HB 1411 CO

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Became Law

The act 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 $1,100;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; andBeginning 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.     Beginning January 1, 2027, the act caps enrollment of children in the state medical assistance program at 25,000 children if either enrollment exceeds 25,000 or the expenditures for a fiscal quarter exceeds one-quarter of the appropriation for state medical assistance plus 5% to account for seasonality fluctuations. If one of the conditions is met, the enrollment cap begins on the first day of the month following 60 days after the department of health care policy and financing (state department) determines that the condition was met.     The act repeals provisions requiring the state department to develop an outreach and enrollment strategy for enrolling eligible groups into new coverage options and repeals the state children's basic health plan.     The act appropriates $3,378,166 from the general fund to the state department to implement the act and reduces appropriations to the state department by $14,202,723 if certain conditions are met.(Note: This summary applies to this bill as enacted.)

• K. Brown Democratic · sponsor
• E. Sirota Democratic · sponsor
• J. Amabile Democratic · sponsor
• B. Kirkmeyer Republican · sponsor
• J. Bridges 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 28, 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 · 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 with Amendments - Floor · 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