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Second Regular Session
Seventy-fifth General Assembly
STATE OF COLORADO
REREVISED
This Version Includes All Amendments
Adopted in the Second House
LLS NO. 26-0825.01 Chelsea Princell x4335 HOUSE BILL 26-1411
House Committees Senate Committees
Appropriations 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
SENATE
3rd Reading Unamended
April 16, 2026
SENATE
Amended 2nd Reading
April 15, 2026
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); and add (3.5) 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
(I) BEGINNING JULY 1, 2026, THEY ARE SUBJECT TO AN ANNUAL14
CAP ON DENTAL SERVICES IN THE AMOUNT OF SEVEN HUNDRED FIFTY15
DOLLARS; 16
17
(II) B EGINNING JANUARY 1, 2027, THEY MUST BE OFFERED18
BEHAVIORAL HEALTH SERVICES ON A FEE-FOR-SERVICE BASIS ONLY;19
(III) BEGINNING JANUARY 1, 2027, THEY ARE NOT ELIGIBLE FOR20
SERVICES OFFERED THROUGH THE ACCOUNTABLE CARE COLLABORATIVE21
PURSUANT TO SECTION 25.5-5-419; AND22
(IV) B EGINNING JANUARY 1, 2027, THEY SHALL NOT RECEIVE23
MANAGED CARE SERVICES PURSUANT TO PART 4 OF ARTICLE 5 OF THIS24
TITLE 25.5.25
(c) B EGINNING JANUARY 1, 2027, CHILDREN UNDER NINETEEN26
YEARS OLD WHOSE FAMILY HOUSEHOLD INCOME DOES NOT EXCEED TWO27
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HUNDRED SIXTY PERCENT OF THE FEDERAL POVERTY LINE, ADJUSTED FOR1
FAMILY SIZE, AND WHO ARE NOT ELIGIBLE FOR THE MEDICAL ASSISTANCE2
PROGRAM DUE TO THEIR IMMIGRATION STATUS , SHALL NOT RECEIVE ,3
PURSUANT TO THE STATE MEDICAL ASSISTANCE PROGRAM CREATED IN4
THIS SECTION , LONG -TERM SERVICES AND SUPPORTS DESCRIBED IN5
SECTION 25.5-5-102 (1)(e); SECTION 25.5-5-202 (1)(c), (1)(n), AND (1)(p);6
HOME HEALTH SERVICES DESCRIBED IN SECTION 25.5-5-102 (1)(f) FOR7
MEMBERS WHO REQUIRE ONGOING HOME HEALTH SERVICES FOLLOWING8
SIXTY DAYS OF ACUTE HOME HEALTH SERVICES; AND SERVICES DESCRIBED9
IN PART 19 OF ARTICLE 6 OF THIS TITLE 25.5 UNLESS THEY ALREADY10
RECEIVE THESE SERVICES ON OR BEFORE DECEMBER 31, 2026.11
(3.5) (a) FOR THE 2026-27 STATE FISCAL YEAR , ENROLLMENT IN12
STATE MEDICAL ASSISTANCE OF CHILDREN UNDER NINETEEN YEARS OLD13
WHOSE FAMILY HOUSEHOLD INCOME DOES NOT EXCEED TWO HUNDRED14
SIXTY PERCENT OF THE FEDERAL POVERTY LINE , ADJUSTED FOR FAMILY15
SIZE, AND WHO ARE NOT ELIGIBLE FOR THE MEDICAL ASSISTANCE16
PROGRAM DUE TO THEIR IMMIGRATION STATUS , IS SUBJECT TO AN17
ENROLLMENT CAP OF TWENTY-FIVE THOUSAND IF ONE OF THE FOLLOWING18
CONDITIONS IS MET:19
(I) ENROLLMENT OF THE CHILDREN DESCRIBED IN THIS SUBSECTION20
(3.5)(a) IN STATE MEDICAL ASSISTANCE EXCEEDS TWENTY-FIVE THOUSAND21
CHILDREN; OR22
(II) EXPENDITURES FOR A FISCAL QUARTER OF THE 2026-27 STATE23
FISCAL YEAR EXCEED ONE QUARTER OF THE APPROPRIATION FOR STATE24
MEDICAL ASSISTANCE PLUS FIVE PERCENT TO ACCOUNT FOR COST25
FLUCTUATIONS DUE TO SEASONALITY.26
(b) I F A CONDITION DETAILED IN SUBSECTION (3.5)(a) OF THIS27
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SECTION IS MET, THE STATE DEPARTMENT MUST CAP THE ENROLLMENT OF1
THE CHILDREN DESCRIBED IN SUBSECTION (3.5)(a) OF THIS SECTION AT2
TWENTY-FIVE THOUSAND CHILDREN BEGINNING ON THE FIRST DAY OF THE3
MONTH FOLLOWING SIXTY DAYS AFTER THE STATE DEPARTMENT4
DETERMINES THAT A CONDITION DETAILED IN SUBSECTION (3.5)(a) OF THIS5
SECTION IS MET.6
(c) THE STATE DEPARTMENT SHALL ADOPT RULES NECESSARY TO7
IMPLEMENT THE ENROLLMENT CAP DETAILED IN THIS SUBSECTION (3.5).8
(d) ON OR BEFORE NOVEMBER 1, 2026, THE STATE DEPARTMENT9
SHALL SUBMIT A REPORT TO THE JOINT BUDGET COMMITTEE DETAILING10
WHAT IS DRIVING ENROLLMENT AND UTILIZATION OF STATE MEDICAL11
ASSISTANCE BY CHILDREN WHO ARE UNDER NINETEEN YEARS OLD WHOSE12
FAMILY HOUSEHOLD INCOME DOES NOT EXCEED TWO HUNDRED SIXTY13
PERCENT OF THE FEDERAL POVERTY LINE, ADJUSTED FOR FAMILY SIZE, AND14
WHO ARE NOT ELIGIBLE FOR THE MEDICAL ASSISTANCE PROGRAM DUE TO15
THEIR IMMIGRATION STATUS. THE REPORT MUST INCLUDE STRATEGIES FOR16
REDUCING COSTS ASSOCIATED WITH ENROLLING THESE CHILDREN IN STATE17
MEDICAL ASSISTANCE.18
19
SECTION 2. In Colorado Revised Statutes, 25.5-5-201, amend20
(6)(a) and (6)(b) as follows:21
25.5-5-201. Optional provisions - optional groups - rules.22
(6) (a) Beginning no later than January 1, 2025, A pregnant person23
who is not a citizen and who is not eligible for medical assistance24
pursuant to subsection (4) of this section is eligible to receive medical25
assistance pursuant to this subsection (6)(a), SUBJECT TO THE LIMITATIONS26
DETAILED IN SECTION 25.5-2-104 (1)(b), if the individual meets the27
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eligibility requirements other than those related to citizenship and1
immigration status.2
(b) A pregnant person who is eligible for medical assistance3
pursuant to this subsection (6) remains continuously eligible for all4
medical services pursuant to the medical assistance program, SUBJECT TO5
THE LIMITATIONS DETAILED IN SECTION 25.5-2-104 (1)(b), for the6
twelve-month postpartum period, so long as eligibility remains in effect7
pursuant to subsection (4.5)(a) of this section.8
SECTION 3. In Colorado Revised Statutes, 25.5-8-107, repeal9
(1)(i) as follows:10
25.5-8-107. Duties of the department - schedule of services -11
premiums - copayments - subsidies - purchase of childhood12
immunizations.13
(1) In addition to any other duties pursuant to this article 8, the14
department has the following duties:15
(i) (I) The department shall develop and implement an outreach16
strategy for Coloradans who become eligible for health coverage pursuant17
to section 25.5-2-104, 25.5-2-105, 25.5-5-201 (6), or 25.5-8-109 (7). The18
state department shall work with stakeholders to develop an outreach19
strategy that includes:20
(A) Funding for community-based organizations to partner with21
the department on outreach;22
(B) A method for providing information related to eligibility and23
enrollment that can be provided to nonprofit partners, school districts, and24
charter schools for outreach purposes; and25
(C) At a minimum, providing information related to eligibility and26
coverage in English, Spanish, and in each language spoken by at least27
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two-and-one-half percent of the population of any county who speak1
English less than very well, as defined by the United States bureau of the2
census American community survey, and who speak the minority3
language at home;4
(II) Approximately twelve and twenty-four months after5
implementation of the strategy required pursuant to subsection (1)(i)(I) of6
this section, the department shall convene stakeholders, including directly7
impacted individuals, service providers, and advocacy organizations that8
are diverse with regard to race, ethnicity, immigration status, sexual9
orientation, and gender identity and who are affected by higher rates of10
health disparities and inequities. The department shall report on the11
outreach and enrollment strategy outcomes, including enrollment of12
eligible persons into these programs compared to those persons who are13
eligible for coverage, but not enrolled.14
SECTION 4. In Colorado Revised Statutes, repeal 25.5-2-105.15
SECTION 5. In Colorado Revised Statutes, 24-75-109, repeal16
(1)(a.8) as follows:17
24-75-109. Controller may allow expenditures in excess of18
appropriations - limitations - appropriations for subsequent fiscal19
year restricted - repeal.20
(1) For the purpose of closing the state's books, and subject to the21
provisions of this section, the controller may, on or after May 1 of any22
fiscal year and before the forty-fifth day after the close thereof, upon23
approval of the governor, allow any department, institution, or agency of24
the state, including any institution of higher education, to make an25
expenditure in excess of the amount authorized by an item of26
appropriation for such fiscal year if:27
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(a.8) The overexpenditure is by the department of health care1
policy and financing for the state children's basic health plan, established2
pursuant to section 25.5-2-105; or3
SECTION 6. In Colorado Revised Statutes, 25.5-4-201, amend4
(1) as follows:5
25.5-4-201. Cash system of accounting - financial6
administration of medical services premiums - medical programs7
administered by department of human services - federal8
contributions - rules.9
(1) The state department shall utilize the cash system of10
accounting, as enunciated by the governmental accounting standards11
board, regardless of the source of revenues involved, for all activities of12
the state department relating to the financial administration of any13
nonadministrative expenditure that qualifies for federal financial14
participation under Title XIX of the federal "Social Security Act", and for15
the administration of the state-funded health and medical care program,16
created pursuant to section 25.5-2-104, and for the state children's basic17
health plan, created pursuant to section 25.5-2-105, except for18
expenditures under the program for the medically indigent, article 3 of19
this title 25.5.20
SECTION 7. In Colorado Revised Statutes, 25.5-5-335, amend21
(2)(a), (2)(b), and (7)(b) as follows:22
25.5-5-335. Continuous medical coverage for children and23
adults feasibility study - federal authorization - rules - report -24
definition.25
(2) At a minimum, the feasibility study must consider the costs;26
implementation factors, including county workload, training, and27
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administrative burdens on the counties, information technology systems,1
upgrades, and associated costs; potential health benefits for individuals2
and communities, including disadvantaged and marginalized groups;3
impacts of increased use of preventive and high-value health services;4
administrative savings, including, but not limited to, reducing or5
eliminating eligibility processing for populations during the continuous6
eligibility period; reductions in administrative turnover and coverage loss;7
and, to the extent practicable, social and economic impacts with respect8
to the following:9
(a) Allowing an eligible child, as defined in this article 5 and10
articles 2, 3, 6, and 8 of this title 25.5, including children eligible under11
sections 25.5-2-104 and 25.5-2-105 SECTION 25.5-2-104, to remain12
continuously eligible for medical assistance and the children's basic13
health plan for twenty-four months after the last day of the month in14
which the child was enrolled;15
(b) Allowing an eligible child, as defined in this article 5 and16
articles 2, 3, 6, and 8 of this title 25.5, including children eligible under17
sections 25.5-2-104 and 25.5-2-105 SECTION 25.5-2-104 who are less than18
six years of age OLD, to remain continuously eligible for medical19
assistance or the children's basic health plan without regard to a change20
in household income until the child reaches six years of age OLD;21
(7) (b) For purposes of seeking federal authorization pursuant to22
subsection (7)(a) of this section, an eligible child is as defined in this23
article 5 and articles 2, 3, 6, and 8 of this title 25.5, including a child24
eligible pursuant to s ections 25.5-2- 104 and 25.5-2-105 SECTION25
25.5-2-104, and must be under three years of age OLD. An eligible child26
shall remain REMAINS continuously eligible without regard to household27
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income until the eligible child reaches three years of age OLD; except that1
a child is no longer eligible and must be disenrolled from a medical2
assistance program if the state department becomes aware that the child3
has moved out of the state, the state department or county possesses facts4
indicating that the family has requested the child's voluntary5
disenrollment, the state department determines eligibility was erroneously6
granted, or the child is deceased.7
SECTION 8. Appropriation - adjustments to 2026 long bill.8
(1) For the 2026-27 state fiscal year, $3,378,166 is appropriated to the9
department of health care policy and financing. This appropriation is from10
the general fund. To implement this act, the department may use this11
appropriation as follows:12
(a) $2,286,549 for Medicaid management information system13
maintenance and projects;14
(b) $1,017,700 for Colorado benefits management systems,15
operating and contract expenses; and16
(c) $73,917 for behavioral health fee-for-service payments, which17
amount is subject to the "(M)" notation as defined in the annual general18
appropriation act for the same fiscal year.19
(2) For the 2026-27 state fiscal year, the general assembly20
anticipates that the department of health care policy and financing will21
receive $137,274 in federal funds for behavioral health fee-for-service22
payments to implement this act. The appropriation in subsection (1)(c) of23
this section is based on the assumption that the department will receive24
this amount of federal funds.25
(3) Except as provided in subsection (5) of this section, to26
implement this act, general fund appropriations made in the annual27
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general appropriation act for the 2026-27 state fiscal year to the1
department of health care policy and financing are decreased as follows:2
(a) $262,500 for general professional services and special3
projects;4
(b) $271,951 for medical and l ong-term care services for5
Medicaid-eligible individuals, which amount is subject to the "(M)"6
notation as defined in the annual general appropriation act for the same7
fiscal year;8
(c) $753,747 for behavioral health capitation payments, which9
amount is subject to the "(M)" notation as defined in the annual general10
appropriation act for the same fiscal year; and11
(d) $15,006,358 for health benefits for children lacking access12
due to immigration status.13
(4) The decrease of the appropriations in subsection (3) of this14
section is based on the assumption that the anticipated amount of federal15
funds received for the 2026-27 state fiscal year by the department of16
health care policy and financing will decrease as follows:17
(a) $487,500 for general professional services and special18
projects, which is subject to the "(I)" notation as defined in the annual19
general appropriation act for the same fiscal year;20
(b) $505,052 for medical and long-term care services for21
Medicaid-eligible individuals; and22
(c) $1,399,814 for behavioral health capitation payments.23
(5) Subsection (3) of this section does not require a reduction of24
an appropriation in the annual general appropriation act for the 2026-2725
state fiscal year if either:26
(a) The amount of the general fund appropriation made in the27
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annual general appropriation act for the 2026-27 state fiscal year to the1
department of health care policy and financing is less than the amount of2
the adjustments required in subsection (3) of this section for:3
(I) General professional services and special projects;4
(II) Medical and long-term care services for Medicaid-eligible5
individuals;6
(III) Behavioral health capitation payments; or7
(IV) Health benefits for children lacking access due to8
immigration status; or9
(b) The annual general appropriation act for the 2026-27 state10
fiscal year does not include an appropriation to the department of health11
care policy and financing for:12
(I) General professional services and special projects;13
(II) Medical and long-term care services for Medicaid-eligible14
individuals;15
(III) Behavioral health capitation payments; or16
(IV) Health benefits for children lacking access due to17
immigration status.18
SECTION 9. Appropriation - adjustments to 2026 long bill.19
(1) Except as provided in subsection (3) of this section, to implement this20
act, the cash funds appropriation from the adult dental fund created in21
section 25.5-5-207 (4)(a), C.R.S., made in the annual general22
appropriation act for the 2026-27 state fiscal year to the department of23
health care policy and financing for medical and long-term care services24
for Medicaid-eligible individuals is decreased by $396,03825
(2) The decrease of the appropriations in subsection (1) of this26
section is based on the assumption that the anticipated amount of federal27
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funds recei ved for the 2026-27 state fiscal year by the department of1
health care policy and financing for medical and long-term care services2
for Medicaid-eligible individuals will decrease by $735,499.3
(3) Subsection (1) of this section does not require a reduction of4
an appropriation in the annual general appropriation act for the 2026-275
state fiscal year if either:6
(a) The amount of th e cash funds appropriation from the adult7
dental fund created in section 25.5-5-207 (4)(a), C.R.S., made in the8
annual general appropriation act for the 2026-27 state fiscal year to the9
department of health care policy and financing for medical and long-term10
care services for Medicaid-eligible individuals is less than the amount of11
the adjustment required in subsection (1) of this section; or12
(b) The annual general appropriation act for the 2026-27 state13
fiscal year does not include an appropriation to the department of health14
care policy and financing for medical and long-term care services for15
Medicaid-eligible individuals.16
SECTION 10. Appropriation - adjustments to 2026 long bill.17
(1) Except as provided in subsection (3) of this section, to implement this18
act, the general fund appropriation made in the annual general19
appropriation act for the 2026-27 state fiscal year to the department of20
health care policy and financing for medical and long-term care services21
for Medicaid-eligible individuals is decreased by $396,038, which22
amount is subject to the "(M)" notation as defined in the annual general23
appropriation act for the same fiscal year.24
(2) The decrease of the appropriations in subsection (1) of this25
section is based on the assumption that the anticipated amount of federal26
funds received for the 2026-27 state fiscal year by the department of27
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health care policy and financing for medical and long-term care services1
for Medicaid-eligible individuals will decrease by $735,499.2
(3) Subsection (1) of this section does not require a reduction of3
an appropriation in the annual general appropriation act for the 2026-274
state fiscal year if either:5
(a) The amount of the general fund appropriation made in the6
annual general appropriation act for the 2026-27 state fiscal year to the7
department of health care policy and financing for medical and long-term8
care services for Medicaid-eligible individuals is less than the amount of9
the adjustment required in subsection (1) of this section; or10
(b) The annual general appropriation act for the 2026-27 state11
fiscal year does not include an appropriation to the department of health12
care policy and financing for medical and long-term care services for13
Medicaid-eligible individuals.14
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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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1
SECTION 12. Effective date. This act takes effect upon passage;2
except that section 8 of this act takes effect only if the annual general3
appropriation act for the 2026-27 state fiscal year becomes law, in which4
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, whichever6
is later; section 9 of this act takes effect only if House Bill 26-1401 does7
not become law, in which case section 9 takes effect upon the effective8
date of this act; and section 10 of this act takes effect only if House Bill9
26-1401 becomes law, in which case section 10 takes effect upon the10
effective date of this act or of House Bill 26-1401, whichever is later.11
SECTION 13. Safety clause. The general assembly finds,12
determines, and declares that this act is necessary for the immediate13
preservation of the public peace, health, or safety or for appropriations for14
the support and maintenance of the departments of the state and state15
institutions.16
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