Bill > HB1411

This bill aims to expand health insurance benefits for certain low-income Coloradans who are not eligible for the standard Medical Assistance program due to their immigration status, while also adjusting appropriations. Specifically, it extends coverage to pregnant women and children under nineteen whose family income is up to 260% of the Federal Poverty Line, even if they don't meet immigration requirements for regular Medical Assistance. However, these individuals will face certain limitations, including an annual cap on dental services starting in July 2026, behavioral health services being offered on a fee-for-service basis only starting in January 2027, and exclusion from the Accountable Care Collaborative and managed care services starting in January 2027. Additionally, children under nineteen in this category will not receive long-term services and supports or ongoing home health services after 60 days, unless they already receive them before December 31, 2026. For the 2026-27 fiscal year, enrollment of these children will be capped at 25,000 if certain conditions related to enrollment numbers or expenditures are met. The bill also includes provisions for reporting on enrollment and utilization by these children and strategies for cost reduction, along with adjustments to state appropriations.