summary
Introduced
02/18/2026
02/18/2026
In Committee
02/18/2026
02/18/2026
Crossed Over
Passed
Dead
Introduced Session
2026 Regular Session
Bill Summary
Beginning December 1, 2026, the bill requires each transportation broker that administers nonemergency medical transportation to medicaid members to submit certain information to the state department regarding transportation providers that the transportation broker contracts with. The department of health care policy and financing (state department) is required to include this information in its annual "SMART Act" presentation. The bill requires the medical services board to adopt rules to implement the federal community engagement requirements. Under current law, the state department is required to reimburse an opioid treatment program for administering medication-assisted treatment in a jail setting. The bill amends this requirement to require the state department to reimburse a licensed provider who is licensed and authorized to prescribe, dispense, compound, or administer medication-assisted treatment in a jail setting. The bill prohibits the state department from implementing a multiple procedure payment reduction, compound billing methodology, or substantially similar reimbursement policy for outpatient therapy services. Beginning January 1, 2027, the bill requires home- and community-based service agencies to submit their medical loss ratio to the state department. The state department is required to publish this medical loss ratio data on the state department's website on an annual basis. The bill repeals the state medical assistance and services advisory council.
AI Summary
This bill mandates that starting December 1, 2026, transportation brokers managing non-emergency medical transportation for Medicaid members must report detailed information about their contracted providers, including ride requests, completions, cancellations, costs, call wait times, substantiated grievances, and provider terminations, to the state department, which will then incorporate this data into its annual "SMART Act" presentation, a report required by state law. Additionally, the bill requires the medical services board to establish rules for federal community engagement requirements for Medicaid eligibility by January 1, 2027. It also changes the reimbursement for medication-assisted treatment in jails from opioid treatment programs to any licensed provider authorized to administer such treatment, and it prohibits the state department from implementing certain payment reduction policies for outpatient therapy services. Furthermore, beginning January 1, 2027, home- and community-based service agencies will be required to submit their "medical loss ratio," which is the percentage of premium revenue spent on healthcare services and quality improvement, to the state department, which will then publish this data annually on its website. Finally, the bill repeals the state medical assistance and services advisory council.
Committee Categories
Health and Social Services
Sponsors (2)
Last Action
House Second Reading Calendar (00:00:00 3/11/2026 House Floor) (on 03/11/2026)
Official Document
bill text
bill summary
Loading...
bill summary
Loading...
bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://leg.colorado.gov/bills/HB26-1235 |
| Fiscal Note Initial Fiscal Note | https://leg.colorado.gov/bill_files/112974/download |
| BillText | https://leg.colorado.gov/bill_files/112166/download |
Loading...