HB 1411: Changes to Cover All Coloradans Program

Official summary

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

The act limits the benefits pregnant women and children with a certain family household income and citizen 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 $1,100;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; andBeginning 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.     Beginning January 1, 2027, the act caps enrollment of children in the state medical assistance program at 25,000 children if either enrollment exceeds 25,000 or the expenditures for a fiscal quarter exceeds one-quarter of the appropriation for state medical assistance plus 5% to account for seasonality fluctuations. If one of the conditions is met, the enrollment cap begins on the first day of the month following 60 days after the department of health care policy and financing (state department) determines that the condition was met.     The act repeals provisions requiring the state department to develop an outreach and enrollment strategy for enrolling eligible groups into new coverage options and repeals the state children's basic health plan.     The act appropriates $3,378,166 from the general fund to the state department to implement the act and reduces appropriations to the state department by $14,202,723 if certain conditions are met.(Note: This summary applies to this bill as enacted.)

Sponsors

Sponsors by party (alphabetical): Democratic 31 · Republican 2

“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. June 4, 2026Governor Signed
2. June 3, 2026Signed by the Speaker of the House
3. June 3, 2026Signed by the President of the Senate
4. June 3, 2026Sent to the Governor
5. April 28, 2026Senate Consideration of First Conference Committee Report result was to Adopt Committee Report - Repass
6. April 28, 2026House Consideration of First Conference Committee Report result was to Adopt Committee Report - Repass
7. April 17, 2026House Considered Senate Amendments - Result was to Not Concur - Request Conference Committee
8. April 16, 2026Senate Third Reading Passed - No Amendments
9. April 15, 2026Senate Second Reading Special Order - Passed with Amendments - Committee
10. April 14, 2026Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole
11. April 13, 2026Introduced In Senate - Assigned to Appropriations
12. April 11, 2026House Third Reading Passed with Amendments - Floor

Showing 12 most recent of 17 actions. Full history