# Colorado HB26-1235: Updates to Medicaid Colorado HB26-1235, Updates to Medicaid, is a 2026 Regular Session House bill sponsored by Lindsey Daugherty (Democratic), Lisa Feret (Democratic); status signed, last action 2026-06-03 (Governor Signed); PRIA reads it as touching household money (as of 2026-10-16). - Canonical: https://policyrisk.com/state-bill/CO-HB26-1235-2026A - As of: 2026-10-16 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Colorado HB26-1235 - State: Colorado - Session: 2026 Regular Session - Title: Updates to Medicaid - Status: signed - Chamber: House - Introduced: 2026-02-18 - Last action: 2026-06-03, Governor Signed - Sponsors: Lindsey Daugherty (Democratic), Lisa Feret (Democratic) - Cosponsors: 10 - Subjects: Civil Law, Health Care & Health Insurance - Touches household money: yes - Roll calls: 5 (96 yes, 32 no in all) - Economic provisions PRIA read: 5 ## Summary No summary available. ## Bill overview: provisions PRIA read - More Medicaid treatment providers in jails: benefit, medium. Beginning August 12, 2026, Colorado Medicaid must pay more kinds of providers for medication-assisted treatment in jails. Payment is no longer limited to opioid treatment programs. Providers must be licensed and authorized to prescribe, dispense, compound, or administer the treatment. State oversig… - Advance notice for Medicaid therapy cuts: benefit, low. Beginning August 12, 2026, Colorado must give affected providers at least six months' notice before new outpatient therapy payment reductions. This applies to reductions for multiple procedures, not every therapy payment cut. The state must also hold at least one stakeholder meeting, including disc… - Home care agencies must report costs: cost, low. Beginning August 12, 2026, home- and community-based care agencies face new cost reporting rules. Agencies serving more than 30 members and covered by state minimum-wage requirements must submit data by September 30, 2027. Colorado may also collect data from agencies serving 30 or fewer members. Re… - Medicaid access and limits for noncitizens: mixed, high. Colorado Medicaid includes qualified noncitizens who entered before August 22, 1996. Those entering on or after that date generally face a five-year waiting period. During that period, Colorado may cover pregnant people and children under 19 who meet Medicaid rules other than citizenship. This cove… - New coverage rules for Medicaid members: mixed, medium. Beginning August 12, 2026, Colorado's Medical Services Board must adopt federal Medicaid community engagement rules by January 1, 2027. The rules must keep paperwork burdens as low as possible for people getting or keeping coverage. The law does not spell out required activities or individual eligi… ## Sponsors and cosponsors - Sponsor: Lindsey Daugherty (Democratic), Senate - Sponsor: Lisa Feret (Democratic), House - Cosponsor: Chad Clifford (Democratic), House - Cosponsor: Elizabeth Velasco (Democratic), House - Cosponsor: Jamie Jackson (Democratic), House - Cosponsor: Kenny Nguyen (Democratic), House - Cosponsor: Michael Carter (Democratic), House - Cosponsor: Tammy Story (Democratic), House - Cosponsor: Cathy Kipp (Democratic), Senate - Cosponsor: James Coleman (Democratic), Senate - Cosponsor: Marc Snyder (Democratic), Senate - Cosponsor: Tony Exum (Democratic), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-05-04 | Senate | Third reading: Bill | pass | 31 | 4 | | | 2026-04-29 | Senate | Refer House Bill 26-1235 to the Committee of the Whole and with a recommendation that it be placed on the consent calendar. | pass | 7 | 0 | | | 2026-04-16 | House | Third reading: Bill | pass | 44 | 18 | | | 2026-03-11 | House | Adopt amendment L.004 (Attachment L). | pass | 7 | 5 | | | 2026-03-11 | House | Refer House Bill 26-1235, as amended, to the Committee of the Whole. | pass | 7 | 5 | | ## Actions (14) - 2026-06-03: Governor Signed (House) - 2026-06-02: Signed by the Speaker of the House (House) - 2026-06-02: Signed by the President of the Senate (Senate) - 2026-06-02: Sent to the Governor (House) - 2026-05-04: Senate Third Reading Passed - No Amendments (Senate) - 2026-05-01: Senate Second Reading Passed - No Amendments (Senate) - 2026-04-29: Senate Committee on Health & Human Services Refer Unamended - Consent Calendar to Senate Committee of the Whole (Senate) - 2026-04-21: Introduced In Senate - Assigned to Health & Human Services (Senate) - 2026-04-16: House Third Reading Passed - No Amendments (House) - 2026-04-14: House Third Reading Laid Over Daily - No Amendments (House) - 2026-04-13: House Second Reading Special Order - Passed with Amendments - Committee, Floor (House) - 2026-03-16: House Second Reading Laid Over Daily - No Amendments (House) - 2026-03-11: House Committee on Health & Human Services Refer Amended to House Committee of the Whole (House) - 2026-02-18: Introduced In House - Assigned to Health & Human Services (House) ## Bill text - Engrossed: [PDF](https://leg.colorado.gov/bill_files/114506/download) - Final Act: [PDF](https://leg.colorado.gov/bill_files/116879/download) - House Health & Human Services Preamend: [PDF](https://leg.colorado.gov/bill_files/113242/download) - Introduced: [PDF](https://leg.colorado.gov/bill_files/112166/download) - Reengrossed: [PDF](https://leg.colorado.gov/bill_files/114789/download) - Rerevised: [PDF](https://leg.colorado.gov/bill_files/115666/download) - Revised: [PDF](https://leg.colorado.gov/bill_files/115577/download) - Signed Act: [PDF](https://leg.colorado.gov/bill_files/117067/download) ## Related bills - HB26-1250: Procedures Related to Civil Asset Forfeiture (signed) - HB26-1298: Background Checks for Child Welfare Placements (signed) - HB26-1414: Medical Record Requests (signed) - SB26-155: Increase Access Homeowner's Insurance Enterprise (signed) - HB26-1429: County Administration Public Assistance Programs (signed) - HB26-1430: Transportation Funding Adjustments (signed) ## Sources - [Engrossed (PDF)](https://leg.colorado.gov/bill_files/114506/download) - [Final Act (PDF)](https://leg.colorado.gov/bill_files/116879/download) - [House Health & Human Services Preamend (PDF)](https://leg.colorado.gov/bill_files/113242/download) - [Introduced (PDF)](https://leg.colorado.gov/bill_files/112166/download) - [Reengrossed (PDF)](https://leg.colorado.gov/bill_files/114789/download) - [Rerevised (PDF)](https://leg.colorado.gov/bill_files/115666/download) - [Revised (PDF)](https://leg.colorado.gov/bill_files/115577/download) - [Signed Act (PDF)](https://leg.colorado.gov/bill_files/117067/download) ## Related - [HB26-1250: Procedures Related to Civil Asset Forfeiture](https://policyrisk.com/state-bill/CO-HB26-1250-2026A) - [HB26-1298: Background Checks for Child Welfare Placements](https://policyrisk.com/state-bill/CO-HB26-1298-2026A) - [HB26-1414: Medical Record Requests](https://policyrisk.com/state-bill/CO-HB26-1414-2026A) - [SB26-155: Increase Access Homeowner's Insurance Enterprise](https://policyrisk.com/state-bill/CO-SB26-155-2026A) - [HB26-1429: County Administration Public Assistance Programs](https://policyrisk.com/state-bill/CO-HB26-1429-2026A) - [HB26-1430: Transportation Funding Adjustments](https://policyrisk.com/state-bill/CO-HB26-1430-2026A) - [Colorado bills](https://policyrisk.com/states/colorado/bills) - [Colorado state hub](https://policyrisk.com/states/colorado) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/CO-HB26-1235-2026A (as of 2026-10-16).