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ColoradoHB26-14322026 Regular SessionHouseWALLET

Health-Care Payment Programs

Sponsored By: Dylan Roberts (Democratic), Katie Stewart (Democratic), Matt Soper (Republican), Rod Pelton (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 hospital quality payments and caps

Colorado creates a Hospital Quality Incentive Program that pays hospitals extra for better results. The program includes a workplace-violence safety measure. Total payments each year are capped at 7% of last year’s hospital reimbursements. If the enterprise board formally approves a program built with clinical hospital input, the cap can rise to 9%. The enterprise may use hospital provider fee money, but only with needed federal waivers, federal matching, and yearly state appropriation. Funding and payments also depend on federal approval and available state funding.

Stronger oversight of hospital quality measures

Before the program runs, the enterprise board must approve the percent at risk, the structure, the measures, and scoring. New measures stay in place for up to three years, unless changed early for evidence or technical needs, or immediately to follow federal law. Measures must focus on factors hospitals can control, match national standards, and avoid extra paperwork by using existing data. The enterprise and its board must seek needed federal waivers. Each year, they report waiver efforts, program structure, results, and progress to the legislature, Governor, and state board.

Old hospital reform program repealed

The law repeals the earlier Health-care Delivery System Reform Incentive Payments Program. It ends the old program’s authority and planning framework, including its waiver-seeking direction.

Sponsors & Cosponsors

Sponsors

  • Dylan Roberts

    Democratic • Senate

  • Katie Stewart

    Democratic • House

  • Matt Soper

    Republican • House

  • Rod Pelton

    Republican • Senate

Cosponsors

  • Andrew Boesenecker

    Democratic • House

  • Ava Flanell

    Republican • House

  • Brandi Bradley

    Republican • House

  • Brianna Titone

    Democratic • House

  • Dusty Johnson

    Republican • House

  • Eliza Hamrick

    Democratic • House

  • Gretchen Rydin

    Democratic • House

  • Jennifer Bacon

    Democratic • House

  • Julie McCluskie

    Democratic • House

  • Kyle Brown

    Democratic • House

  • Karen McCormick

    Democratic • House

  • Kenny Nguyen

    Democratic • House

  • Michael Carter

    Democratic • House

  • Monica Duran

    Democratic • House

  • Meg Froelich

    Democratic • House

  • Mandy Lindsay

    Democratic • House

  • Regina English

    Democratic • House

  • Ryan Gonzalez

    Republican • House

  • Steven Woodrow

    Democratic • House

  • Tammy Story

    Democratic • House

  • Ty Winter

    Republican • House

  • Cathy Kipp

    Democratic • Senate

  • James Coleman

    Democratic • Senate

  • Marc Catlin

    Republican • Senate

Roll Call Votes

No roll call votes available for this bill.

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. Senate Third Reading Passed - No Amendments

    5/12/2026Senate

  6. Introduced In Senate - Assigned to Health & Human Services

    5/11/2026Senate

  7. Senate Committee on Health & Human Services Refer Unamended - Consent Calendar to Senate Committee of the Whole

    5/11/2026Senate

  8. Senate Second Reading Special Order - Passed - No Amendments

    5/11/2026Senate

  9. House Third Reading Passed - No Amendments

    5/9/2026House

  10. House Committee on Health & Human Services Refer Amended to House Committee of the Whole

    5/8/2026House

  11. House Second Reading Special Order - Passed with Amendments - Committee

    5/8/2026House

  12. Introduced In House - Assigned to Health & Human Services

    5/5/2026House

Bill Text

  • Engrossed

    PDF

  • Final Act

    PDF

  • House Health & Human Services Preamend

    PDF

  • Introduced

    PDF

  • Reengrossed

    PDF

  • Rerevised

    PDF

  • Revised

    PDF

  • Signed Act

    PDF

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