Archive #67024

Metadata

Bill Number: HB26-1412
HTTP Status: 200
Valid JSON: Valid
Archived At: 2026-06-08 14:22:17 MDT
Created At: 2026-06-08 14:22:17 MDT

Parsed JSON

{
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "E",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
          "last_name": "Winter T."
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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        {
          "vote": "E",
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          "vote": "Y",
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          "vote": "Y",
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        {
          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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      "date": "04/24/2026",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
          "last_name": "Marchman"
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          "vote": "Y",
          "last_name": "Mullica"
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        {
          "vote": "Y",
          "last_name": "Pelton B."
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        {
          "vote": "Y",
          "last_name": "Pelton R."
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          "vote": "Y",
          "last_name": "Rich"
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        {
          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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          "vote": "Y",
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  "bill_summary": "<html><body><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Joint Budget Committee.</b> 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 department of health care policy and financing (state department) is authorized to determine and recover overpayments to a provider using statistical sampling and extrapolation. If an audit identifies a statistically significant pattern of <strike>alleged</strike> overpayments to a provider, the auditor is authorized to use the same statistical sampling and extrapolation methods to audit services provided by the provider from January 1, 2024, through December 31, 2025.</p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;If the audit identifies an <strike>alleged</strike> overpayment, the state department is required to issue a notice of the <strike>alleged</strike> overpayment within 60 days after the <strike>alleged</strike> overpayment is identified. The notice of <strike>alleged</strike> overpayment must include the basis of the <strike>alleged</strike> overpayment, the rationale for the <strike>alleged</strike> overpayment, the methodology used to calculate the <strike>alleged</strike> overpayment, and information on how the state department identified the <strike>alleged</strike> overpayment.</p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;If the state department 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.<br/></p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;After the state department 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 the state department 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.<br/></p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;The bill reduces a general fund appropriation and increases a cash fund appropriation to the state department.<br/></p><p><br/><i>(Note: Italicized words indicate new material added to the original summary; dashes through words indicate deletions from the original summary.)</i><br/><br/><br/><i>(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)</i></p></body></html>",
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      "label": "PA1",
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      "lastModified": "04/14/2026 04:10:29 PM",
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  ],
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}

Raw Response

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If an audit identifies a statistically significant pattern of <strike>alleged</strike> overpayments to a provider, the auditor is authorized to use the same statistical sampling and extrapolation methods to audit services provided by the provider from January 1, 2024, through December 31, 2025.</p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;If the audit identifies an <strike>alleged</strike> overpayment, the state department is required to issue a notice of the <strike>alleged</strike> overpayment within 60 days after the <strike>alleged</strike> overpayment is identified. The notice of <strike>alleged</strike> overpayment must include the basis of the <strike>alleged</strike> overpayment, the rationale for the <strike>alleged</strike> overpayment, the methodology used to calculate the <strike>alleged</strike> overpayment, and information on how the state department identified the <strike>alleged</strike> overpayment.</p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;If the state department 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.<br/></p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;After the state department 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 the state department 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.<br/></p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;The bill reduces a general fund appropriation and increases a cash fund appropriation to the state department.<br/></p><p><br/><i>(Note: Italicized words indicate new material added to the original summary; dashes through words indicate deletions from the original summary.)</i><br/><br/><br/><i>(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)</i></p></body></html>","amendment_files":[{"chamber":"Senate","date":"04/15/2026 02:23:01 PM","amendment":"L.003","hearing":"Second Reading","vote":"Passed**","url":"https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2026A/amendments/0F1028647B43D0AE87258DD9007B7F58/HB1412_L.003.pdf","url_html":"https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2026A/amendments/0F1028647B43D0AE87258DD9007B7F58/HB1412_L_003.html"},{"chamber":"Senate","date":"04/14/2026 10:54:14 AM","amendment":"L.002","hearing":"SEN Appropriations","vote":"Passed*","url":"https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2026A/amendments/68EBBF1F85226B9C87258DD9005BDFA4/HB1412_L.002.pdf","url_html":"https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2026A/amendments/68EBBF1F85226B9C87258DD9005BDFA4/HB1412_L_002.html"},{"chamber":"House","date":"04/09/2026 04:34:25 PM","amendment":"L.001","hearing":"Second Reading","vote":"Passed**","url":"https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2026A/amendments/B2F3896365543B6C87258DD3007C10A7/HB1412_L.001.pdf","url_html":"https://s3-us-west-2.amazonaws.com/leg.colorado.gov/2026A/amendments/B2F3896365543B6C87258DD3007C10A7/HB1412_L_001.html"}],"session_laws_files":"","votes":[{"vote_id":"687","chamber":"HOUSE","action":"Conference Committee Report","date":"04/28/2026",
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