House Committee of Reference Report
Committee on Appropriations
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All text that will be removed from the bill will be indicated by strikethrough as follows:
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This is text that is removed from law. -
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May 1, 2026
After consideration on the merits, the Committee recommends the following:
HB26-1328 be amended as follows, and as so amended, be referred to the Committee of the Whole with favorable recommendation:
Page 1, Line 1Amend the Health and Human Services Committee report, dated March
Page 1, Line 231, 2026, page 6, line 13, strike "populations." and substitute
Page 1, Line 3"populations and services.".
Page 1, Line 4Page 6 of the report, after line 39 insert:
Page 1, Line 5"Page 18 of the bill, strike line 14 and substitute:
Page 1, Line 6"SECTION 9. Appropriation - adjustments to 2026 long bill.
Page 1, Line 7(1) Except as provided in subsection (3) of this section, to implement this
Page 1, Line 8act, appropriations made in the annual general appropriation act for the
Page 1, Line 92026-27 state fiscal year to the department of health care policy and
Page 1, Line 10financing for medical and long-term care services for Medicaid eligible
Page 1, Line 11individuals are adjusted as follows:
Page 1, Line 12(a) The general fund appropriation is decreased by $76,639, which
Page 1, Line 13is subject to the "(M)" notation as defined in the annual general
Page 1, Line 14appropriation act for the same fiscal year; and
Page 1, Line 15(b) The appropriation from the healthcare affordability and
Page 1, Line 16sustainability hospital provider fee cash fund created in section 25.5-4-
Page 1, Line 17402.4 (5)(a), C.R.S., is decreased by $20,941,853.
Page 1, Line 18(2) The decrease of the appropriations in subsection (1) of this
Page 1, Line 19section is based on the assumption that the anticipated amount of federal
Page 1, Line 20funds received for the 2025-26 state fiscal year by the department of
Page 1, Line 21health care policy and financing for medical and long-term care services
Page 1, Line 22for Medicaid eligible individuals will increase by 21,018,492.
Page 1, Line 23(3) Subsection (1) of this section does not require a reduction of
Page 1, Line 24an appropriation in the annual general appropriation act to the department
Page 1, Line 25of health care policy and financing for the 2026-27 state fiscal year for
Page 2, Line 1medical and long-term care services for Medicaid eligible individuals if:
Page 2, Line 2(a) The amount of the general fund appropriation made is less than
Page 2, Line 3the amount of the adjustment required in subsection (1)(a) of this section;
Page 2, Line 4(b) The amount of the appropriation from the healthcare
Page 2, Line 5affordability and sustainability hospital provider fee cash fund is less than
Page 2, Line 6the amount of the adjustment required in subsection (1)(b) of this section;
Page 2, Line 7or
Page 2, Line 8(c) The annual general appropriation act for the 2026-27 state
Page 2, Line 9fiscal year does not include an appropriation to the department of health
Page 2, Line 10care policy and financing for medical and long-term care services for
Page 2, Line 11Medicaid eligible individuals.
Page 2, Line 12SECTION 10. Effective date. This act takes effect July 1, 2026;
Page 2, Line 13except that section 9 of this act takes effect only if the annual general
Page 2, Line 14appropriation act for the 2026-27 state fiscal year becomes law, in which
Page 2, Line 15case section 9 takes effect upon the effective date of this act or of the
Page 2, Line 16annual general appropriation act for state fiscal year 2026-27, whichever
Page 2, Line 17is later.".
Page 2, Line 18Renumber succeeding section accordingly.
Page 2, Line 19Page 1 of the bill, line 102, strike "members." and substitute "members,
Page 2, Line 20and, in connection therewith, making and reducing an
Page 2, Line 21appropriation.".".