HB26-1328 · Bill · 2026 Regular Session · Colorado

Medicaid Nonemergency Medical Transportation

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Concerning nonemergency medical transportation for medicaid members, and, in connection therewith, making and reducing an appropriation.

Official status: Became Law

Prime sponsors

• Katie Stewart (House) — Prime Sponsor
• Ty Winter (House) — Prime Sponsor
• Kyle Mullica (Senate) — Prime Sponsor
• Barbara Kirkmeyer (Senate) — Prime Sponsor

Progress (from the official record)

Official summary

Official text — shown in English exactly as published by the official source. The official text controls.

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.)

Status timeline

Recorded votes

• 05/08/2026 — Senate Appropriations: “Refer House Bill 26-1328 to the Committee of the Whole.” — the motion passed on a vote of 7–0.
• 05/07/2026 — Senate Health & Human Services: “Refer House Bill 26-1328, as amended, to the Committee on Appropriations.” — the motion passed on a vote of 5–1.
• 05/01/2026 — House Appropriations: “Refer House Bill 26-1328, as amended, to the Committee of the Whole.” — the motion passed on a vote of 11–0.
• 03/31/2026 — House Health & Human Services: “Refer House Bill 26-1328, as amended, to the Committee on Appropriations.” — the motion passed on a vote of 13–0.

Full text

• Signed Act version (official PDF), 06/04/2026
• Final Act version (official PDF), 06/03/2026
• Rerevised version (official PDF), 05/11/2026
• Revised version (official PDF), 05/08/2026
• Reengrossed version (official PDF), 05/04/2026
• Engrossed version (official PDF), 05/01/2026
• Introduced version (official PDF), 03/11/2026

Official record

View HB26-1328 on leg.colorado.gov

Source: Colorado General Assembly (leg.colorado.gov) · Data as of 2026-10-27