District Of Columbia § 7-1405 - Authorization to contract for comprehensive health care services.
Full text of District Of Columbia D.C. Code § 7-1405 — Authorization to contract for comprehensive health care services., with citation guidance and answers to common questions.
§ 7-1405. Authorization to contract for comprehensive health care services.
7-1405The Mayor is authorized to provide by contract or by other means comprehensive community-centered health care and medical services for residents of the District of Columbia.
A contract entered into by the Mayor pursuant to subsection (a) of this section shall be exempt from the requirements of Unit A [repealed] of , except that the contract shall be subject to [repealed].
Notwithstanding any other provision of the District’s health insurance laws and subject to paragraph (2) of this subsection, a health maintenance organization that has a contractual obligation to provide health care services to persons enrolled in the D.C. HealthCare Alliance (“Alliance”) shall be required to provide to persons enrolled in the Alliance only those health benefits specified in its contract with the District of Columbia.
A contract between the District and a health maintenance organization or a managed care organization that provides health-care services to persons enrolled in the DC HealthCare Alliance shall include coverage for all services, including hospital-based services, being provided to DC HealthCare Alliance enrollees as of January 1, 2013; provided, that the Department of Health Care Finance shall have the authority to exclude coverage for those hospital-based emergency services that are eligible for Medicaid reimbursement under section 401(b)(1)(A) of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, approved August 21, 1996 (110 Stat. 502; 8 U.S.C. § 1611(b)(1)(A)), 42 U.S.C. § 1396b(v)(3), and 42 C.F.R. § 440.255(c).
A health maintenance organization or health insurer under contract to the District to deliver services to persons enrolled in the Alliance is not required to reimburse non-participating hospitals for services provided to Alliance enrollees.
A health maintenance organization or health insurer under contract to the District to deliver services to persons enrolled in the Alliance (“Contractor”), which shall include safety net clinics, shall have the option of paying the safety net clinics on a fee-for-service basis or a capitated basis. If the Contractor elects to pay on a fee-for-service basis, the Contractor shall pay the safety net clinics no less that $95 per visit. If the Contractor elects to pay the safety net clinics on a capitated basis, the Contractor shall pay the safety net clinics on the same terms and condition as other clinics.
Annotations
Section 5001 of provided that Subtitle A of Title V of the act may be cited as the “DC HealthCare Alliance Preservation Amendment Act of 2013”.
Short title: Section 5034 of provided that subtitle O of title V of the act may be cited as the “Safety Net Clinics Fee Amendment Act of 2008”.
Short title: Section 5051 of provided that subtitle E of title V of the act may be cited as the “Health Care Privatization Benefit Amendment Act of 2006”.
Source: official District Of Columbia text · Last verified 2026-08-27
Frequently Asked Questions About District Of Columbia § 7-1405
What does D.C. Code § 7-1405 cover?
Section 7-1405 ("Authorization to contract for comprehensive health care services.") 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 § 7-1405?
A common citation format is "D.C. Code § 7-1405" (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 § 7-1405 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.