District Of Columbia § 4-633 - Program eligibility.

Full text of District Of Columbia D.C. Code § 4-633 — Program eligibility., with citation guidance and answers to common questions.

§ 4-633. Program eligibility.

4-633
(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 as updated periodically in the Federal Register by the United States Department of Health and Human Services under the authority of 42 U.S.C. § 9902(2); and

(3)

Does not qualify for:

(A)

The DC HealthCare Alliance;

(B)

Medicare;

(C)

Medicaid; or

(D)

Other federal health-benefits programs; and

(4)
(A)

Has not had health insurance during the 6-month period prior to application to the Program;

(B)

Has had health insurance during the 6-month period prior to application to the Program but the insurance was terminated due to:

(i)

The loss of employment;

(ii)

A death of a spouse, domestic partner, or family member who maintained the individual as a beneficiary on a health-insurance plan;

(iii)

Changes in student status, including graduation, a leave of absence, or reduction to part-time study;

(iv)

A change of employment to a new employer who does not provide group health insurance;

(v)

A legal annulment, separation, divorce, or the dissolution of a domestic partnership;

(vi)

The loss of financial eligibility under Medicaid or the DC HealthCare Alliance;

(vii)

The cancellation or discontinuation of a group health insurance contract by a health insurer; or

(viii)

Any other reason as determined by the Mayor; or

(C)

Has health insurance but the annual cost to the individual is deemed unaffordable, as determined by the Mayor.

(b)

Eligibility for the Program shall not be subject to any pre-existing condition exclusions.

Annotations

Source: official District Of Columbia text · Last verified 2026-08-27

Frequently Asked Questions About District Of Columbia § 4-633

What does D.C. Code § 4-633 cover?

Section 4-633 ("Program eligibility.") is part of the D.C. Code, the codified statutory law of District Of Columbia. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.

How do I cite District Of Columbia § 4-633?

A common citation format is "D.C. Code § 4-633" (District Of Columbia). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.

Is this the official text of District Of Columbia law?

No. This page is for research and education and may not include the most recent amendments. For official current law, check the District Of Columbia official source linked on this page or consult a licensed District Of Columbia attorney.

How does District Of Columbia § 4-633 apply to my situation?

Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in District Of Columbia can advise on how this section applies to you. Contact your state or local bar association for a referral.

Sources & Verification

Not legal advice. Verify against the official source and consult a licensed attorney in District Of Columbia.