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Colorado House advances broad Medicaid package requiring provider transparency and limiting some payment changes
Summary
House adopted HB 12‑35 as amended, a multi‑part Medicaid bill requiring expanded data reporting for nonemergency medical transportation and provider agencies, directing rulemaking for federal community‑engagement requirements, broadening jail‑based medication‑assisted treatment reimbursements, and creating stakeholder and notice requirements before payment changes.
Representative Ferre presented House Bill 12‑35 and described it as a broad, technical bill addressing transparency, nonemergency medical transportation reporting, outpatient therapy payment methodology, and other Medicaid implementation issues.
Sponsor remarks summarized key provisions: beginning 12/01/2026 nonemergency medical transportation brokers must report ride volume, cancellations, cost by procedure code, call‑center performance and grievances; the bill restricts use of multiple‑procedure payment reductions for outpatient therapy services; it directs the Medical Services Board to adopt rules by 01/01/2027 to implement federal community engagement requirements; expands jail‑based reimbursement for medication‑assisted treatment; requires annual medical loss ratio publishing by HCUP; and repeals the State Medical Assistance and Services Advisory Council.
Representative Barone noted the bill's potential and urged careful implementation. Representative Bradley successfully offered an amendment (L011) to require a stakeholder meeting and earlier notice to providers about implementation of multiple‑procedure payment reductions. Representative Ferre secured several amendments (L005, L006, L010, L009, L008) to refine reporting scope and statutory language; the committee report as amended was approved on the floor and House Bill 12‑35 was adopted as amended and advanced to third reading.
Floor discussion emphasized transparency and implementation timelines; sponsors said the bill aims to reduce fraud and bring consistency to reporting and reimbursement processes. The transcript records adoption on second reading; additional rulemaking and stakeholder engagement will guide operational details.
