HB26-1241 • 2026

Carrier to Notify Provider Material Change Contract

In current law concerning contracts with health-care providers, an entity wishing to make a material change to such a contract must provide written notice of the change to the health-care provider (pr

Healthcare

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor: Rep. B. Bradley, Rep. B. Marshall, Sen. J. Marchman, Rep. J. Bacon, Rep. M. Duran, Rep. R. Gonzalez, Rep. E. Hamrick, Rep. J. Joseph, Rep. S. Slaugh, Rep. M. Soper
Last action: 2026-03-27
Official status: Introduced In Senate - Assigned to Health & Human Services
Effective date: Not listed

Plain English Breakdown

The official source material does not provide information on enforcement mechanisms or penalties for non-compliance.

Health-Care Provider Notification Law

This law requires health-care insurance companies to give written notice at least 90 days before making any major changes to contracts with providers.

What This Bill Does

Requires an entity wanting to make a significant change in a contract with a healthcare provider to notify the provider in writing at least 90 days before the change takes effect.
Specifies that the notice must be sent twice by standard electronic means, and if there is no response from the provider, it must also be sent once more via registered mail or personal delivery.
Adds language requiring clear labeling of the written notice as 'Notice of Material Change to Contract' and detailing what constitutes a material change.

Who It Names or Affects

Health-care insurance carriers
Health-care providers who have contracts with these carriers

Terms To Know

Material Change: A significant alteration in the terms of a health-care contract that affects its core provisions.

Limits and Unknowns

The bill does not specify what happens if the provider fails to receive or respond to the notice.
It is unclear how this law will be enforced and what penalties might apply for non-compliance.

Amendments

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

L.007

HOU Health & Human Services

Passed [*]

Plain English: The amendment changes how a person or entity must notify a health-care provider about a material change to their contract, requiring written notice by standard electronic means and additional attempts if there is no response.

Requires the person or entity making a material change to provide written notice of the change to the health-care provider using standard electronic methods.
Specifies that if the healthcare provider does not respond affirmatively, the notifier must attempt to give two separate times and then a third time by registered mail or personal service.

The amendment text is incomplete and lacks clarity on certain procedural details, such as what constitutes 'standard electronic means'.

L.008

Second Reading

Passed [**]

Plain English: The amendment allows the entity giving notice of a material change to charge the healthcare provider for the actual cost of sending the notice by registered mail or personal service.

Adds language allowing the notifier to charge the healthcare provider for the costs incurred in delivering the notice.

The amendment does not specify what constitutes 'actual cost' and leaves room for interpretation on how these charges will be calculated.

Bill History

2026-03-27 Senate
Introduced In Senate - Assigned to Health & Human Services
2026-03-24 House
House Third Reading Passed - No Amendments
2026-03-23 House
House Second Reading Special Order - Passed with Amendments - Committee, Floor
2026-03-18 House
House Committee on Health & Human Services Refer Amended to House Committee of the Whole
2026-02-18 House
Introduced In House - Assigned to Health & Human Services

Official Summary Text

In current law concerning contracts with health-care providers, an entity wishing to make a material change to such a contract must provide written notice of the change to the health-care provider
(provider)
at least 90 days before the effective date of the change. The bill adds language requiring a person to give such written notice
two separate times by standard electronic means and, if the provider has not affirmatively responded, a third time
by registered mail
and by email

or personal service
to the
health-care
provider or administrator who signed the contract.
and

The bill
adds a reference to this language in the area of the Colorado Revised Statutes concerning health-care insurance carriers.
(Note: Italicized words indicate new material added to the original summary; dashes through words indicate deletions from the original summary.)
(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)

Current Bill Text

Read the full stored bill text

Second Regular Session
Seventy-fifth General Assembly
STATE OF COLORADO
REENGROSSED
This Version Includes All Amendments
Adopted in the House of Introduction
LLS NO. 26-0791.01 Renee Leone x2695 HOUSE BILL 26-1241
House Committees Senate Committees
Health & Human Services
A BILL FOR AN ACT
CONCERNING THE NOTICE REQUIRED TO MAKE A MATERIAL CHANGE101
TO A CONTRACT ENTERED INTO WITH A HEALTH -CARE102
PROVIDER.103
Bill Summary
(Note: This summary applies to this bill as introduced and does
not reflect any amendments that may be subsequently adopted. If this bill
passes third reading in the house of introduction, a bill summary that
applies to the reengrossed version of this bill will be available at
http://leg.colorado.gov.)
In current law concerning contracts with health-care providers, an
entity wishing to make a material change to such a contract must provide
written notice of the change to the health-care provider at least 90 days
before the effective date of the change. The bill adds language requiring
a person to give such written notice by registered mail and by email to the
HOUSE
3rd Reading Unamended
March 24, 2026
HOUSE
Amended 2nd Reading
March 23, 2026
HOUSE SPONSORSHIP
Marshall and Bradley, Bacon, Duran, Gonzalez R., Hamrick, Joseph, Slaugh, Soper
SENATE SPONSORSHIP
Marchman,
Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
Capital letters or bold & italic numbers indicate new material to be added to existing law.
Dashes through the words or numbers indicate deletions from existing law.
health-care provider or administrator who signed the contract and adds a
reference to this language in the area of the Colorado Revised Statutes
concerning health-care insurance carriers.
Be it enacted by the General Assembly of the State of Colorado:1
SECTION 1. In Colorado Revised Statutes, 10-16-121, add2
(1)(g) as follows:3
10-16-121. Required contract provisions in contracts between4
carriers and providers - definitions.5
(1) A contract between a carrier and a provider or its6
representative concerning the delivery, provision, payment, or offering of7
care or services covered by a managed care plan must make provisions8
for the following requirements:9
(g) (I) A PROVISION THAT REQUIRES THE CARRIER TO PROVIDE10
NOTICE TO THE PROVIDER IF THE CARRIER MAKES A MATERIAL CHANGE TO11
THE CONTRACT, IN ACCORDANCE WITH SECTION 25-37-104.12
(II) A S USED IN THIS SUBSECTION (1)(g), " MATERIAL CHANGE"13
HAS THE MEANING SET FORTH IN SECTION 25-37-102 (9).14
SECTION 2. In Colorado Revised Statutes, 25-37-104, amend15
(1) as follows:16
25-37-104. Material change in health-care contract - written17
advance notice.18
(1) A material change to a contract shall occur IS AUTHORIZED19
only if the person or entity provides NOTICE OF THE MATERIAL CHANGE in20
writing, BY STANDARD ELECTRONIC MEANS, to the health-care provider the21
proposed change and gives TWO SEPARATE TIMES AND, IF THE22
HEALTH-CARE PROVIDER HAS NOT AFFIRMATIVELY RESPONDED, A THIRD23
TIME BY REGISTERED MAIL OR PERSONAL SERVICE TO THE HEALTH-CARE24
1241-2-
PROVIDER OR THE HEALTH-CARE PROVIDER'S ADMINISTRATOR WHO WAS1
THE INDIVIDUAL WHO SIGNED THE CONTRACT AT LEAST ninety days notice2
before the effective date of the change. The writing shall WRITTEN NOTICE3
MUST be conspicuously entitled "notice of material change to contract"4
AND MUST CLEARLY SET FORTH THE PROPOSED MATERIAL CHANGE. THE5
PERSON OR ENTITY PROVIDING NOTICE MAY CHARGE THE ACTUAL COST6
INCURRED FOR THE REGISTERED MAIL OR PERSONAL SERVICE TO THE7
HEALTH-CARE PROVIDER.8
SECTION 3. Act subject to petition - effective date -9
applicability. (1) This act takes effect January 1, 2027, except that, if a10
referendum petition is filed pursuant to section 1 (3) of article V of the11
state constitution against this act or an item, section, or part of this act12
within the ninety-day period after final adjournment of the general13
assembly, then the act, item, section, or pa rt will not take effect unless14
approved by the people at the general election to be held in November15
2026 and, in such case, will take effect January 1, 2027, or on the date of16
the official declaration of the vote thereon by the governor, whichever is17
later.18
(2) This act applies to contracts entered into or renewed on or19
after the applicable effective date of this act.20
1241-3-