Colorado House Bill HB1365

Colorado 2026 Regular Session

• Introduced: 4/2/26
• Refer: 4/2/26
• Failed: 4/7/26

Caption

Repeal Medicaid Reimbursement for Equine Therapy

Impact

The financial implications of this bill include a reduction in appropriations amounting to $181,514 for the 2026-27 fiscal year. This change is expected to affect the funding and sustainability of equine therapy services under Medicaid, which many practitioners and beneficiaries rely on. The decrease is justified by the assumption of a corresponding reduction in federal funds received for Medicaid, indicating a tighter fiscal approach to healthcare spending by the state government.

Summary

House Bill 1365 proposes the repeal of Medicaid reimbursement for therapy using equine movement, a practice delivered by licensed physical therapists, occupational therapists, or certified speech-language pathologists. This proposed repeal signifies a significant shift in how state-funded medical therapies are managed and compensated, particularly for therapies that involve animals. The bill not only seeks to alter the funding structure for this niche therapy but also reflects a broader move within state government to reassess existing Medicaid expenditures.

Contention

Notably, the repeal of Medicaid reimbursement for equine therapy has generated division among stakeholders. Proponents of the repeal argue that it reallocates funds to more conventional and widespread medical therapies, while opponents contend that this decision could disproportionately impact individuals who find significant therapeutic benefit in these unconventional treatments. Advocacy groups and therapy practitioners may voice strong concerns regarding accessibility and the quality of care for patients who utilize equine therapy, emphasizing the importance of maintaining diverse therapeutic options in Medicaid.