HB 1096: Colorado Medicaid Access to Primary Care Services

Official summary

Abstract published by the legislature (via Open States). Text as published by the legislature; reproduced verbatim.

The bill prohibits the department of health care policy and financing (department) from denying a medicaid member (member) the ability to purchase primary care services or enter into a direct primary care agreement. A member who purchases direct primary care services from a direct primary health-care provider or enters into a direct primary care agreement must sign a document acknowledging that the direct primary health-care provider is enrolled in the Colorado medical assistance program only as an ordering, prescribing, and referring provider; that the direct primary health-care provider does not accept medicaid payments for the services rendered; that the member cannot submit a claim for medicaid reimbursement for the services rendered by the direct primary health-care provider; and that the member retains the right to receive primary care services from a primary care provider who is enrolled in the Colorado medical assistance program.(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)

Sponsors

Sponsors by party (alphabetical): Democratic 2 · Republican 8

“Support” is shown only as formal sponsorship recorded by the legislature. Roll-call votes are available on the official bill page.

Recent official actions

1. April 2, 2026Senate Committee on Health & Human Services Postpone Indefinitely
2. February 25, 2026Introduced In Senate - Assigned to Health & Human Services
3. February 23, 2026House Third Reading Passed - No Amendments
4. February 20, 2026House Second Reading Special Order - Passed with Amendments - Committee
5. February 17, 2026House Committee on Health & Human Services Refer Amended to House Committee of the Whole
6. February 3, 2026Introduced In House - Assigned to Health & Human Services