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Second Regular Session
Seventy-fifth General Assembly
STATE OF COLORADO
REENGROSSED
This Version Includes All Amendments
Adopted in the House of Introduction
LLS NO. 26-0825.01 Chelsea Princell x4335 HOUSE BILL 26-1411
House Committees Senate Committees
Appropriations
A BILL FOR AN ACT
CONCERNING CHANGES TO HEALTH INSURANCE BENEFITS FOR CERTAIN101
LOW-INCOME INDIVIDUALS W HO ARE NOT ELIGIBLE FOR102
MEDICAL ASSISTANCE DUE TO THEIR IMMIGRATION STATUS ,103
AND, IN CONNECTION THEREWITH, MAKING AND REDUCING AN104
APPROPRIATION.105
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 limits the benefits pregnant
women and children with a certain family household income and citizen
HOUSE
Amended 3rd Reading
April 11, 2026
HOUSE
Amended 2nd Reading
April 9, 2026
HOUSE SPONSORSHIP
Brown and Sirota, Bacon, Boesenecker, Carter, Clifford, Duran, English, Froelich, Garcia,
Goldstein, Jackson, Joseph, Lindsay, Mabrey, McCluskie, Nguyen, Rutinel, Rydin, Smith,
Stewart R., Story, Titone, Velasco, Woodrow, Zokaie
SENATE SPONSORSHIP
Amabile and Kirkmeyer, Bridges
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.
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 $750;
! 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; and
! Beginning 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.
For the 2026-27 state fiscal year, the bill caps enrollment of
children in the state medical assistance program at 25,000 children if
certain conditions are met.
The bill repeals provisions requiring the department of health care
policy and financing to develop an outreach and enrollment strategy for
enrolling eligible groups into new coverage options.
The bill repeals the state children's basic health plan.
The bill makes and reduces an appropriation to the department of
health care policy and financing.
Be it enacted by the General Assembly of the State of Colorado:1
SECTION 1. In Colorado Revised Statutes, 25.5-2-104, amend2
(1) as follows:3
25.5-2-104. State-funded health and medical care - rules.4
(1) (a) Beginning no later than January 1, 2025, There is created5
the state medical assistance program, referred to in this section as "state6
medical assistance". S UBJECT TO THE LIMITATIONS DETAILED IN7
SUBSECTION (1)(b) OF THIS SECTION, state medical assistance includes all8
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benefits and services at the same cost to the beneficiary as are BENEFITS1
AND SERVICES offered pursuant to the medical assistance program,2
defined in sectio n 25.5-4- 103 (13), such that, to the maximum extent3
possible, AN eligible individuals must not be INDIVIDUAL IS NOT able to4
tell that the person is THEY ARE enrolled in a different program from5
medical assistance, pursuant to AS DEFINED IN section 25.5-4-103 (13).6
(b) PREGNANT WOMEN WHO ARE NOT ELIGIBLE FOR THE MEDICAL7
ASSISTANCE PROGRAM SOLELY DUE TO THEIR IMMIGRATION STATUS AND8
CHILDREN UNDER NINETEEN YEARS OLD WHOSE FAMILY HOUSEHOLD9
INCOME DOES NOT EXCEED TWO HUNDRED SIXTY PERCENT OF THE10
FEDERAL POVERTY LINE, ADJUSTED FOR FAMILY SIZE , AND WHO DO NOT11
MEET THE IMMIGRATION REQUIREMENTS FOR ELIGIBILITY ARE SUBJECT TO12
THE FOLLOWING LIMITATIONS ON BENEFITS:13
14
(I) B EGINNING JANUARY 1, 2027, THEY MUST BE OFFERED15
BEHAVIORAL HEALTH SERVICES ON A FEE-FOR-SERVICE BASIS ONLY;16
(II) BEGINNING JANUARY 1, 2027, THEY ARE NOT ELIGIBLE FOR17
SERVICES OFFERED THROUGH THE ACCOUNTABLE CARE COLLABORATIVE18
PURSUANT TO SECTION 25.5-5-419; AND19
(III) B EGINNING JANUARY 1, 2027, THEY SHALL NOT RECEIVE20
MANAGED CARE SERVICES PURSUANT TO PART 4 OF ARTICLE 5 OF THIS21
TITLE 25.5.22
(c) B EGINNING JANUARY 1, 2027, CHILDREN UNDER NINETEEN23
YEARS OLD WHOSE FAMILY HOUSEHOLD INCOME DOES NOT EXCEED TWO24
HUNDRED SIXTY PERCENT OF THE FEDERAL POVERTY LINE, ADJUSTED FOR25
FAMILY SIZE, AND WHO ARE NOT ELIGIBLE FOR THE MEDICAL ASSISTANCE26
PROGRAM DUE TO THEIR IMMIGRATION STATUS , SHALL NOT RECEIVE ,27
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PURSUANT TO THE STATE MEDICAL ASSISTANCE PROGRAM CREATED IN1
THIS SECTION , LONG -TERM SERVICES AND SUPPORTS DESCRIBED IN2
SECTION 25.5-5-102 (1)(e); SECTION 25.5-5-202 (1)(c), (1)(n), AND (1)(p);3
HOME HEALTH SERVICES DESCRIBED IN SECTION 25.5-5-102 (1)(f) FOR4
MEMBERS WHO REQUIRE ONGOING HOME HEALTH SERVICES FOLLOWING5
SIXTY DAYS OF ACUTE HOME HEALTH SERVICES; AND SERVICES DESCRIBED6
IN PART 19 OF ARTICLE 6 OF THIS TITLE 25.5 UNLESS THEY ALREADY7
RECEIVE THESE SERVICES ON OR BEFORE DECEMBER 31, 2026.8
9
SECTION 2. In Colorado Revised Statutes, 25.5-5-201, amend10
(6)(a) and (6)(b) as follows:11
25.5-5-201. Optional provisions - optional groups - rules.12
(6) (a) Beginning no later than January 1, 2025, A pregnant person13
who is not a citizen and who is not eligible for medical assistance14
pursuant to subsection (4) of this section is eligible to receive medical15
assistance pursuant to this subsection (6)(a), SUBJECT TO THE LIMITATIONS16
DETAILED IN SECTION 25.5-2-104 (1)(b), if the individual meets the17
eligibility requirements other than those related to citizenship and18
immigration status.19
(b) A pregnant person who is eligible for medical assistance20
pursuant to this subsection (6) remains continuously eligible for all21
medical services pursuant to the medical assistance program, SUBJECT TO22
THE LIMITATIONS DETAILED IN SECTION 25.5-2-104 (1)(b), for the23
twelve-month postpartum period, so long as eligibility remains in effect24
pursuant to subsection (4.5)(a) of this section.25
SECTION 3. In Colorado Revised Statutes, 25.5-8-107, repeal26
(1)(i) as follows:27
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25.5-8-107. Duties of the department - schedule of services -1
premiums - copayments - subsidies - purchase of childhood2
immunizations.3
(1) In addition to any other duties pursuant to this article 8, the4
department has the following duties:5
(i) (I) The department shall develop and implement an outreach6
strategy for Coloradans who become eligible for health coverage pursuant7
to section 25.5-2-104, 25.5-2-105, 25.5-5-201 (6), or 25.5-8-109 (7). The8
state department shall work with stakeholders to develop an outreach9
strategy that includes:10
(A) Funding for community-based organizations to partner with11
the department on outreach;12
(B) A method for providing information related to eligibility and13
enrollment that can be provided to nonprofit partners, school districts, and14
charter schools for outreach purposes; and15
(C) At a minimum, providing information related to eligibility and16
coverage in English, Spanish, and in each language spoken by at least17
two-and-one-half percent of the population of any county who speak18
English less than very well, as defined by the United States bureau of the19
census American community survey, and who speak the minority20
language at home;21
(II) Approximately twelve and twenty-four months after22
implementation of the strategy required pursuant to subsection (1)(i)(I) of23
this section, the department shall convene stakeholders, including directly24
impacted individuals, service providers, and advocacy organizations that25
are diverse with regard to race, ethnicity, immigration status, sexual26
orientation, and gender identity and who are affected by higher rates of27
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health disparities and inequities. The department shall report on the1
outreach and enrollment strategy outcomes, including enrollment of2
eligible persons into these programs compared to those persons who are3
eligible for coverage, but not enrolled.4
SECTION 4. In Colorado Revised Statutes, repeal 25.5-2-105.5
SECTION 5. In Colorado Revised Statutes, 24-75-109, repeal6
(1)(a.8) as follows:7
24-75-109. Controller may allow expenditures in excess of8
appropriations - limitations - appropriations for subsequent fiscal9
year restricted - repeal.10
(1) For the purpose of closing the state's books, and subject to the11
provisions of this section, the controller may, on or after May 1 of any12
fiscal year and before the forty-fifth day after the close thereof, upon13
approval of the governor, allow any department, institution, or agency of14
the state, including any institution of higher education, to make an15
expenditure in excess of the amount authorized by an item of16
appropriation for such fiscal year if:17
(a.8) The overexpenditure is by the department of health care18
policy and financing for the state children's basic health plan, established19
pursuant to section 25.5-2-105; or20
SECTION 6. In Colorado Revised Statutes, 25.5-4-201, amend21
(1) as follows:22
25.5-4-201. Cash system of accounting - financial23
administration of medical services premiums - medical programs24
administered by department of human services - federal25
contributions - rules.26
(1) The state department shall utilize the cash system of27
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accounting, as enunciated by the governmental accounting standards1
board, regardless of the source of revenues involved, for all activities of2
the state department relating to the financial administration of any3
nonadministrative expenditure that qualifies for federal financial4
participation under Title XIX of the federal "Social Security Act", and for5
the administration of the state-funded health and medical care program,6
created pursuant to section 25.5-2-104, and for the state children's basic7
health plan, created pursuant to section 25.5-2-105, except for8
expenditures under the program for the medically indigent, article 3 of9
this title 25.5.10
SECTION 7. In Colorado Revised Statutes, 25.5-5-335, amend11
(2)(a), (2)(b), and (7)(b) as follows:12
25.5-5-335. Continuous medical coverage for children and13
adults feasibility study - federal authorization - rules - report -14
definition.15
(2) At a minimum, the feasibility study must consider the costs;16
implementation factors, including county workload, training, and17
administrative burdens on the counties, information technology systems,18
upgrades, and associated costs; potential health benefits for individuals19
and communities, including disadvantaged and marginalized groups;20
impacts of increased use of preventive and high-value health services;21
administrative savings, including, but not limited to, reducing or22
eliminating eligibility processing for populations during the continuous23
eligibility period; reductions in administrative turnover and coverage loss;24
and, to the extent practicable, social and economic impacts with respect25
to the following:26
(a) Allowing an eligible child, as defined in this article 5 and27
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articles 2, 3, 6, and 8 of this title 25.5, including children eligible under1
sections 25.5-2-104 and 25.5-2-105 SECTION 25.5-2-104, to remain2
continuously eligible for medical assistance and the children's basic3
health plan for twenty-four months after the last day of the month in4
which the child was enrolled;5
(b) Allowing an eligible child, as defined in this article 5 and6
articles 2, 3, 6, and 8 of this title 25.5, including children eligible under7
sections 25.5-2-104 and 25.5-2-105 SECTION 25.5-2-104 who are less than8
six years of age OLD, to remain continuously eligible for medical9
assistance or the children's basic health plan without regard to a change10
in household income until the child reaches six years of age OLD;11
(7) (b) For purposes of seeking federal authorization pursuant to12
subsection (7)(a) of this section, an eligible child is as defined in this13
article 5 and articles 2, 3, 6, and 8 of this title 25.5, including a child14
eligible pursuant to sections 25.5-2-104 and 25.5-2-105 SECTION15
25.5-2-104, and must be under three years of age OLD. An eligible child16
shall remain REMAINS continuously eligible without regard to household17
income until the eligible child reaches three years of age OLD; except that18
a child is no longer eligible and must be disenrolled from a medical19
assistance program if the state department becomes aware that the child20
has moved out of the state, the state department or county possesses facts21
indicating that the family has requested the child's voluntary22
disenrollment, the state department determines eligibility was erroneously23
granted, or the child is deceased.24
SECTION 8. Appropriation - adjustments to 2026 long bill.25
(1) For the 2026-27 state fiscal year, $3,378,166 is appropriated to the26
department of health care policy and financing. This appropriation is from27
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the general fund. To implement this act, the department may use this1
appropriation as follows:2
(a) $2,286,549 for Medicaid management information system3
maintenance and projects;4
(b) $1,017,700 for Colorado benefits management systems,5
operating and contract expenses; and6
(c) $73,917 for behavioral health fee-for-service payments, which7
amount is subject to the "(M)" notation as defined in the annual general8
appropriation act for the same fiscal year.9
(2) For the 2026-27 state fiscal year, the general assembly10
anticipates that the department of health care policy and financing will11
receive $137,274 in federal funds for behavioral health fee-for-service12
payments to implement this act. The appropriation in subsection (1)(c) of13
this section is based on the assumption that the department will receive14
this amount of federal funds.15
(3) Except as provided in subsection (5) of this section, to16
implement this act, general fund appropriations made in the annual17
general appropriation act for the 2026-27 state fiscal year to the18
department of health care policy and financing are decreased as follows:19
(a) $262,500 for general professional services and special20
projects;21
(b) $27 1,951 for me dical and long-term care services for22
Medicaid-eligible individuals, which amount is subject to the "(M)"23
notation as defined in the annual general appropriation act for the same24
fiscal year;25
(c) $753,747 for behavioral health capitation payments, which26
amount is subject to the "(M)" notation as defined in the annual general27
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appropriation act for the same fiscal year; and1
(d) $15,006,358 for health benefits for children lacking access2
due to immigration status.3
(4) The decrease of the appropriations in subsection (3) of this4
section is based on the assumption that the anticipated amount of federal5
funds received for the 2026-27 state fiscal year by the department of6
health care policy and financing will decrease as follows:7
(a) $487,500 for general professional services and special8
projects, which is subject to the "(I)" notation as defined in the annual9
general appropriation act for the same fiscal year;10
(b) $505,052 for medical and long-term care services for11
Medicaid-eligible individuals; and12
(c) $1,399,814 for behavioral health capitation payments.13
(5) Subsection (3) of this section does not require a reduction of14
an appropriation in the annual general appropriation act for the 2026-2715
state fiscal year if either:16
(a) The amount of the general fund appropriation made in the17
annual general appropriation act for the 2026-27 state fiscal year to the18
department of health care policy and financing is less than the amount of19
the adjustments required in subsection (3) of this section for:20
(I) General professional services and special projects;21
(II) Medical and long-term care services for Medicaid-eligible22
individuals;23
(III) Behavioral health capitation payments; or24
(IV) Health benefits for children lacking access due to25
immigration status; or26
(b) The annual general appropriation act for the 2026-27 state27
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fiscal year does not include an appropriation to the department of health1
care policy and financing for:2
(I) General professional services and special projects;3
(II) Medical and long-term care services for Medicaid-eligible4
individuals;5
(III) Behavioral health capitation payments; or6
(IV) Health benefits for children lacking access due to7
immigration status.8
SECTION 9. Appropriation - adjustments to 2026 long bill.9
(1) Except as provided in subsection (3) of this section, to implement this10
act, the cash funds appropriation from the adult dental fund created in11
section 25.5-5-207 (4)(a), C.R.S., made in the annual general12
appropriation act for the 2026-27 state fiscal year to the department of13
health care policy and financing for medical and long-term care services14
for Medicaid-eligible individuals is decreased by $396,03815
(2) The decrease of the appropriations in subsection (1) of this16
section is based on the assumption that the anticipated amount of federal17
funds received for the 2026-27 state fiscal year by the department of18
health care policy and financing for medical and long-term care services19
for Medicaid-eligible individuals will decrease by $735,499.20
(3) Subsection (1) of this section does not require a reduction of21
an appropriation in the annual general appropriation act for the 2026-2722
state fiscal year if either:23
(a) The amount of the cash funds appropriation from the adult24
dental fund created in section 25.5-5-207 (4)(a), C.R.S., made in the25
annual general appropriation act for the 2026-27 state fiscal year to the26
department of health care policy and financing for medical and long-term27
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care services for Medicaid-eligible individuals is less than the amount of1
the adjustment required in subsection (1) of this section; or2
(b) The annual general appropriation act for the 2026-27 state3
fiscal year does not include an appropriation to the department of health4
care policy and financing for medical and long-term care services for5
Medicaid-eligible individuals.6
SECTION 10. Appropriation - adjustments to 2026 long bill.7
(1) Except as provided in subsection (3) of this section, to implement this8
act, the general fund appropriation made in the annual general9
appropriation act for the 2026-27 state fiscal year to the department of10
health care policy and financing for medical and long-term care services11
for Medicaid-eligible individuals is decreased by $396,038, which12
amount is subject to the "(M)" notation as defined in the annual general13
appropriation act for the same fiscal year.14
(2) The decrease of the appropriations in subsection (1) of this15
section is based on the assumption that the anticipated amount of federal16
funds received for the 2026-27 state fiscal year by the department of17
health care policy and financing for medical and long-term care services18
for Medicaid-eligible individuals will decrease by $735,499.19
(3) Subsection (1) of this section does not require a reduction of20
an appropriation in the annual general appropriation act for the 2026-2721
state fiscal year if either:22
(a) The amount of the general fund appropriation made in the23
annual general appropriation act for the 2026-27 state fiscal year to the24
department of health care policy and financing for medical and long-term25
care services for Medicaid-eligible individuals is less than the amount of26
the adjustment required in subsection (1) of this section; or27
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(b) The annual general appropriation act for the 2026-27 state1
fiscal year does not include an appropriation to the department of health2
care policy and financing for medical and long-term care services for3
Medicaid-eligible individuals.4
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APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$ $$$ $ $
SECTION 11. Appropriation to the department of health care policy and financing for the fiscal year beginning July 1, 2025. In Session Laws of Colorado 2025, section1
2 of chapter 476, (SB 25-206), amend Part VI (1)(A) and the affected totals as Part VI is amended by section 5 of chapter 150, (SB 25-228), and section 17 of chapter 151, (SB 25-270),2
and as Part VI (1)(A) and the affected totals are further amended by section 1 of HB 26-1155 as follows:3
Section 2. Appropriation.4
PART VI5
DEPARTMENT OF HEALTH CARE POLICY AND FINANCING6
7
(1) EXECUTIVE DIRECTOR'S OFFICE8
(A) General Administration9
Personal Services10 76,144,403
11 (795.8 FTE)
Health, Life, and Dental12 13,063,358
Short-term Disability13 51,631
Paid Family and Medical14
Leave Insurance15 378,612
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APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$ $$$ $ $
Unfunded Liability1
Amortization Equalization2
Disbursement Payments3 7,939,888
Salary Survey4 2,299,634
Step Pay5 151,359
PERA Direct Distribution6 1,638,429
Workers' Compensation7 230,107
Operating Expenses8 3,400,301
Legal Services9 2,824,915
Administrative Law Judge10
Services11 2,636,344
Payment to Risk12
Management and Property13
Funds14 280,008
Leased Space15 3,712,918
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APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$ $$$ $ $
Payments to OIT1 15,566,219
CORE Operations2 35,879
General Professional3
Services and Special4
Projects5 47,899,410
6 47,524,410
7 178,253,415 69,183,269 14,104,503a 3,852,606b 91,113,037(I)
8 177,878,415 69,052,019 90,869,287(I)9
a Of this amount, $12,618,763 shall be from the Healthcare Affordability and Sustainab ility Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S.,$399,810 shall be from the10
Healthcare Affordability and Sustainability Nursing Facility Provider Fee Cash Fund created in Section 25.5-4-402.4 (5.5)(a), C.R.S., $361,397 shall be from the Children's Basic Health11
Plan Trust created in Section 25.5-8-105 (1), C.R.S., $278,999 shall be from the Adult Dental Fund created in Section 25.5-5-20 7 (4)(a), C.R.S., $204,488 shall be from the Primary12
Care Fund created in Section 24-22-117 (2)(b)(I), C.R.S., $131,531 shall be from the Nursing Home Penalty Cash Fund created in Section 25.5-6-205 (3)(a), C.R.S., $59,140 shall be13
from the Healthcare Affordability and Sustainability Intermediate Care Facility Fee Cash Fund created in Section 25.5-4- 402.4 (5.7)(a), C.R.S., and $50,375 shall be from the Breast14
and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8)(a)(I), C.R.S.15
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APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$ $$$ $ $
b Of this amount, $1,374,082 shall be transferred from the Department of Human Services from the Health Care and Economic Security Staff Development Center line item appropriation,1
$881,600 shall be from statewide indirect cost recoveries, $839,181 shall be transferred from the Colorado Benefits Management System, Health Care and Economic Security Staff2
Development Center line item appropriation in this department, $577,832 shall be transferred from the Department of Higher Educ ation from the Fee-for-service Contracts with State3
Institutions for Speciality Education Programs line item, $95,773 shall be from the Department of Personnel and Administration, $57,678 shall be from the Department of Early Childhood,4
and $26,460 shall be from the Department of Public Health and Environment from the Women, Infants, and Children Supplemental Food Grant line item.5
TOTALS PART VI6
(HEALTH CARE7
POLICY AND8
FINANCING)259 $18,980,783,085 $4,381,549,873 $1,293,261,386a $2,168,909,052b $160,576,367 $10,976,486,407 c
10 $18,980,408,085 $4,381, 418,623 $10,976,242,657 c
11
a Of this amount, $1,292,968,309 shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S., and $293,077 shall be General Fund Exempt pursuant to12
Section 24-22-117 (1)(c)(I)(B.5), C.R.S. Said $293,077 is not subject to the statutory limitation on General Fund appropriation s imposed by Section 24-75-201.1, C.R.S.13
b Of this amount, $22,134,496 contains an (I) notation.14
c Of this amount, $422,806,064 $422,562,314 contains an (I) notation.15
16
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SECTION 12. Appropriation - adjustments to 2026 long bill.1
(1) For the 2026-27 state fiscal year, $6,574,789 is appropriated to the2
department of health care policy and financing. To implement this act, the3
department may use this appropriation as follows:4
(a) $396,038 from the adult dental fund created in section5
25.5-5-207 (4)(a), C.R.S., for medical and long-term care services for6
Medicaid-eligible individuals; and7
(b) $6,178,751 from the general fund for health benefits for8
children lacking access due to immigration status.9
(2) For the 2026-27 state fiscal year, the general assembly10
anticipates that the department of health care policy and financing will11
receive $735,499 in federal funds to implement this act. The12
appropriation in subsection (1) of this section is based on the assumption13
that the department will receive this amount of federal funds to be used14
for medical and long-term care services for Medicaid-eligible individuals.15
SECTION 13. Appropriation - adjustments to 2026 long bill.16
(1) For the 2026-27 state fiscal year, $6,574,789 is appropriated to the17
department of health care policy and financing. To implement this act, the18
department may use this appropriation as follows:19
(a) $396,038 from the general fund for medical and long-term care20
services for Medicaid-eligible individuals; and21
(b) $6, 178,751 from the general fund for health benefits for22
children lacking access due to immigration status.23
(2) For the 2026-27 state fiscal year, the general assembly24
anticipates that the department of health care policy and financing will25
receive $735,499 in federal funds to implement this act. The26
appropriation in subsection (1) of this section is based on the assumption27
1411-18-
that the department will receive this amount of federal funds to be used1
for medical and long-term care services for Medicaid-eligible individuals. 2
1411-19-
APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$$
SECTION 14. Appropriation to the department of correctio ns for the fiscal year beginning July 1, 2026. Amend as added by House Bill 26-1410 section 2, Part II1
(1)(B)(2), and the affected totals, as follows: 2
Section 2. Appropriation.3
PART II4
DEPARTMENT OF CORRECTIONS5
6
(1) MANAGEMENT7
(B) External Capacity Subprogram8
(2) Payments to House State Prisoners69
Payments to local jails at a rate10
of $77.16 per inmate per day11 9,279,841 9,279,841
Payments to Bent County12
Correctional Facility and13
Crowley County Correctional14
Facility at a rate of $77.1615
$71.85 per inmate per day16 87,662,283 85,552,630 2,109,653a
1411-20-
APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$$
1 81,483,532 79,373,879
Payments to other in-state2
private prisons at a rate of3
$115.74 per inmate per day74 1 1
Inmate Education and Benefit5
Programs at In-state Private6
Prisons7 541,566 541,566
8 97,483,691
9 91,304,940
10
a This amount shall be from the State Criminal Alien Assistance Program Cash Fund created in Section 17-1-107.5 (1), C.R.S.11
1213
TOTALS PART II14
(CORRECTIONS)15 $1,274,690,076 $1,190,318,065 $46,538,145a $37,540,954 $292,912b
1411-21-
APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$$
1 $1,268,511,325 $1,184,139,314
2
a Of this amount, $23,664,220 contains an (I) notation. 3
b This amount contains an (I) notation. 4
1411-22-
SECTION 15. Effective date. This act takes effect upon passage;1
except that:2
(1) Section 8 of this act takes effect only if the annual general 3
appropriation act for the 2026-27 state fiscal year becomes law, in which 4
case section 8 takes effect upon the effective date of this act or of the5
annual general appropriation act for state fiscal year 2026-27, whichever 6
is later,7
(2) Section 9 of this act takes effect only if House Bill 26-14018
does not become law, in which case section 9 takes effect upon the9
effective date of this act,10
(3) Section 10 of this act takes effect only if House Bill 26-140111
becomes law, in which case section 10 takes effect upon the effective date12
of this act or upon passage House Bill 26-1401, whichever is later,13
(4) Section 12 of this act takes effect only if House Bill 26-140114
does not become law, in which case section 12 takes effect on the 15
effective date of this act,16
(5) Section 13 of this act takes effect only if House Bill 26-140117
and House Bill 26-1410 become law, in which case section 13 takes18
effect on the effective date of this act, upon passage of House Bill 19
26-1401, or the effective date of House Bill 26-1410, whichever is later,20
and21
(6) Section 14 of this act takes effect only if House Bill 26-141022
becomes law, in which case section 14 takes effect on the effective date23
of this act or the effective date of House Bill 26-1410, whichever is later.24
SECTION 16. Safety clause. The general assembly finds,25
determines, and declares that this act is necessary for the immediate26
preservation of the public peace, health, or safety or for appropriations for27
1411-23-
the support and maintenance of the departments of the state and state1
institutions.2
1411-24-