Senate Committee of Reference Report

Committee on Appropriations

All text that will be removed from the bill will be indicated by strikethrough as follows:

This is text that is removed from law.

Text that is added to a bill will be indicated by either all capitals or bold & italic as follows:

  • This all capitals text would be added to law.
  • This is bold & italic text that would be added to law.

April 14, 2026

After consideration on the merits, the Committee recommends the following:

HB26-1411   be amended as follows, and as so amended, be referred to the Committee of the Whole with favorable recommendation:

Page 1, Line 1Amend reengrossed bill, page 2, line 3, strike "(1)" and substitute "(1);

Page 1, Line 2and add (3.5)".

Page 1, Line 3Page 3, after line 13 insert:

Page 1, Line 4"(I)  Beginning July 1, 2026, they are subject to an annual

Page 1, Line 5cap on dental services in the amount of seven hundred fifty

Page 1, Line 6dollars;".

Page 1, Line 7Renumber succeeding subparagraphs accordingly.

Page 1, Line 8Page 4, after line 8 insert:

Page 1, Line 9"(3.5) (a)  For the 2026-27 state fiscal year, enrollment in

Page 1, Line 10state medical assistance of children under nineteen years old

Page 1, Line 11whose family household income does not exceed two hundred

Page 1, Line 12sixty percent of the federal poverty line, adjusted for family

Page 1, Line 13size, and who are not eligible for the medical assistance

Page 1, Line 14program due to their immigration status, is subject to an

Page 1, Line 15enrollment cap of twenty-five thousand if one of the following

Page 1, Line 16conditions is met:

Page 1, Line 17(I)  Enrollment of the children described in this subsection

Page 1, Line 18(3.5)(a) in state medical assistance exceeds twenty-five thousand

Page 1, Line 19children; or

Page 1, Line 20(II)  Expenditures for a fiscal quarter of the 2026-27 state

Page 1, Line 21fiscal year exceed one quarter of the appropriation for state

Page 1, Line 22medical assistance plus five percent to account for cost

Page 1, Line 23fluctuations due to seasonality.

Page 1, Line 24(b)  If a condition detailed in subsection (3.5)(a) of this

Page 1, Line 25section is met, the state department must cap the enrollment of

Page 2, Line 1the children described in subsection (3.5)(a) of this section at

Page 2, Line 2twenty-five thousand children beginning on the first day of the

Page 2, Line 3month following sixty days after the state department

Page 2, Line 4determines that a condition detailed in subsection (3.5)(a) of this

Page 2, Line 5section is met.

Page 2, Line 6(c)  The state department shall adopt rules necessary to

Page 2, Line 7implement the enrollment cap detailed in this subsection (3.5).

Page 2, Line 8(d)  On or before November 1, 2026, the state department

Page 2, Line 9shall submit a report to the joint budget committee detailing

Page 2, Line 10what is driving enrollment and utilization of state medical

Page 2, Line 11assistance by children who are under nineteen years old whose

Page 2, Line 12family household income does not exceed two hundred sixty

Page 2, Line 13percent of the federal poverty line, adjusted for family size, and

Page 2, Line 14who are not eligible for the medical assistance program due to

Page 2, Line 15their immigration status. The report must include strategies for

Page 2, Line 16reducing costs associated with enrolling these children in state

Page 2, Line 17medical assistance.".

Page 2, Line 18Strike pages 18 through 22.

Page 2, Line 19Page 23, strike lines 1 through 24, and substitute:

Page 2, Line 20"SECTION 12. Effective date. This act takes effect upon

Page 2, Line 21passage; except that section 8 of this act takes effect only if the annual

Page 2, Line 22general appropriation act for the 2026-27 state fiscal year becomes law,

Page 2, Line 23in which case section 8 takes effect upon the effective date of this act or

Page 2, Line 24of the annual general appropriation act for state fiscal year 2026-27,

Page 2, Line 25whichever is later; section 9 of this act takes effect only if House Bill

Page 2, Line 2626-1401 does not become law, in which case section 9 takes effect upon

Page 2, Line 27the effective date of this act; and section 10 of this act takes effect only

Page 2, Line 28if House Bill 26-1401 becomes law, in which case section 10 takes effect

Page 2, Line 29upon the effective date of this act or of House Bill 26-1401, whichever is

Page 2, Line 30later.".

Page 2, Line 31Renumber succeeding sections accordingly.