HB 1412 CO

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Became Law

If an audit of a medicaid provider who provides nonemergency medical transportation services or pediatric behavioral therapy is initiated after July 1, 2026, for services provided from January 1, 2022, through December 31, 2023, the act authorizes the department of health care policy and financing (HCPF) to determine and recover overpayments to a provider using statistical sampling and extrapolation. If an audit identifies a statistically significant pattern of alleged overpayments to a provider, the act authorizes the state auditor to use the same statistical sampling and extrapolation methods to audit services provided by the provider from January 1, 2024, through December 31, 2025.     If the audit identifies an alleged overpayment, HCPF is required to issue a notice of the alleged overpayment within 60 days after the alleged overpayment is identified. The notice of alleged overpayment must include the basis of the alleged overpayment, the rationale for the alleged overpayment, the methodology used to calculate the alleged overpayment, and information on how HCPF identified the alleged overpayment.     If HCPF enters into a contract for the purpose of conducting an audit, the contract must not be a contingency-based contract based on a percentage of the amount of recovery collected from the provider.     After HCPF completes an audit of a provider, the state auditor's office is required to conduct an examination to determine that proper statistical sampling and extrapolation methods were used by HCPF when determining whether overpayments were made to a provider. The state auditor shall annually present a report of the findings to the legislative audit committee and the joint budget committee.     The act reduces the general fund appropriation to HCPF for medical and long-term care services for Medicaid-eligible individuals by $6,861,775 and increases the cash fund appropriation to HCPF for medical and long-term care services for Medicaid-eligible individuals by $13,723,550.(Note: This summary applies to this bill as enacted.)

• E. Sirota Democratic · sponsor
• R. Taggart Republican · sponsor
• J. Bridges Democratic · sponsor
• B. Kirkmeyer Republican · sponsor
• K. Brown Democratic · sponsor
• J. Amabile Democratic · sponsor

1. Jun 4, 2026 Governor Signed · executive
2. Jun 3, 2026 Sent to the Governor · executive
3. Jun 3, 2026 Signed by the President of the Senate · upper
4. Jun 3, 2026 Signed by the Speaker of the House · lower
5. Apr 28, 2026 House Consideration of First Conference Committee Report result was to Adopt Committee Report - Repass · lower
6. Apr 24, 2026 Senate Consideration of First Conference Committee Report result was to Adopt Committee Report - Repass · upper
7. Apr 17, 2026 House Considered Senate Amendments - Result was to Not Concur - Request Conference Committee · lower
8. Apr 16, 2026 Senate Third Reading Passed - No Amendments · upper
9. Apr 15, 2026 Senate Second Reading Special Order - Passed with Amendments - Committee, Floor · upper
10. Apr 14, 2026 Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole · upper
11. Apr 13, 2026 Introduced In Senate - Assigned to Appropriations · upper
12. Apr 11, 2026 House Third Reading Passed - No Amendments · lower
13. Apr 10, 2026 House Third Reading Laid Over Daily - No Amendments · lower
14. Apr 9, 2026 House Second Reading Special Order - Passed with Amendments - Floor · lower
15. Apr 8, 2026 House Second Reading Special Order - Laid Over Daily - No Amendments · lower
16. Apr 7, 2026 House Committee on Appropriations Refer Unamended to House Committee of the Whole · lower
17. Apr 6, 2026 Introduced In House - Assigned to Appropriations · lower