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Colorado 2026A

HB 1328

Medicaid Nonemergency Medical Transportation

Source: Open States / PluralUpdated 2026-10-27 03:11:02 UTC.

Official record

Measure details

Jurisdiction
Colorado
Session
2026A
Chamber
lower
Classification
bill
Subjects
Health Care & Health Insurance, Human Services
Introduced / first action
2026-03-11 00:00:00

Source-supplied abstracts

The act requires the nonemergency medical transportation broker (broker) to establish the transportation community advisory board (TCAB) and requires the state department of health care policy and financing (state department) to collaborate with the TCAB prior to establishing rules and processes for the safety and oversight of nonmedical transportation services and nonemergency medical transportation (NEMT) services.     The act requires, in collaboration with the TCAB, certain rules for NEMT the state department must adopt. The state department may impose trip caps or market-share restrictions on a transportation provider (provider) as part of corrective action plan. The act requires providers to use vehicles equipped with 2-way video cameras and a video recording system when transporting members.     The act establishes how the broker must roll out their implementation and requires the broker to provide all providers with software, a communication toolkit, training, and technical assistance to facilitate NEMT services. The broker may encourage medicaid members (members) to book transportation services at least 2 days before their requested transportation date, and the broker shall accept and make reasonable efforts to fulfill same-day and next-day transportation requests. The act requires providers, only after all service regions have been implemented, to accommodate member requests for preferred or alternate drivers when operationally feasible.     The act requires the broker, and, if there is no broker, the providers to verify that individuals using the transportation services are eligible members during the scheduling of transportation services. The act prohibits the broker from operating, owning, or controlling a provider in Colorado. The act requires the broker to provide their trip assignment rules and procedures to the state department for approval and for publication on the state department's website. The act allows a transportation network company to provide NEMT services when a provider is unavailable.     The state department shall ensure all transportation providers, drivers, and vehicles are credentialed, and services provided by noncredentialed drivers or in noncredentialed vehicles are not eligible for reimbursement. The act prohibits the state department from denying payment of services to providers if the provider provides scheduled transportation services in good faith based on the information provided by the broker or if the provider had no knowledge of an inaccuracy and the provider followed all applicable rules and procedures. Subject to available appropriations, the act requires the state department to audit providers and audit the broker annually.     The act requires the state department to categorize all NEMT expenditures as medical services and make changes to the NEMT program as necessary to obtain medical services federal match rates for NEMT services. The act also eliminates the requirement that the state department provide transportation services as an administrative cost.     The act reduces appropriations to the state department from the general fund by $76,639 and from the healthcare affordability and sustainability hospital provider fee cash fund by $20,941,853.(Note: This summary applies to this bill as enacted.)

Sponsors

Source-supplied history

Actions

  1. Governor Signed

    executive-signature
  2. Signed by the Speaker of the House

    passage
  3. Signed by the President of the Senate

    passage
  4. Sent to the Governor

    executive-receipt
  5. House Considered Senate Amendments - Result was to Concur - Repass

  6. Senate Third Reading Passed - No Amendments

    passage, reading-3
  7. Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole

    committee-passage, referral-committee
  8. Senate Second Reading Special Order - Passed with Amendments - Committee, Floor

  9. Senate Committee on Health & Human Services Refer Amended to Appropriations

    referral-committee
  10. House Third Reading Passed - No Amendments

    passage, reading-3
  11. Introduced In Senate - Assigned to Health & Human Services

    introduction
  12. House Committee on Appropriations Refer Amended to House Committee of the Whole

    committee-passage, referral-committee
  13. House Second Reading Special Order - Passed with Amendments - Committee, Floor

  14. House Committee on Health & Human Services Refer Amended to Appropriations

    referral-committee
  15. Introduced In House - Assigned to Health & Human Services

    introduction