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HB26-1155 • 2026

Department of Health Care Policy & Financing Supplemental

The 2025 general appropriations act is amended to balance and make adjustments to the total amount appropriated to the department of healthcare policy and financing. The federal funds portion of the a

Budget Children Healthcare
Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
Rep. E. Sirota, Sen. J. Bridges, Rep. K. Brown, Sen. J. Amabile, Rep. A. Boesenecker, Rep. M. Duran, Rep. J. McCluskie
Last action
2026-02-27
Official status
Governor Signed
Effective date
Not listed

Plain English Breakdown

Checked against official source text during the last sync.

HB26-1155: Adjusts Funding for the Department of Health Care Policy & Financing

This law adjusts funding amounts for the department by increasing federal funds, covering past spending overages from 2024, and raising payments to safety net providers.

What This Bill Does

  • Amends the 2025 general appropriations act to balance and adjust total funding amounts.
  • Increases the portion of money that comes from federal sources.
  • Provides new funds to cover spending overages from line items in the 2024 long bill.
  • Changes Senate Bill 25-290 to increase payments for other medical services.

Who It Names or Affects

  • The Department of Health Care Policy & Financing
  • Eligible safety net providers that serve low-income and uninsured populations

Terms To Know

Appropriation
An official amount of money set aside by the government for a specific purpose.
Provider Stabilization Fund
A fund created to make payments to safety net providers serving low-income and uninsured people.

Limits and Unknowns

  • The text does not state the specific dollar amounts for these funding changes.
  • The exact effective date is not listed in the provided information.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

J.002

Second Reading

Lost [**]

Plain English: This amendment adds about $1.5 million in funding to help remove limits on home care hours for people with intellectual and developmental disabilities.

  • Increases the total budget by striking old numbers and replacing them with higher amounts totaling an extra $2,485,500 across different fund types.
  • Removes a cap that currently limits how many hours of homemaker services can be provided by family members or legally responsible persons.
  • Raises the maximum number of annual hours available for personal care, homemaker help, and health maintenance activities.
  • The amendment was marked as 'Lost' during its second reading stage, meaning it did not pass in this form.
  • Specific details on exactly which services or individuals qualify under the new rules are not included in this short text.
J.004

Second Reading

Lost [**]

Plain English: This amendment moves about $2.5 million in funding within the Department of Health Care Policy and Financing to remove a yearly limit on hours for personal care services given to people with intellectual and developmental disabilities.

  • Reduces spending from the Executive Director's Office by moving money away from staff salaries.
  • Increases funding for Medical Service Premiums using the moved money.
  • Removes the annual cap on how many hours of personal care, homemaker services, and health maintenance activities can be provided to people with intellectual and developmental disabilities.
  • The amendment was voted down (lost) in the House during its second reading.
  • Specific details about which exact programs or individuals receive these hours are not included in this text.
J.005

Second Reading

Lost [**]

Plain English: This amendment adds a new instruction telling the Department of Health Care Policy and Financing to focus on keeping costs low for health benefits provided to children who cannot access care due to their immigration status.

  • It requires the department to use basic, medically necessary coverage standards for this specific program.
  • It directs the department to find every possible way to lower the cost per person in the Health Benefits for Children Lacking Access Due To Immigration Status program.
  • The amendment text does not specify exactly which strategies or methods must be used to cut costs.
  • This proposal was marked as 'Lost' during its second reading, meaning it did not pass and is not part of the final law.
J.009

Second Reading

Lost [**]

Plain English: This amendment shifts money from a program for children without access to health care due to immigration status toward increasing payment rates for medical providers.

  • It reduces funding by $49 million in the General Fund for health benefits provided to children who lack coverage because of their immigration status.
  • It adds $138.5 million in total funds, including $49 million from the General Fund, to a program that pays premiums and covers medical services for Medicaid-eligible individuals.
  • The amendment specifies that this new money is intended specifically to increase the rates paid to healthcare providers.
  • This amendment was voted down (lost) during its second reading, so it did not become part of the final bill.
  • Some specific line item numbers and total fund adjustments are listed in technical tables that cannot be fully explained without seeing the original budget document.
J.010

Second Reading

Lost [**]

Plain English: This amendment changes the budget numbers for Colorado's health department to cut funding for children without legal immigration status while adding money to increase payments to medical providers.

  • It reduces General Fund spending by $49 million on health benefits for children who lack access due to their immigration status.
  • It adds a new budget line item with $108.2 million in total funds, including $38.3 million from the state's General Fund.
  • The amendment text does not explain exactly how provider rates will be increased or which specific providers receive the money.
  • Because this amendment was voted down and lost in the Senate, these budget changes were never made to the final law.

Bill History

  1. 2026-02-27 Governor

    Governor Signed

  2. 2026-02-24 Governor

    Sent to the Governor

  3. 2026-02-24 Senate

    Signed by the President of the Senate

  4. 2026-02-24 House

    Signed by the Speaker of the House

  5. 2026-02-20 Senate

    Senate Third Reading Passed - No Amendments

  6. 2026-02-19 Senate

    Senate Second Reading Special Order - Passed - No Amendments

  7. 2026-02-18 Senate

    Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole

  8. 2026-02-17 Senate

    Introduced In Senate - Assigned to Appropriations

  9. 2026-02-12 House

    House Third Reading Passed - No Amendments

  10. 2026-02-11 House

    House Second Reading Special Order - Passed - No Amendments

  11. 2026-02-10 House

    House Committee on Appropriations Refer Unamended to House Committee of the Whole

  12. 2026-02-06 House

    Introduced In House - Assigned to Appropriations

Official Summary Text

The 2025 general appropriations act is amended to balance and make adjustments to the total amount appropriated to the department of healthcare policy and financing. The federal funds portion of the appropriation is increased.
A new appropriation to the department for overexpenditures of line item appropriations in the 2024 long bill is made.
Amends Senate Bill 25-290, concerning the creation of the provider stabilization fund to make provider stabilization payments to eligible safety net providers that serve low-income, uninsured populations in the state, to increase the amount appropriated to the department from the provider stabilization fund for provider stabilization payments related to other medical services.
(Note: This summary applies to this bill as enacted.)