Title 4 — Public Care Systems.
24 chapters · 633 sections in this title.
D.C. Code § 4-631 Definitions
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For the purposes of this chapter, the term “health insurer” means any person that provides one or more health benefit plans or insurance in the District of Columbia, including an insurer, a hospital and medical services corporation, a fraternal benefit society, a health maintenan…
D.C. Code § 4-632 Establishment of Healthy DC Program; administration
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(a) There is established the Healthy DC Program (“Program”), which shall provide affordable health benefits to eligible individuals. (b) The Program shall be administered by the Department of Health Care Finance, established by Chapter 7D of Title 7. (c) The Program shall be fund…
D.C. Code § 4-633 Program eligibility
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(a) An individual shall be eligible for the Program if the individual: (1) Has resided in the District for at least 6 months at the time of application to the Program; (2) Resides in a household having a gross household income not exceeding 400% of the federal poverty guidelines …
D.C. Code § 4-634 Program benefits; affordability
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(a) The Program shall provide, at a minimum, health and medical benefits that are equal to those provided to individuals enrolled in the DC HealthCare Alliance. (b) The Program shall limit annual premium costs for program participants as follows: (1) For a program participant wit…
D.C. Code § 4-635 Program implementation
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(a) The Mayor shall make the Program available to eligible individuals by January 1, 2010. (b) To meet the deadline set forth in subsection (a) of this section, the Mayor is authorized to enter into a contract with one or more health insurers to administer the Program. (c) Any co…
D.C. Code § 4-636 Prohibitions
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It shall be unlawful for a health insurer to eliminate or restrict the availability of a health insurance plan offered in the District with the intent of shifting beneficiaries to the Program. An entity found to be in violation of this section shall be subject to a fine of not le…
D.C. Code § 4-637 Disposition of fines and penalties
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Fines and penalties collected pursuant to this chapter shall be deposited in the Healthy DC and Health Care Expansion Fund, established by § 31-3514.02.
D.C. Code § 4-638 Rules
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The Mayor, pursuant to subchapter I of Chapter 5 of Title 2, shall issue rules to implement the provisions of this chapter.