All Roll Calls
Yes: 470 • No: 153
ColoradoHB26-14112026 Regular SessionHouseWALLET
Changes to Cover All Coloradans Program
Sponsored By: Barbara Kirkmeyer (Republican), Emily Sirota (Democratic), Judy Amabile (Democratic), Kyle Brown (Democratic)
Signed by Governor
Health Care & Health Insurance
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Bill Overview
Analyzed Economic Effects
8 provisions identified: 3 benefits, 4 costs, 1 mixed.
Some immigrant children lose long-term care
Beginning January 1, 2027, state medical assistance excludes specified long-term support, home health, and related services for some children. The restriction applies to children under 19 who are ineligible for Medicaid because of immigration status. Their household income must be at or below 260% of the federal poverty line, adjusted for family size. Children already receiving the affected services on or before December 31, 2026, keep access under this exception.
State coverage replaces children's health plan
The law creates state-funded medical assistance designed to match Medicaid benefits and costs, subject to the law's service limits. It covers eligible children and pregnant women barred from Medicaid solely because of immigration status, plus other eligible people. It also repeals the state children's basic health plan and its authority to spend above its budget. The law removes the department's required outreach and enrollment strategy for new coverage options. It requires cash accounting for nonadministrative spending eligible for federal Medicaid funding, with a children's-plan exception that excludes medically indigent program spending.
Children's state coverage gets enrollment cap
For state fiscal year 2026–27, the law establishes a conditional cap of 25,000 children in state medical assistance. The supplied details do not identify the conditions that activate this cap. They also do not explain which children receive available enrollment slots.
Immigrant families face new care limits
These limits apply to covered pregnant women barred from Medicaid solely because of immigration status. They also apply to immigration-ineligible children under 19 with income at or below 260% of the federal poverty line, adjusted for family size. Beginning July 1, 2026, their dental coverage has a $750 yearly cap. Beginning January 1, 2027, behavioral health care is paid only on a fee-for-service basis, meaning payment for each service. These groups cannot receive services through the Accountable Care Collaborative or managed care.
Conditional funding supports children's medical coverage
The law sets alternative 2026–27 funding packages of about $6.57 million; these are not two added payments. When HB 26-1401 does not become law, about $6.18 million comes from the general fund for children's immigration-related coverage. Another $396,038 comes from the adult dental fund for medical and long-term care for Medicaid-eligible people. When both HB 26-1401 and HB 26-1410 become law, the same amounts come entirely from the general fund. Each package assumes $735,499 in federal funding for medical and long-term care.
More funding for health coverage systems
The law provides about $3.38 million from the general fund for 2026–27 when that year's annual budget becomes law. About $2.29 million supports Medicaid claims systems, and $1.02 million supports benefits-system operations and contracts. Another $73,917 supports behavioral health fee-for-service payments, subject to the annual budget's “(M)” notation. The law also anticipates $137,274 in federal funds for those behavioral health payments.
State studies longer continuous health coverage
The law requires a study of continuous medical coverage for children and adults, including possible federal approval. It must examine several coverage lengths, including 24 months, and eligibility under Medicaid and state coverage rules. The study must assess costs, benefit design, county workloads, computer systems, administrative savings, and implementation needs. It also examines worker turnover, coverage losses, and social and economic effects. The law revises age and residency language in continuous-eligibility rules, but the supplied details do not establish a new guaranteed coverage period.
State cuts children's and Medicaid funding
For 2026–27, general-fund reductions include about $15.01 million for children's coverage tied to immigration status and $753,747 for behavioral health capitation payments. They also include $262,500 for professional services and projects, plus $271,951 for Medicaid medical and long-term care. Associated expected federal funding falls by $1.40 million, $487,500, and $505,052 for behavioral health, professional services, and medical care, respectively. Separate budget provisions reduce adult dental fund and general-fund medical-care appropriations by $396,038 each, with associated expected federal reductions of $735,499. These are conditional budget adjustments tied to the annual budget and companion bills HB 26-1401 and HB 26-1410, not necessarily cumulative cuts. A cut does not apply when its annual appropriation is absent or smaller than the required reduction.
Sponsors & Cosponsors
Sponsors
Barbara Kirkmeyer
Republican • Senate
Emily Sirota
Democratic • House
Judy Amabile
Democratic • Senate
Kyle Brown
Democratic • House
Cosponsors
Andrew Boesenecker
Democratic • House
Brianna Titone
Democratic • House
Chad Clifford
Democratic • House
Elizabeth Velasco
Democratic • House
Gretchen Rydin
Democratic • House
Jennifer Bacon
Democratic • House
Jamie Jackson
Democratic • House
Junie Joseph
Democratic • House
Javier Mabrey
Democratic • House
Julie McCluskie
Democratic • House
Jacque Phillips
Democratic • House
Karen McCormick
Democratic • House
Kenny Nguyen
Democratic • House
Lorena Garcia
Democratic • House
Lori Goldstein
Democratic • House
Lesley Smith
Democratic • House
Michael Carter
Democratic • House
Monica Duran
Democratic • House
Meg Froelich
Democratic • House
Mandy Lindsay
Democratic • House
Manny Rutinel
Democratic • House
Regina English
Democratic • House
Rebekah Stewart
Democratic • House
Rick Taggart
Republican • House
Sean Camacho
Democratic • House
Steven Woodrow
Democratic • House
Tisha Mauro
Democratic • House
Tammy Story
Democratic • House
Yara Zokaie
Democratic • House
Roll Call Votes
House vote • 4/28/2026
Misc: Suspend rules
Yes: 55 • No: 6
Senate vote • 4/28/2026
Conference committee report: Adopt ccr
Yes: 34 • No: 0
House vote • 4/28/2026
Conference committee report: Repass
Yes: 41 • No: 20
House vote • 4/28/2026
Conference committee report: Adopt
Yes: 47 • No: 14
Senate vote • 4/28/2026
Conference committee report: Repass
Yes: 32 • No: 2
Vote • 4/27/2026
Adopt the first report of the first Conference Committee on H.B. 26-1411.
Yes: 6 • No: 0
Vote • 4/27/2026
Start with the Senate version of the bill but adjust the Dental Cap upward from $750 per member to $1,100 per member. The cap applies to all Cover All Coloradans participants.
Yes: 6 • No: 0
House vote • 4/17/2026
Senate amendments: Not cncr
Yes: 43 • No: 19
Senate vote • 4/16/2026
Third reading: Bill
Yes: 32 • No: 3
Senate vote • 4/14/2026
Refer House Bill 26-1411, as amended, to the Committee of the Whole.
Yes: 7 • No: 0
House vote • 4/11/2026
Third reading: Perm
Yes: 47 • No: 13
House vote • 4/11/2026
Third reading: Amd (l.008)
Yes: 43 • No: 17
House vote • 4/11/2026
Third reading: Bill
Yes: 42 • No: 20
House vote • 4/9/2026
Committee of the whole: Amd (h.001)
Yes: 28 • No: 36
House vote • 4/7/2026
Refer House Bill 26-1411 to the Committee of the Whole.
Yes: 7 • No: 3
Actions Timeline
Governor Signed
6/4/2026HouseSigned by the Speaker of the House
6/3/2026HouseSigned by the President of the Senate
6/3/2026SenateSent to the Governor
6/3/2026HouseSenate Consideration of First Conference Committee Report result was to Adopt Committee Report - Repass
4/28/2026SenateHouse Consideration of First Conference Committee Report result was to Adopt Committee Report - Repass
4/28/2026HouseHouse Considered Senate Amendments - Result was to Not Concur - Request Conference Committee
4/17/2026HouseSenate Third Reading Passed - No Amendments
4/16/2026SenateSenate Second Reading Special Order - Passed with Amendments - Committee
4/15/2026SenateSenate Committee on Appropriations Refer Amended to Senate Committee of the Whole
4/14/2026SenateIntroduced In Senate - Assigned to Appropriations
4/13/2026SenateHouse Third Reading Passed with Amendments - Floor
4/11/2026HouseHouse Third Reading Laid Over Daily - No Amendments
4/10/2026HouseHouse Second Reading Special Order - Passed with Amendments - Floor
4/9/2026HouseHouse Second Reading Special Order - Laid Over Daily - No Amendments
4/8/2026HouseHouse Committee on Appropriations Refer Unamended to House Committee of the Whole
4/7/2026HouseIntroduced In House - Assigned to Appropriations
4/6/2026House
Bill Text
Engrossed
Final Act
Introduced
Reengrossed
Rerevised
Revised
Senate Appropriations Preamend
Signed Act
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