Colorado HB 1412 — Department of Health Care Policy & Financing Statistical Sampling & Extrapolation

Colorado, 2026A. HB 1412: Department of Health Care Policy & Financing Statistical Sampling & Extrapolation

Plural source record ↗

Official legislative source ↗

Latest action

June 4, 2026 — Governor Signed

Summary

If an audit of a medicaid provider who provides nonemergency medical transportation services or pediatric behavioral therapy is initiated after July 1, 2026, for services provided from January 1, 2022, through December 31, 2023, the act authorizes the department of health care policy and financing (HCPF) to determine and recover overpayments to a provider using statistical sampling and extrapolation. If an audit identifies a statistically significant pattern of alleged overpayments to a provider, the act authorizes the state auditor to use the same statistical sampling and extrapolation methods to audit services provided by the provider from January 1, 2024, through December 31, 2025.     If the audit identifies an alleged overpayment, HCPF is required to issue a notice of the alleged overpayment within 60 days after the alleged overpayment is identified. The notice of alleged overpayment must include the basis of the alleged overpayment, the rationale for the alleged overpayment, the methodology used to calculate the alleged overpayment, and information on how HCPF identified the alleged overpayment.     If HCPF enters into a contract for the purpose of conducting an audit, the contract must not be a contingency-based contract based on a percentage of the amount of recovery collected from the provider.     After HCPF completes an audit of a provider, the state auditor's office is required to conduct an examination to determine that proper statistical sampling and extrapolation methods were used by HCPF when determining whether overpayments were made to a provider. The state auditor shall annually present a report of the findings to the legislative audit committee and the joint budget committee.     The act reduces the general fund appropriation to HCPF for medical and long-term care services for Medicaid-eligible individuals by $6,861,775 and increases the cash fund appropriation to HCPF for medical and long-term care services for Medicaid-eligible individuals by $13,723,550.(Note: This summary applies to this bill as enacted.)

Sponsors

• E. Sirota — primary sponsor
• R. Taggart — primary sponsor
• J. Bridges — primary sponsor
• B. Kirkmeyer — primary sponsor
• K. Brown — primary sponsor
• J. Amabile — primary sponsor
• B. Bradley
• R. Keltie
• S. Woodrow
• N. Hinrichsen

Bill text

Signed Act Read version ↗

Final Act Read version ↗

Rerevised Read version ↗

Revised Read version ↗

Reengrossed Read version ↗

Engrossed Read version ↗

Introduced Read version ↗

Recorded votes

Legislative history

1. April 6, 2026Introduced In House - Assigned to Appropriations
2. April 7, 2026House Committee on Appropriations Refer Unamended to House Committee of the Whole
3. April 8, 2026House Second Reading Special Order - Laid Over Daily - No Amendments
4. April 9, 2026House Second Reading Special Order - Passed with Amendments - Floor
5. April 10, 2026House Third Reading Laid Over Daily - No Amendments
6. April 11, 2026House Third Reading Passed - No Amendments
7. April 13, 2026Introduced In Senate - Assigned to Appropriations
8. April 14, 2026Senate Committee on Appropriations Refer Amended to Senate Committee of the Whole
9. April 15, 2026Senate Second Reading Special Order - Passed with Amendments - Committee, Floor
10. April 16, 2026Senate Third Reading Passed - No Amendments
11. April 17, 2026House Considered Senate Amendments - Result was to Not Concur - Request Conference Committee
12. April 24, 2026Senate Consideration of First Conference Committee Report result was to Adopt Committee Report - Repass
13. April 28, 2026House Consideration of First Conference Committee Report result was to Adopt Committee Report - Repass
14. June 3, 2026Signed by the Speaker of the House
15. June 3, 2026Signed by the President of the Senate
16. June 3, 2026Sent to the Governor
17. June 4, 2026Governor Signed

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