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ColoradoHB26-14122026 Regular SessionHouse

Department of Health Care Policy & Financing Statistical Sampling & Extrapolation

Sponsored By: Barbara Kirkmeyer (Republican), Emily Sirota (Democratic), Jeff Bridges (Democratic), Rick Taggart (Republican)

Signed by Governor

Health Care & Health Insurance

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 1 benefits, 1 costs, 1 mixed.

New safeguards for Medicaid provider audits

Colorado must notify providers within 60 days after identifying an overpayment in these audits. Notices must explain the reason and calculation method, with claim samples, claim-level findings, and supporting records to repeat the analysis. Providers have a right to informal reconsideration or a formal appeal before recovery begins. Audit contractors cannot receive pay based on a percentage of money recovered. After each audit, the State Auditor or a designee must check the methods; findings go annually to the Legislative Audit Committee and Joint Budget Committee until all audits are complete.

Broader overpayment audits for Medicaid providers

For audits started after July 1, 2026, Colorado can estimate total Medicaid provider overpayments using a sample of claims. This applies to nonemergency medical transportation and children's behavioral therapy, including applied behavior analysis. Covered services must date from January 1, 2022, through December 31, 2023. If the initial claims error rate exceeds 10%, audits can also cover January 1, 2024, through December 31, 2025. Samples must be statistically valid and follow nationally recognized, generally accepted statistical standards.

Colorado shifts Medicaid service funding sources

For budget year 2026–27, the law shifts funding for Medicaid medical and long-term care services. General Fund support drops by $6.861775 million, subject to the budget's “(M)” notation. Cash funding from recovered overpayments increases by $13.723550 million. Federal funding is expected to drop by $6.861775 million unless the annual budget law provides otherwise. The General Fund decrease does not apply if the relevant appropriation is below $6.861775 million or absent. The funding section takes effect only if the 2026–27 annual budget becomes law, on the later of the two laws' effective dates. These funding changes do not specify changes to anyone's Medicaid benefits or costs.

Sponsors & Cosponsors

Sponsors

  • Barbara Kirkmeyer

    Republican • Senate

  • Emily Sirota

    Democratic • House

  • Jeff Bridges

    Democratic • Senate

  • Rick Taggart

    Republican • House

Cosponsors

  • Brandi Bradley

    Republican • House

  • Rebecca Keltie

    Republican • House

  • Steven Woodrow

    Democratic • House

  • Nick Hinrichsen

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 375 • No: 0

House vote • 4/28/2026

Conference committee report: Repass

Yes: 63 • No: 0

House vote • 4/28/2026

Conference committee report: Adopt

Yes: 63 • No: 0

Senate vote • 4/24/2026

Conference committee report: Adopt ccr

Yes: 33 • No: 0

Senate vote • 4/24/2026

Conference committee report: Repass

Yes: 33 • No: 0

Vote • 4/23/2026

Adopt the first draft conference committee report of the first conference committee on H.B. 26-1412.

Yes: 6 • No: 0

House vote • 4/17/2026

Senate amendments: Not cncr

Yes: 62 • No: 0

Senate vote • 4/16/2026

Third reading: Bill

Yes: 35 • No: 0

Senate vote • 4/14/2026

Refer House Bill 26-1412, as amended, to the Committee of the Whole.

Yes: 7 • No: 0

House vote • 4/11/2026

Third reading: Bill

Yes: 62 • No: 0

House vote • 4/7/2026

Refer House Bill 26-1412 to the Committee of the Whole.

Yes: 11 • No: 0

Actions Timeline

  1. Governor Signed

    6/4/2026House

  2. Signed by the Speaker of the House

    6/3/2026House

  3. Signed by the President of the Senate

    6/3/2026Senate

  4. Sent to the Governor

    6/3/2026House

  5. House Consideration of First Conference Committee Report result was to Adopt Committee Report - Repass

    4/28/2026House

  6. Senate Consideration of First Conference Committee Report result was to Adopt Committee Report - Repass

    4/24/2026Senate

  7. House Considered Senate Amendments - Result was to Not Concur - Request Conference Committee

    4/17/2026House

  8. Senate Third Reading Passed - No Amendments

    4/16/2026Senate

  9. Senate Second Reading Special Order - Passed with Amendments - Committee, Floor

    4/15/2026Senate

  10. Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole

    4/14/2026Senate

  11. Introduced In Senate - Assigned to Appropriations

    4/13/2026Senate

  12. House Third Reading Passed - No Amendments

    4/11/2026House

  13. House Third Reading Laid Over Daily - No Amendments

    4/10/2026House

  14. House Second Reading Special Order - Passed with Amendments - Floor

    4/9/2026House

  15. House Second Reading Special Order - Laid Over Daily - No Amendments

    4/8/2026House

  16. House Committee on Appropriations Refer Unamended to House Committee of the Whole

    4/7/2026House

  17. Introduced In House - Assigned to Appropriations

    4/6/2026House

Bill Text

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