prepare for potential implementation if enacted.

What to do next

Monitor the progress of Colorado Bill SB26-063 through the legislative process.
Review existing transportation broker contracts to ensure compliance with the proposed requirement of contracting with at least five providers.
Assess current provider vetting processes to align with any new requirements for transportation providers.

Source document (simplified)

SB26-063

Nonemergency Medical Transportation Services

| Type | Bill |
| --- | --- |
| Session | 2026 Regular Session |
| Subjects | Health Care & Health Insurance |
Concerning nonemergency medical transportation services for medicaid members.

Recent Bill (PDF) Recent Fiscal Note (PDF) Bill Summary:

The bill requires a transportation broker to contract with at least 5 transportation providers to provide nonemergency transportation services to medicaid members.

A transportation provider must meet certain requirements before providing transportation services.

The bill requires that medicaid members be able to preapprove nonemergency medical transportation services and choose a preferred transportation provider to receive nonemergency transportation services through.
(Note: This summary applies to this bill as introduced.)