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Changes to Cover All Coloradans Program

Concerning changes to health insurance benefits for certain low-income individuals who are not eligible for medical assistance due to their immigration status, and, in connection therewith, making and reducing an appropriation.

HB26-1411 2026 Regular Session Signed into Law Health Care & Health Insurance

Cost estimates

At the first note read
−$16,303,019
FACT April 3, 2026
At the last note read
−$13,882,011
FACT August 19, 2026
What it actually cost
not published
No Colorado source reports spending for one bill

Every figure here is an estimate by Legislative Council Staff on the date shown, about the version of the bill in front of them that day. It is not a cost.

The appropriation

The bill carries its own money. A note saying a bill “requires and includes” an appropriation means the money is in the bill itself.

An appropriation is money the legislature sets aside. It is not money spent.

The appropriation field, read from the note: The bill requires and includes reductions in appropriations to the Department of Health Care Policy and Financing of $375,000 for the current FY 2025-26 and $13,882,011 for FY 2026-27.

Bill summary

     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; 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.

     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.

FACT Bill summary by Colorado Legislative Council Staff, read 2026-09-23. Printed as published, word for word. Source: leg.colorado.gov (opens in a new tab)