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CO HB1411

CO HB1411
Changes to Cover All Coloradans Program


summary

Introduced
04/06/2026
In Committee
04/14/2026
Crossed Over
04/13/2026
Passed
Dead

Introduced Session

2026 Regular Session

Bill Summary

Joint Budget Committee. The bill limits the benefits pregnant women and children with a certain family household income and citizen or immigration status are eligible for under the state medical assistance program and the medical assistance program. Eligible pregnant women and children are subject to the following limitations on benefits: ! Beginning July 1, 2026, there is an annual cap on dental services in the amount of $750; ! Beginning January 1, 2027, behavioral health services offered must be provided on a fee-for-service basis only; ! Beginning January 1, 2027, services offered through the accountable care collaborative are no longer covered; and ! Beginning January 1, 2027, managed care services through the medical assistance program are no longer covered. Beginning January 1, 2027, children under 19 years old whose family household income does not exceed 260% of the federal poverty line, adjusted for family size, and who are not eligible for the medical assistance program due to their immigration status, are not eligible for home- and community-based services, community first choice, long-term home health, private duty nursing, hospice care, and nursing home care unless those children already receive those services on or before December 31, 2026. For the 2026-27 state fiscal year, the bill caps enrollment of children in the state medical assistance program at 25,000 children if certain conditions are met. The bill repeals provisions requiring the department of health care policy and financing to develop an outreach and enrollment strategy for enrolling eligible groups into new coverage options. The bill repeals the state children's basic health plan. The bill makes and reduces an appropriation to the department of health care policy and financing.

AI Summary

This bill, titled "Changes to Cover All Coloradans Program," modifies the state medical assistance program, which provides healthcare services to eligible residents, by imposing new limitations on benefits for pregnant women and children who meet certain income and immigration status requirements. Specifically, starting July 1, 2026, there will be an annual cap of $750 on dental services for these individuals. Beginning January 1, 2027, behavioral health services will only be offered on a fee-for-service basis, and services provided through the Accountable Care Collaborative and managed care services under the medical assistance program will no longer be covered. Furthermore, as of January 1, 2027, children under 19 whose family income does not exceed 260% of the federal poverty line and who are ineligible for the medical assistance program due to their immigration status will be denied access to home- and community-based services, community first choice, long-term home health, private duty nursing, hospice care, and nursing home care, unless they were already receiving these services before December 31, 2026. For the 2026-2027 state fiscal year, the bill also introduces an enrollment cap of 25,000 children for the state medical assistance program under specific conditions. Additionally, the bill repeals provisions related to developing outreach and enrollment strategies for new coverage options and eliminates the state children's basic health plan, while also adjusting appropriations for the Department of Health Care Policy and Financing.

Committee Categories

Budget and Finance

Sponsors (29)

Last Action

Senate Second Reading Calendar (00:00:00 4/30/2026 Senate Floor) (on 04/30/2026)

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