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HB26-1096

Colorado Medicaid Access to Primary Care Services

Type Bill
Session 2026 Regular Session
Subjects
Health Care & Health Insurance

Concerning access to direct primary care services for Colorado medicaid members.

Bill Summary:

     

The bill prohibits the department of health care policy and financing (department) from denying a medicaid member (member) the ability to purchase primary care services or enter into a direct primary care agreement. A member who purchases direct primary care services from a direct primary health-care provider or enters into a direct primary care agreement must sign a document acknowledging that the direct primary health-care provider is enrolled in the Colorado medical assistance program only as an ordering, prescribing, and referring provider; that the direct primary health-care provider does not accept medicaid payments for the services rendered; that the member cannot submit a claim for medicaid reimbursement for the services rendered by the direct primary health-care provider; and that the member retains the right to receive primary care services from a primary care provider who is enrolled in the Colorado medical assistance program.
(Note: This summary applies to this bill as introduced.)

Committees

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Status

Under Consideration

Introduced

Under Consideration

Related Documents & Information

Date Version Documents
02/03/2026 Introduced PDF
Date Location Action
02/03/2026 House Introduced In House - Assigned to Health & Human Services

Sponsor

Co-Sponsor