HB26-1367 • 2026

COVID Increased Medicaid Match to General Fund

Joint Budget Committee. The bill recreates a provision that authorizes the state to retain the percentage of reimbursement that is in excess of the 50% federal match received for certain medicaid serv

Healthcare

Passed Legislature

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

Sponsor: Rep. K. Brown, Rep. R. Taggart, Sen. J. Bridges, Sen. B. Kirkmeyer, Rep. E. Sirota, Sen. J. Amabile
Last action: 2026-04-14
Official status: Senate Committee on Appropriations Refer Unamended - Consent Calendar to Senate Committee of the Whole
Effective date: Not listed

Plain English Breakdown

The official source does not specify if there is a special fund or how the transferred funds will be used.

Medicaid Reimbursement During COVID

This bill allows Colorado to retain extra federal funds for Medicaid services provided during the pandemic, beyond the standard 50% match, until all payments and reimbursements are reconciled.

What This Bill Does

Allows the state of Colorado to keep any additional federal money received in excess of a 50% reimbursement rate for certain Medicaid services provided during the COVID-19 pandemic.
Requires the state treasurer to transfer this extra money to the general fund for the State Medical Assistance Program.
Specifies that once all payments and reimbursements related to enhanced federal financial participation are reconciled, the provision allowing the state to retain extra funds will be repealed.

Who It Names or Affects

The state of Colorado
Medicaid providers in Colorado

Terms To Know

Enhanced federal financial participation: Extra funding from the federal government for Medicaid services during a crisis like the pandemic.
Reconciliation: The process of checking and settling all payments and reimbursements to ensure accuracy.

Limits and Unknowns

It does not specify what happens if there are delays in reconciling the extra money.
Does not provide details on how the state will use the transferred funds.
The exact date when this provision ends depends on when all payments and reimbursements are settled.

Bill History

2026-04-14 Senate
Senate Committee on Appropriations Refer Unamended - Consent Calendar to Senate Committee of the Whole
2026-04-13 Senate
Introduced In Senate - Assigned to Appropriations
2026-04-11 House
House Third Reading Passed - No Amendments
2026-04-10 House
House Third Reading Laid Over Daily - No Amendments
2026-04-09 House
House Second Reading Special Order - Passed - No Amendments
2026-04-08 House
House Second Reading Special Order - Laid Over Daily - No Amendments
2026-04-06 House
House Committee on Appropriations Refer Unamended to House Committee of the Whole
2026-04-02 House
Introduced In House - Assigned to Appropriations

Official Summary Text

Joint Budget Committee.
The bill recreates a provision that authorizes the state to retain the percentage of reimbursement that is in excess of the 50% federal match received for certain medicaid services provided (enhanced federal financial participation) during the COVID-19 pandemic.
The provision is repealed once the reconciliation of all reimbursements and payments for services delivered during the period of enhanced federal financial participation has been completed.
(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. 26-0955.01 Anna Petrini x5497 HOUSE BILL 26-1367
House Committees Senate Committees
Appropriations
A BILL FOR AN ACT
CONCERNING FEDERAL MONEY PAYABLE AS REIMBURSEMENT OF A101
PUBLIC EXPENDITURE WHEN THE FEDERAL MONEY EXCEEDS102
FIFTY PERCENT OF THE EXPENDITURE AMOUNT.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/.)
Joint Budget Committee. The bill recreates a provision that
authorizes the state to retain the percentage of reimbursement that is in
excess of the 50% federal match received for certain medicaid services
provided (enhanced federal financial participation) during the COVID-19
pandemic.
HOUSE
3rd Reading Unamended
April 11, 2026
HOUSE
2nd Reading Unamended
April 9, 2026
HOUSE SPONSORSHIP
Brown and Taggart, Sirota,
SENATE SPONSORSHIP
Bridges and Kirkmeyer, Amabile
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.
The provision is repealed once the reconciliation of all
reimbursements and payments for services delivered during the period of
enhanced federal financial participation has been completed.
Be it enacted by the General Assembly of the State of Colorado:1
SECTION 1. In Colorado Revised Statutes, add 25.5-4-217 as2
follows:3
25.5-4-217. Federal reimbursement for public expenditures -4
excess to general fund - repeal.5
(1) NOTWITHSTANDING ANY OTHER PROVISION OF LAW, FOR THE6
STATE FISCAL YEAR STARTING JULY 1, 2021, AND ANY SUBSEQUENT FISCAL7
YEARS, IF A PROVIDER SUBMITS A CERTIFICATION OF PUBLIC EXPENDITURES8
PURSUANT TO 42 CFR 433.51 (b), THE STATE DEPARTMENT SHALL RETAIN9
ANY FEDERAL MONEY PAYABLE AS REIMBURSEMENT FOR THE10
EXPENDITURE IN EXCESS OF FIFTY PERCENT OF THE EXPENDITURE AMOUNT;11
EXCEPT THAT THE STATE DEPARTMENT SHALL ONLY RETAIN THE FEDERAL12
MONEY BASED ON THE DATE OF SERVICE AS LONG AS THE INCREASED13
REIMBURSEMENTS AND PAYMENTS MADE PURSUANT TO THE FEDERAL14
"FAMILIES FIRST CORONAVIRUS RESPONSE ACT", PUB.L. 116-127 AND15
THE FEDERAL "CONSOLIDATED APPROPRIATIONS ACT, 2023", PUB.L.16
117-328 ARE STILL AVAILABLE. THE STATE TREASURER SHALL TRANSFER17
THE MONEY TO THE GENERAL FUND CREATED IN SECTION 24-75-201 FOR18
APPROPRIATION TO THE STATE MEDICAL ASSISTANCE PROGRAM.19
(2) THIS SECTION WILL BE REPEALED IF THE RECONCILIATION OF20
ALL REIMBURSEMENTS AND PAYMENTS FOR SERVICES DELIVERED DURING21
THE PERIOD OF INCREASED REIMBURSEMENT AND PAYMENT DESCRIBED IN22
SUBSECTION (1) OF THIS SECTION IS COMPLETED . THE EXECUTIVE23
DIRECTOR OF THE STATE DEPARTMENT SHALL NOTIFY THE REVISOR OF24
1367-2-
STATUTES IN WRITING OF THE DATE WHEN THE CONDITION SPECIFIED IN1
THIS SUBSECTION (2) HAS OCCURRED BY EMAILING THE NOTICE TO2
REVISOROFSTATUTES.GA@COLEG.GOV. THIS SECTION IS REPEALED ,3
EFFECTIVE UPON THE DATE IDENTIFIED IN THE NOTICE THAT THE4
COMPLETION OF THE APPLICABLE RECONCILIATIONS OCCURRED OR, IF THE5
NOTICE DOES NOT SPECIFY THAT DATE, UPON THE DATE OF THE NOTICE TO6
THE REVISOR OF STATUTES.7
SECTION 2. Safety clause. The general assembly finds,8
determines, and declares that this act is necessary for the immediate9
preservation of the public peace, health, or safety or for appropriations for10
the support and maintenance of the departments of the state and state11
institutions.12
1367-3-