CO HB1328

Creates a Transportation Community Advisory Board within the Department of Health Care Policy and Financing to advise on rules and policies for nonemergency medical transportation (NEMT) services for Medicaid members, with 40% of board members required to be active transportation providers

Requires transportation brokers to implement brokered NEMT programs on a phased regional basis, provide all transportation providers with free software, and prohibits brokers from operating, owning, or controlling transportation providers in Colorado

Prohibits trip caps, market-share restrictions, and additional credential requirements beyond state department rules; members may request specific or alternate transportation providers when operationally feasible

Requires annual audits of transportation brokers and a random group of providers, with audit reports made publicly available; prohibits denying provider payment solely due to eligibility or trip information errors when providers acted in good faith

Reclassifies all NEMT expenditures from administrative costs to medical services to obtain higher federal match rates, with the act taking effect July 1, 2026