D.C. Code § 44-902 — DC Code / Title 44 / Chapter 9 / § 44-902
§ 44-902. Definitions.
Status: in_force

For the purpose of this subchapter:
(1) The term “Hospital” means the institution in the District of Columbia known as Saint Elizabeths Hospital operated on November 8, 1984, by the Secretary of Health and Human Services.
(2) The term “Secretary” means the Secretary of Health and Human Services.
(3) The term “Mayor” means the Mayor of the District of Columbia.
(4) The term “District” means the District of Columbia.
(5) The term “federal court consent decree” means the consent decree in Dixon v. Heckler, Civil Action No. 74-285.
(6) The term “service coordination period” means a period beginning on October 1, 1985, and terminating on October 1, 1987.
(7) The term “financial transition period” means a period beginning on October 1, 1985, and terminating on October 1, 1991.
(8) The term “system implementation plan” means the plan for a comprehensive mental health system for the District of Columbia to be developed pursuant to this subchapter.
(9) The term “Council” means the Council of the District of Columbia.
D.C. Code § 44-101.01 — DC Code / Title 44 / Chapter 1 / § 44-101.01
§ 44-101.01. Purpose.
Status: in_force

The purpose of this chapter is to set uniform, minimum standards of licensure for community residence facilities currently regulated under Chapter 34 of Title 22 of the District of Columbia Municipal Regulations and other facilities when they provide services that assist residents with the activities of daily living. This chapter creates a new category of licensure called “assisted living residence”.
D.C. Code § 44-1806 — DC Code / Title 44 / Chapter 18 / § 44-1806
§ 44-1806. Issuance of emergency certificate.
Status: repealed

Repealed.
D.C. Code § 44-803 — DC Code / Title 44 / Chapter 8 / § 44-803
§ 44-803. Liability for peer review actions or recommendations.
Status: in_force

No peer review body or member thereof, or person acting as its staff, or who participates with or assists such a body or member, operating in the District of Columbia shall be liable to any person for damages or equitable relief by reason of conducting or taking peer review if the peer review was within the scope of the functions of the peer review body and if the peer review body or the member acted in the reasonable belief that the peer review was warranted by the facts known after reasonable effort to obtain the facts of the matter.
D.C. Code § 44-101.02 — DC Code / Title 44 / Chapter 1 / § 44-101.02
§ 44-101.02. Philosophy of care.
Status: in_force

(a) The philosophy of assisted living emphasizes personal dignity, autonomy, independence, privacy, and freedom of choice. Further, the services and physical environment of an assisted living residence should enhance a person’s ability to age in place in a homelike setting by increasing or decreasing the amount of assistance in accordance with the individual’s changing needs.
(b) This chapter shall be interpreted in accordance with the following philosophy of care:
  (1) An assisted living residence is a program which combines housing, health, and supportive services for the support of residents aging in place. The function of an assisted living residence is to provide or coordinate personalized assistance through activities of daily living, recreational activities, 24-hour supervision, and provision or coordination of health services and instrumental activities of daily living as needed.
  (2) The design of services and environment should acknowledge that a significant number of residents may have some form of cognitive impairment. Services and environment should offer a balance between choice and safety in the least restrictive setting.
  (3) Both the program and environment should support resident dignity, privacy, independence, individuality, freedom of choice, decision making, spirituality, and involvement of family and friends.
  (4) Residents should be supported to age in place by minimizing the need to move through reasonable accommodation and, when necessary, through coordination and use of home health agencies, hospice, rehabilitation agencies, and other licensed healthcare providers.
  (5) Quality, affordable assisted living residence care should be accessible to all individuals residing in the District regardless of income.
D.C. Code § 44-1508 — DC Code / Title 44 / Chapter 15 / § 44-1508
§ 44-1508. Authority to prevent cruelty to children.
Status: in_force

The Washington Humane Society is authorized to extend its operations to the protection of children as well as animals from cruelty and abuse. In pursuance thereof the said Society may cause its proper officers or agents to prefer complaints, before any court in the District of Columbia having jurisdiction, for the violation of any law relating to or affecting the protection of children in said District, and by its proper attorney may aid in bringing the facts before such court in any proceeding taken.
D.C. Code § 44-1153 — DC Code / Title 44 / Chapter 11A / § 44-1153
§ 44-1153. ASRH, PSC, and CSC; suspension and revocation.
Status: repealed

Repealed.
D.C. Code § 44-715 — DC Code / Title 44 / Chapter 7 / § 44-715
§ 44-715. Congressional policy as to appropriations to churches or religious entities.
Status: in_force

It is hereby declared to be the policy of the government of the United States to make no appropriation of money or property for the purpose of founding, maintaining, or aiding by payment for services, expenses, or otherwise, any church or religious denomination, or any institution or society which is under sectarian or ecclesiastical control; and no money appropriated for charitable purposes in the District of Columbia shall be paid to any church or religious denomination, or to any institution or society which is under sectarian or ecclesiastical control.
D.C. Code § 44-1102.07 — DC Code / Title 44 / Chapter 11 / § 44-1102.07
§ 44-1102.07. Transfer of functions to the Corporation.
Status: repealed

Repealed.
D.C. Code § 44-779 — DC Code / Title 44 / Chapter 7 / § 44-779
§ 44-779. Admission of pay patients to psychopathic ward of General Hospital.
Status: repealed

Repealed.
D.C. Code § 44-1817 — DC Code / Title 44 / Chapter 18 / § 44-1817
§ 44-1817. Severability.
Status: repealed

Repealed.
D.C. Code § 44-1934 — DC Code / Title 44 / Chapter 19 / § 44-1934
§ 44-1934. Personnel system.
Status: repealed

Repealed.
D.C. Code § 44-1705 — DC Code / Title 44 / Chapter 17 / § 44-1705
§ 44-1705. Solicitor information cards.
Status: in_force

(a) No individual shall solicit in the District of Columbia unless he exhibits a solicitor information card or a copy thereof, produced and authenticated as provided in regulations made pursuant to this chapter, and reads it to the person solicited, or presents it to said person for his perusal, allowing him sufficient opportunity to read such card before accepting any contribution so solicited.
(b) No individual shall solicit in the District of Columbia by printed matter or published article, or over the radio, television, telephone, or telegraph, unless such publicity shall contain the data and information required to be set forth on the solicitor information card; provided, that when any solicitation is made by telephone, the solicitor shall present to each person who consents or indicates a willingness to contribute, prior to accepting a contribution from said person, such solicitor information card or a copy thereof produced and authenticated as provided in regulations made pursuant to this chapter.
D.C. Code § 44-110.09 — DC Code / Title 44 / Chapter 1 / § 44-110.09
§ 44-110.09. Kitchen.
Status: in_force

An ALR shall provide a kitchen that has the following:
(1) Storage, refrigerator, or freezer space for perishable and nonperishable foods;
(2) Food preparation areas with cleanable surfaces;
(3) Equipment to prepare and serve food at safe and palatable temperatures; and
(4) Sufficient equipment and staffing to be in compliance with section 1116 of Title 14 of the District of Columbia Municipal Regulations, as those regulations are applicable to boarding houses.
D.C. Code § 44-633 — DC Code / Title 44 / Chapter 6A / § 44-633
§ 44-633. Assessments on hospitals.
Status: repealed

Expired.
D.C. Code § 44-2008 — DC Code / Title 44 / Chapter 20 / § 44-2008
§ 44-2008. Adoption of procedures and criteria for review by the OHSD governing application and review.
Status: repealed

Repealed.
D.C. Code § 44-663.07 — DC Code / Title 44 / Chapter 6A / § 44-663.07
§ 44-663.07. Multi-hospital systems, closure, merger, and new hospitals.
Status: in_force

(a) If a hospital system conducts, operates, or maintains more than one hospital licensed by the Department of Health, the hospital system shall pay the fee for each hospital separately.
(b) (1) Notwithstanding any other provision in this subchapter , if a hospital system or person ceases to conduct, operate, or maintain a hospital that is subject to a fee under § 44-663.03 , as evidenced by the transfer or surrender of the hospital license, the fee for the DFY in which the cessation occurs shall be adjusted by multiplying the fee computed under § 44-663.03 by a fraction, the numerator of which is the number of days in the year during which the hospital system or person conducted, operated, or maintained the hospital, and the denominator of which is 365.
  (2) Immediately upon ceasing to conduct, operate, or maintain a hospital, the hospital system or person shall pay the fee for the year as so adjusted, to the extent not previously paid.
(c) Notwithstanding any other provision in this subchapter , a hospital system or person who conducts, operates, or maintains a hospital, upon notice by the Department, shall pay the fee computed under § 44-663.03 and subsection (a) of this section in installments on the due date stated in the notice and on the regular installment due dates for the DFY occurring after the due dates of the initial notice.
D.C. Code § 44-507 — DC Code / Title 44 / Chapter 5 / § 44-507
§ 44-507. Standards for clinical privileges and staff membership; anticompetitive practices prohibited.
Status: in_force

(a) The accordance and delineation of clinical privileges shall be determined on an individual basis and commensurate with an applicant’s education, training, experience, and demonstrated current competence. In implementing these criteria, each facility and agency shall formulate and apply reasonable, nondiscriminatory standards for the evaluation of an applicant’s credentials. As part of its overall responsibility for the operation of a facility or agency, the governing body, or designated persons so functioning, shall ensure that decisions on clinical privileges and staff membership are based on an objective evaluation of an applicant’s credentials, free of anticompetitive intent or purpose. Whenever possible, the credentials committee and other staff who evaluate and determine the qualifications of applicants for clinical privileges and staff membership shall include members of the applicant’s profession. The credentials committee shall accept the District of Columbia’s uniform credentialing form as the sole application for a healthcare provider to become credentialed or recredentialed.
(b) (1) The following are not valid factors for consideration in the determination of qualifications for staff membership or clinical privileges:
    (A) An applicant’s membership or lack of membership in a professional society or association;
    (B) An applicant’s decision to advertise, lower fees, or engage in other competitive acts intended to solicit business;
    (C) An applicant’s participation in prepaid group health plans, salaried employment, or any other manner of delivering health services on other than a fee-for-service basis;
    (D) An applicant’s support for, training of, or participation in a private group practice with members of a particular class of health professional;
    (E) An applicant’s practices with respect to testifying in malpractice suits, disciplinary actions, or any other type of proceeding; and
    (F) An applicant’s willingness to send a certain amount of patients/clients who are in need of the services of a facility or agency to a particular facility or agency; provided, that this last restriction shall not apply to public facilities and agencies.
  (2) Each facility or agency shall formulate procedures to ensure that the foregoing factors play no part when decisions regarding clinical privileges and staff membership are made. In any action brought by an individual against a facility or agency regarding a determination of clinical privileges or staff membership, the facility or agency shall have the burden of proving that none of these considerations were a factor in the determination.
(c) No provision of District of Columbia law, institutional or staff bylaw of a facility or agency, rule or regulation, or practice shall prohibit qualified advanced practice registered nurses, podiatrists, or psychologists from being accorded clinical privileges and appointed to all categories of staff membership at those facilities and agencies that offer the kinds of services that can be performed by either members of these health professions or physicians.
(d) General and family practitioners who have demonstrated a current competence in the performance of particular services or procedures shall not be discriminated against with respect to staff membership or the accordance and delineation of clinical privileges on account of their type of practice.
(e) If a facility or agency offers the types of services that can be performed by physician assistants or other, analogous health professional assistants, it shall establish clearly defined and objective procedures for the processing and evaluation of requests by members of these groups to provide such services at the facility or agency.
(f) Whenever a health professional submits a completed application for staff membership or clinical privileges to a facility or agency, that facility or agency shall have 120 calendar days to grant or deny the application. No facility or agency may deny such an application, terminate, or reduce the rights and responsibilities attending the staff membership of a health professional, or reduce, suspend, revoke, or refuse to renew his or her clinical privileges, without providing him or her with the following minimum procedural protections:
  (1) A contemporaneous written explanation containing the explicit reasons for taking the action;
  (2) Reasonable advance notice of the right to a fair hearing which would afford the applicant an opportunity to adequately prepare a rebuttal to the stated reasons for the action;
  (3) A fair hearing, including the right to present evidence and call witnesses in his or her behalf;
  (4) The right to have retained counsel present at the hearing if the facility or agency is represented by counsel at the hearing;
  (5) A written decision containing the explicit reasons for taking the action and substantially based on the evidence produced at the hearing; and
  (6) Access to a complete record documenting all preliminary and final decisions and proceedings related to the decisions.
D.C. Code § 44-1051.18 — DC Code / Title 44 / Chapter 10A / § 44-1051.18
§ 44-1051.18. Sanctions.
Status: in_force

Civil fines, penalties, and related costs may be imposed against a nurse staffing agency for the violation of any provision of this chapter, of any regulation promulgated pursuant to this chapter, or of any other applicable District of Columbia or federal law. Procedures for adjudication and enforcement, and applicable fines, penalties, and costs, shall be those established by or pursuant to Chapter 18 of Title 2 .
D.C. Code § 44-951.07 — DC Code / Title 44 / Chapter 9A / § 44-951.07
§ 44-951.07. Transfer of assets under Deed of Trust.
Status: in_force

Upon foreclosure under the Deed of Trust, Security Agreement, Fixture Filing and Restrictive Covenants signed by CMC Realty, LLC and Capital Medical Center, LLC on November 7, 2007, or upon any other transfer of assets, the Mayor is authorized to transfer all of the assets, including cash, accounts receivable, and real and personal property, of United Medical Center to the Corporation.
D.C. Code § 44-1051.14 — DC Code / Title 44 / Chapter 10A / § 44-1051.14
§ 44-1051.14. Disciplinary reporting requirements.
Status: in_force

(a) If a nurse staffing agency knows of an action taken by, or of a condition affecting the fitness to practice of, a Licensed Practical Nurse or a Registered Nurse provided by that agency that might be grounds for enforcement or disciplinary action under Chapter 12 of Title 3 , the agency shall report the action or condition to the Board, with the exception that an agency is not required under this section to make a report that would be in violation of any federal or District of Columbia law concerning the confidentiality of alcohol and drug abuse treatment records.
(b) If a nurse staffing agency terminates a Certified Nurse Aide due to unsafe practice pursuant to Chapter 12 of Title 3 or Chapter 32 of Title 29 of the District of Columbia Municipal Regulations, the agency shall report the action to the Board within 10 days of the termination.
D.C. Code § 44-532.01 — DC Code / Title 44 / Chapter 5 / § 44-532.01
§ 44-532.01. License required.
Status: in_force

No person shall operate an Ambulatory Surgical Treatment Center without having in effect a license issued by the Mayor in accordance with this subchapter . Such license shall be renewed annually and posted conspicuously within the premises of the facility. The annual fee for the license shall be $100.
D.C. Code § 44-422 — DC Code / Title 44 / Chapter 4 / § 44-422
§ 44-422. Applicability.
Status: repealed

Repealed.
D.C. Code § 44-1102.12 — DC Code / Title 44 / Chapter 11 / § 44-1102.12
§ 44-1102.12. Procurement law inapplicable.
Status: repealed

Repealed.
D.C. Code § 44-1922 — DC Code / Title 44 / Chapter 19 / § 44-1922
§ 44-1922. Furnishing assistance by District agencies; release of information.
Status: repealed

Repealed.
D.C. Code § 44-106.03 — DC Code / Title 44 / Chapter 1 / § 44-106.03
§ 44-106.03. Financial agreements.
Status: in_force

(a) The written resident agreement required by § 44-106.02 shall include financial provisions which indicate the following:
  (1) The obligations of the ALR, the resident, or the resident’s surrogate as  to performance of the following:
    (A) The handling of the finances of the resident;
    (B) The purchasing or renting of essential or desired equipment and   supplies;
    (C) The coordinating and contracting for services not covered by the   resident agreement; and
    (D) The purchasing of medications and durable medical equipment;
  (2) Separate and accurate records of all funds and personal property  deposited with or managed by the ALR for the benefit of a resident which  include a receipt stating the date, amount, and purpose of any transaction and  the current balance;
  (3) Rate structure and payment provisions covering all rates to be charged to  the resident, including the following:
    (A) Service packages;
    (B) Fee for service rates; and
    (C) Any other nonservice related charges;
  (4) Payment arrangements and fees, if known, for third-party services not  covered by the resident agreement, but arranged for by either the resident,  the resident’s surrogate, or the ALR;
  (5) Identification of the persons responsible for payment of all fees and  charges and a clear indication of whether the person’s responsibility is or is  not limited to the extent of the resident’s funds;
  (6) A provision which provides at least 45 days notice of any rate increase  except if necessitated by a change in the resident’s medical condition;
  (7) The procedures the ALR will follow in the event the resident or surrogate  can no longer pay for services provided for in the resident agreement or for  additional services or care needed by the resident; and
  (8) The terms governing the refund of any pre-paid fees or charges in the  event of a resident’s discharge from the ALR or termination of the resident  agreement.
(b) The ALR shall establish billing, payment, and credit practices that are fair and reasonable.
D.C. Code § 44-2105 — DC Code / Title 44 / Chapter 21 / § 44-2105
§ 44-2105. Admission of indigent insane of District.
Status: repealed

Repealed.
D.C. Code § 44-1606 — DC Code / Title 44 / Chapter 16 / § 44-1606
§ 44-1606. Standard of care for administration of certain powers.
Status: repealed

Repealed.
D.C. Code § 44-1631 — DC Code / Title 44 / Chapter 16A / § 44-1631
§ 44-1631. Definitions.
Status: in_force

For the purposes of this chapter, the term:
(1) “Charitable purpose” means the relief of poverty, the advancement of education or religion, the promotion of health, the promotion of a governmental purpose, or any other purpose the achievement of which is beneficial to the community.
(2) “Endowment fund” means an institutional fund or part thereof that, under the terms of a gift instrument, is not wholly expendable by the institution on a current basis. The term “endowment fund” does not include assets that an institution designates as an endowment fund for its own use.
(3) “Gift instrument” means a record or records, including an institutional solicitation, under which property is granted to, transferred to, or held by an institution as an institutional fund.
(4) “Institution” means:
  (A) A person, other than an individual, organized and operated exclusively for charitable purposes;
  (B) A government or governmental subdivision, agency, or instrumentality, to the extent that it holds funds exclusively for a charitable purpose; or
  (C) A trust that had both charitable and noncharitable interests, after all noncharitable interests have terminated.
(5) “Institutional fund” means a fund held by an institution exclusively for charitable purposes. The term “institutional fund” does not include:
  (A) Program-related assets;
  (B) A fund held for an institution by a trustee that is not an institution; or
  (C) A fund in which a beneficiary that is not an institution has an interest, other than an interest that could arise upon violation or failure of the purposes of the fund.
(6) “Person” means an individual, corporation, business trust, estate, trust, partnership, limited liability company, association, joint venture, public corporation, government or governmental subdivision, agency, or instrumentality, or any other legal or commercial entity.
(7) “Program-related asset” means an asset held by an institution primarily to accomplish a charitable purpose of the institution and not primarily for investment.
(8) “Record” means information that is inscribed on a tangible medium or that is stored in an electronic or other medium and is retrievable in perceivable form.
D.C. Code § 44-201 — DC Code / Title 44 / Chapter 2 / § 44-201
§ 44-201. Definitions.
Status: in_force

For the purposes of this chapter, the term:
(1) Repealed.
(2) “Board” means the Laboratory Advisory Board established by § 44-206 .
(3) “Clinical laboratory” means a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of the health of, human beings. Such examination also includes one or more procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the human body. The term “clinical laboratory” shall include all independent, hospital, physician-operated, health-care, and District of Columbia government laboratories.
(4) Repealed.
(5) “Cytotechnologist” means a person who meets qualifications for a cytotechnologist under 42 CFR § 493.1483.
(6) Repealed.
(6A) “Highly complex test” means a laboratory test that requires sophisticated techniques, interpretations of multiple signals, or proven technical skill. Highly complex tests may require:
  (A) Highly skilled physical manipulation;
  (B) Technique dependent steps in the testing, sampling, or reading of results;
  (C) User Programming of a device;
  (D) Detailed calculation of the results;
  (E) Dilution of samples with chemically reactive substances; or
  (F) Preparation of reagents.
(7) “Laboratory director” means the person responsible for administration of the technical and scientific operation of a clinical laboratory, including supervision of procedures and reporting findings of tests.
(8) “Laboratory reference system” means a system of periodic testing of methods, procedures, and materials of laboratories, including the distribution of manuals of approved methods, inspection of facilities, and cooperative research.
(8A) “Moderately complex test” means a laboratory test that requires a series of steps, reagents, additions, or instrumentation, the result of which is determined by a visual signal.
(9) Repealed.
(10) “Proficiency testing program” means an external program approved by the Mayor to monitor proficiency in the performance of medical laboratory tests.
(11) Repealed.
(12) “Specimen” means materials derived from the human body.
(13) “Testing event” means a specific evaluation or set of evaluations offered or performed by a laboratory to test accuracy as part of required proficiency testing.
(14) “Testing personnel” means an individual employed or otherwise engaged by a clinical laboratory to perform clinical laboratory tests or examinations.
(15) “Waived test” means a test that is non-instrumental in nature, the result of which is determined by a visual signal.
D.C. Code § 44-532.03 — DC Code / Title 44 / Chapter 5 / § 44-532.03
§ 44-532.03. Financial responsibility.
Status: in_force

Each applicant for a surgical center license shall, as a condition to the issuance of such license, submit evidence satisfactory to the Mayor of liability insurance coverage of no less than $100,000 per occurrence and $300,000 in the aggregate.
D.C. Code § 44-1952 — DC Code / Title 44 / Chapter 19 / § 44-1952
§ 44-1952. Annual reports.
Status: repealed

Repealed.
D.C. Code § 44-1051.15 — DC Code / Title 44 / Chapter 10A / § 44-1051.15
§ 44-1051.15. Operational procedures.
Status: in_force

A nurse staffing agency shall develop, document, and implement procedures for:
(1) Selecting nursing personnel to be provided by the agency;
(2) Verifying and documenting the credentials of nursing personnel to be provided by the agency;
(3) Verifying employment references furnished to the agency by nursing personnel;
(4) Assessing, verifying, and documenting the clinical experience and competency of nursing personnel before providing them;
(5) Selecting persons to be provided as Home Health Aides or Personal Care Aides, if the agency engages in providing those kinds of personnel;
(6) Verifying and documenting the education and training of Home Health Aides or Personal Care Aides, if the agency engages in providing those kinds of personnel;
(7) Tracking, responding to, and acting on complaints;
(8) Reporting to the Board an action taken by, or a condition affecting the fitness to practice of, a Licensed Practical Nurse or Registered Nurse provided by the agency that might be grounds for enforcement or disciplinary action under Chapter 12 of Title 3 , and reporting to the Department an action taken by a Certified Nurse Aide provided by the agency that might be grounds for listing the individual on the Nurse Aide Abuse Registry;
(9) Verifying and documenting that nursing personnel, Home Health Aides, and Personal Care Aides provided by the agency are in satisfactory health, and have received all health testing and immunizations recommended by the Centers for Disease Control and Prevention, or otherwise required by law or requested by the client, before being provided to a health care facility or agency; and
(10) Verifying and documenting that nursing personnel, Home Health Aides, and Personal Care Aides provided by the agency have satisfactorily completed all drug screening and all background checks required by law, including subchapter II of Chapter 5 of Title 44 and Chapter 47 of Title 22 of the District of Columbia Municipal Regulations, or requested by the client, before being provided to a health care facility or agency.
D.C. Code § 44-1209 — DC Code / Title 44 / Chapter 12 / § 44-1209
§ 44-1209. Impact on insurance coverage.
Status: in_force

Nothing in this chapter shall be construed to relieve any insurer from providing the coverage required by Chapter 31 of Title 31 .
D.C. Code § 44-535.01 — DC Code / Title 44 / Chapter 5 / § 44-535.01
§ 44-535.01. Inspection.
Status: in_force

The Mayor shall have the right to inspect any facility licensed under this subchapter , any facility applying for a license under this subchapter , and all records maintained therein, at any reasonable time either with or without prior notice. The entry and inspection shall take place with the least possible disruption to the patients. Any information concerning the content of a facility's records shall not be released by the District of Columbia government until all patient names have been deleted.
D.C. Code § 44-303.01 — DC Code / Title 44 / Chapter 3 / § 44-303.01
§ 44-303.01. When a health care provider leaves a plan.
Status: in_force

If a contract between an insurer and a health care provider is terminated by either party for any reason other than termination for failure to meet applicable quality standards of care or fraud, and a member is undergoing a course of treatment from the physician at the time of the termination, the insurer shall notify the member on a timely basis of the termination. When medically necessary, persons with serious illness undergoing a course of treatment or who are in the second trimester of a pregnancy shall be permitted to continue to receive medically necessary covered services, with respect to the cause of treatment, by the physician, certified nurse-midwife, or certified midwife during a transitional period of at least 90 days from the date of the notice under the same terms and conditions as specified under the provider contract.
D.C. Code § 44-1803 — DC Code / Title 44 / Chapter 18 / § 44-1803
§ 44-1803. When required.
Status: repealed

Repealed.
D.C. Code § 44-652 — DC Code / Title 44 / Chapter 6A / § 44-652
§ 44-652. Hospital Provider Fee Fund.
Status: repealed

Expired.
D.C. Code § 44-661.02 — DC Code / Title 44 / Chapter 6A / § 44-661.02
§ 44-661.02. Hospital Provider Fee Fund. [Expired].
Status: repealed

Expired.
D.C. Code § 44-236 — DC Code / Title 44 / Chapter 2A / § 44-236
§ 44-236. Appropriations.
Status: recodified

Recodified as § 7-2371.06 .
D.C. Code § 44-1051.05 — DC Code / Title 44 / Chapter 10A / § 44-1051.05
§ 44-1051.05. Expiration of license.
Status: in_force

A license issued by the Department pursuant to this chapter shall expire one year from the date of initial issuance or most recent renewal, unless it is sooner terminated or renewed.
D.C. Code § 44-1943 — DC Code / Title 44 / Chapter 19 / § 44-1943
§ 44-1943. Audits.
Status: repealed

Repealed.
D.C. Code § 44-551 — DC Code / Title 44 / Chapter 5 / § 44-551
§ 44-551. Definitions.
Status: in_force

For purposes of this subchapter, the term:
(1A) “Contract worker” means a compensated contractor for whom it is foreseeable he or she will come in direct contact with patients.
(1B) “Criminal background check” means an investigation into a person’s criminal history to determine whether, within the 7 years preceding the background check, the person has been convicted in the District of Columbia, or in any other state or territory of the United States where such person has worked or resided, of any of the offenses enumerated in § 44-552(e) or their equivalent in another state or territory.
(1C) “Facility” means any entity required to be licensed pursuant to subchapter I of this chapter or Chapter 1 of this title and any entity furnishing Medicaid services under a provider agreement with the District of Columbia in accordance with regulations promulgated under title XIX of the Social Security Act, approved July 30, 1965 (Pub. L. 89-97; 42 U.S.C. § 1396 et seq.).
(2) Repealed.
(3) “Medicaid services” means nursing facility services, home health-care services, inpatient hospital services and nursing facilities for individuals 65 years of age or older in an institution for mental disease, mental health rehabilitation services in an intermediate care facility for persons with intellectual disabilities home and community care for elderly individuals with functional disabilities, and community supported living arrangement services as defined in title XIX of the Social Security Act, approved July 30, 1965 (Pub. L. 89-97; 42 U.S.C. § 1396 et seq.).
(4) “Nurse Aide Abuse Registry” means a record, maintained by the District of Columbia in accordance with section 4211 of the Omnibus Budget Reconciliation Act of 1987, approved December 22, 1987 (101 Stat. 1330-182; 42 U.S.C. § 1396r), and 29 DCMR § 3250-3254 , containing names of individuals who worked as nurse aides and were determined to have abused or neglected, or misappropriated the property of, a nursing home resident.
(5) “Person” means an individual.
(6) “Private agency” means an entity or person that offers customer assistance in the use of criminal background checks for employment purposes.
(7) "Unlicensed person" means a person not required to be licensed pursuant to Chapter 12 of Title 3 who functions in a complementary or assistance role to licensed health care professionals in providing direct patient care or in performing common nursing tasks. The term "unlicensed person" includes housekeeping, maintenance, and administrative staff for whom it is foreseeable that the prospective employee or contract worker will come in direct contact with patients.
D.C. Code § 44-904 — DC Code / Title 44 / Chapter 9 / § 44-904
§ 44-904. Congressional review of system implementation plan.
Status: in_force

(a) The Committee on the District of Columbia of the House of Representatives and the Committee on Labor and Human Resources and the Committee on Governmental Affairs of the Senate shall review the preliminary system implementation plan transmitted by the Mayor pursuant to § 44-903 to determine the extent of its compliance with the provisions of § 44-901(b) and § 44-903 , and transmit written recommendations regarding any revisions to the preliminary plan to the Mayor not later than 60 days after receipt of such plan.
(b) The Committee on the District of Columbia of the House of Representatives and the Committee on Labor and Human Resources and the Committee on Governmental Affairs of the Senate shall, within 90 days of submission of the final system implementation plan by the Mayor pursuant to § 44-903 , review such plan to determine the extent to which it is in compliance with the provisions of § 44-901(b) and § 44-903 .
D.C. Code § 44-1602 — DC Code / Title 44 / Chapter 16 / § 44-1602
§ 44-1602. Expenditure of net appreciation of assets of endowment funds — Appropriations authorized.
Status: repealed

Repealed.
D.C. Code § 44-665.05 — DC Code / Title 44 / Chapter 6A / § 44-665.05
§ 44-665.05. Medicaid inpatient hospital directed payments.
Status: in_force

For services beginning on October 1, 2024, the Department shall require Medicaid managed care organizations to make inpatient directed payments to hospitals consistent with the applicable State directed payment preprint approved by the Centers for Medicare and Medicaid Services.
D.C. Code § 44-632 — DC Code / Title 44 / Chapter 6A / § 44-632
§ 44-632. Hospital Fund.
Status: repealed

Expired.
D.C. Code § 44-638 — DC Code / Title 44 / Chapter 6A / § 44-638
§ 44-638. Sunset.
Status: in_force

This chapter shall expire on September 30, 2014.
D.C. Code § 44-501 — DC Code / Title 44 / Chapter 5 / § 44-501
§ 44-501. Definitions.
Status: in_force

(a) For the purposes of this subchapter the term:
  (1) "Ambulatory surgery" means a surgical procedure performed in an ambulatory surgical facility requiring a period of post-operative observation of less than 24 hours and not requiring admission to a hospital following the procedure.
  (1A) "Ambulatory surgical facility" means any facility, other than a hospital, dental office, or maternity center, but including an office-based facility, a physician outpatient surgery center, or a surgical facility connected to but physically separated from a hospital, at which ambulatory surgery is performed in either an operating room or procedure room.
  (2) "Assisted living residence" shall have the same meaning as provided in § 44-102.01(4) .
  (3) "Community residence facility" means a facility that provides a sheltered living environment for individuals who desire or need such an environment because of their physical, mental, familial, social, or other circumstances, and who are not in the custody of the Department of Corrections. All residents of a community residence facility shall be 18 years of age or older, except that, in the case of group homes for persons with intellectual disabilities, no minimum age shall apply, unless this requirement is waived in accordance with [ § 44-505(e) ].
  (4) "Group home for persons with intellectual disabilities" means a community residence facility that provides a home-like environment for at least 4 but no more than 8 related or unrelated individuals who on account of intellectual disabilities require specialized living arrangements, and maintains the necessary staff, programs, support services, and equipment for their care and habilitation.
  (5) "Health professional" means a person licensed, registered, certified, or permitted to practice a health occupation regulated by a licensing board in the District of Columbia.
  (6) "Health professional's employer" means any entity, including a facility, agency, assisted living residence, private office, health care provider, or group home, in the District of Columbia, that employs health professionals or utilizes the services of a health professional who is contracted with a third party or is self-employed, including those engaged in the practice of pharmacy.
  (7) "Home care agency" means an agency, organization, or distinct part thereof, other than a hospice, that directly provides skilled nursing services and at least one other therapeutic service to an individual, in his or her home or in a community residence facility, who is sick or who has a disability.
  (8) "Hospice" means an agency, organization, facility, or distinct part thereof, primarily engaged in providing a program of in-home, outpatient, or inpatient medical, nursing, counseling, bereavement, and other palliative and supportive services to terminally ill individuals and their families.
  (9) "Hospital" means a facility that provides 24-hour inpatient care, including diagnostic, therapeutic, and other health-related services, for a variety of physical or mental conditions, and may in addition provide outpatient services, particularly emergency care.
  (10) "Maternity center" means a facility or other place, other than a hospital or the mother's home, that provides antepartal, intrapartal, and postpartal care for both mother and child during and after normal, uncomplicated pregnancy.
  (11) "Nursing home" means a 24-hour inpatient facility, or distinct part thereof, primarily engaged in providing professional nursing services, health-related services, and other supportive services needed by the patient/resident.
  (11A) "Operating room" means a sterile room in a surgical suite that is designated and equipped for performing surgical operations or other invasive procedures that require a high level of asepsis control.
  (11B) "Procedure room" means a non-sterile room in which minor surgical procedures are performed.
  (12) "Professional incompetence" means a health professional's unfitness to continue in the health professional's profession, or to provide one or more services ordinarily provided as part of the profession, as demonstrated by:
    (A) A lack of knowledge, skill, or judgment; or
    (B) Disregard for the welfare of a patient or client.
  (13) "Renal dialysis facility" means any place, other than a hospital or the patient's home, that provides therapeutic care for persons with acute or chronic renal failure through the use of hemodialysis, peritoneal dialysis, or any other therapy that clears the blood of substances normally excreted by the kidneys.
  (13A) (A) "Surgery" means the treatment or diagnosis of disease, injury, or other disorders by direct physical intervention involving:
      [(i)] Any instruments causing localized alteration or transposition of live human tissue, including lasers, ultrasound, ionizing radiation, scalpels, probes, metal knives, light knives, and needles;
      (ii) Injection of diagnostic or therapeutic substances into body cavities, internal organs, joints, sensory organs, and the central nervous system; or
      (iii) The cutting, burning, vaporization, freezing, suturing, probing, or manipulation of tissue by closed reductions for major dislocations or fractures, or otherwise altering tissue by mechanical, thermal, light-based, electromagnetic, or chemical means.
    (B) The term "surgery" does not include:
      (i) The administration of subcutaneous, intramuscular or intravenous injections by an authorized health professional;
      (ii) Topical treatments; or
      (iii) Generally non-invasive procedures which do not require an aseptic surgical field.
  (14) "Therapeutic service" includes physical, speech, or occupational therapy; medical social services; or personal care services.
(b) The Mayor shall have the authority to define variant types of facilities and agencies reasonably classified within the broader categories defined in subsection (a) of this section, and may issue rules under § 44-504 with respect to these subtypes. The Mayor shall make the final determination of whether a particular facility or agency falls within a category defined in subsection (a) of this section or a subtype defined by the Mayor pursuant to this subsection.
(c) When used throughout this subchapter , the terms “facility” and “agency” and their plural forms shall, unless contextually inappropriate or subject to specific exception, apply to all of the facilities and agencies defined in subsection (a) of this section as well as those subtypes defined by the Mayor. The Mayor shall make the final determination of whether a provision is contextually inappropriate for a particular agency or facility.
D.C. Code § 44-784 — DC Code / Title 44 / Chapter 7 / § 44-784
§ 44-784. Charges for treatment of patients.
Status: repealed

Repealed.
D.C. Code § 44-103.06 — DC Code / Title 44 / Chapter 1 / § 44-103.06
§ 44-103.06. Inspections.
Status: in_force

(a) In addition to the inspections required by § 44-103.02(e) , the Mayor may inspect an ALR at the Mayor’s discretion to ensure compliance with this chapter.
(b) The Mayor shall at all times ensure that any ALR licensed pursuant to this chapter is able to continually provide appropriate care to its residents. The Mayor shall notify an ALR if, at any time, the Mayor determines that the ALR is unable to provide appropriate care to any of its residents.
(c) Inspection of an ALR, or prospective ALR, for purposes of initial licensure or compliance after license renewal shall be conducted by the Mayor following the procedures set forth in § 44-505 and the requirements of this chapter.
(d) If, upon inspection, the Mayor determines that an ALR, or prospective ALR, is in violation of one or more of the requirements of this chapter, the Mayor shall give written notice of such violation to the ALR, or prospective ALR, within 15 working days of the inspection and may suggest a remedy for each violation.
(e) The violating ALR, or prospective ALR, shall submit a written response to the Mayor within 15 working days of receipt of the Mayor’s notice. The violating ALR, or prospective ALR, may deny the alleged violation, accept the Mayor’s suggested remedy, or propose its own remedy.
(f) If the Mayor accepts the ALR’s, or prospective ALR’s, written response, the Mayor may either issue a license to the ALR, or prospective ALR, if appropriate, or conduct a follow-up inspection to confirm compliance.
(g) If the Mayor and the ALR, or prospective ALR, cannot agree on an acceptable corrective action, or if the ALR, or prospective ALR, fails to respond in writing within 15 working days of receipt of the Mayor’s notice, the Mayor shall determine what action to take, including a penalty in accordance with this chapter and give the ALR, or prospective ALR, notice of his or her determination.
(h) The Mayor may inspect an ALR for the purpose of investigating a complaint.
D.C. Code § 44-903 — DC Code / Title 44 / Chapter 9 / § 44-903
§ 44-903. Development of plan for mental health system for the District.
Status: in_force

(a) (1) Subject to subsection (g) of this section and § 44-908(b)(1) , effective October 1, 1987, the District shall be responsible for the provision of mental health services to residents of the District.
  (2) Not later than October 1, 1993, the Mayor shall complete the implementation of the final system implementation plan reviewed by the Congress and the Council in accordance with the provisions of this subchapter for the establishment of a comprehensive District mental health system to provide mental health services and programs through community mental health facilities to individuals in the District of Columbia.
(b) (1) The Mayor shall prepare a preliminary system implementation plan for a comprehensive mental health system no later than 3 months from October 1, 1985, and a final implementation plan no later than 12 months from October 1, 1985.
  (2) The Mayor shall submit the preliminary system implementation plan to the Council no later than 3 months from October 1, 1985. The Council shall review such plan and transmit written recommendations to the Mayor regarding any revisions to such plan no later than 60 days after such submission. The Mayor shall submit the revised preliminary plan to the Committee on the District of Columbia of the House of Representatives and the Committee on Labor and Human Resources and the Committee on Governmental Affairs of the Senate for review and comment in accordance with the provisions of this subchapter.
  (3) The final system implementation plan shall be considered by the Council consistent with the provisions of § 1-204.22(12) .
  (4) After the review of the Council pursuant to paragraph (3) of this subsection, the Mayor shall submit the final implementation plan to the Committee on the District of Columbia of the House of Representatives and the Committee on Labor and Human Resources and the Committee on Governmental Affairs of the Senate for review and comment in accordance with the provisions of this subchapter.
(c) The system implementation plan shall:
  (1) Propose and describe an integrated, comprehensive, and coordinated mental health system for the District of Columbia;
  (2) Identify the types of treatment to be offered, staffing patterns, and the proposed sites for service delivery within the District of Columbia comprehensive mental health system;
  (3) Identify mechanisms to attract and retain personnel of appropriate number and quality to meet the objectives of the comprehensive mental health system;
  (4) Be in full compliance with the federal court consent decree in Dixon v. Heckler and all applicable District of Columbia statutes and court decrees;
  (5) Identify those positions, programs, and functions at Saint Elizabeths Hospital which are proposed for assumption by the District, those facilities at Saint Elizabeths Hospital which are proposed for utilization by the District under a comprehensive District mental health system, and the staffing patterns and programs at community facilities to which the assumed functions are to be integrated;
  (6) Identify any capital improvements to facilities at Saint Elizabeths Hospital and elsewhere in the District of Columbia proposed for delivery of mental health services, which are necessary for the safe and cost effective delivery of mental health services; and
  (7) Identify the specific real property, buildings, improvements, and personal property to be transferred pursuant to § 44-907(a)(1) needed to provide mental health and other services provided by the Department of Human Services under the final system implementation plan.
(d) (1) The Mayor shall develop the system implementation plan in close consultation with officials of Saint Elizabeths Hospital, through working groups to be established by the Secretary and the Mayor for that purpose.
  (2) The Mayor and the Secretary shall establish a labor-management advisory committee, requesting the participation of federal and District employee organizations affected by this subchapter, to make recommendations on the system implementation plan. The committee shall consider staffing patterns under a comprehensive District mental health care system, retention of Hospital employees under such system, federal retraining for such employees, and any other areas of concern related to the establishment of a comprehensive District system. In developing the system implementation plan the Mayor shall carefully consider the recommendations of the committee. Such advisory committee shall not be subject to the Federal Advisory Committee Act.
  (3) The Mayor and such working groups shall, in developing the plan, solicit comments from the public, which shall include professional organizations, provider agencies and individuals, and mental health advocacy groups in the District of Columbia.
(e) (1) The Mayor and the Secretary may, during the service coordination period, by mutual agreement and consistent with the requirements of the system implementation plan direct the shift of selected program responsibilities and staff resources from Saint Elizabeths Hospital to the District. The Secretary may assign staff occupying positions in affected programs to work under the supervision of the District. The Mayor shall notify the Committee on the District of Columbia of the House of Representatives and the Committee on Labor and Human Resources and the Committee on Governmental Affairs of the Senate in writing of any planned shift in program responsibilities or staff resources not less than 30 days prior to the implementation of such shift.
  (2) (A) Except as provided in subparagraph (B) of this paragraph, after October 1, 1984, and during the service coordination period, no request for proposals may be issued by the Secretary for any areas of commercial activity at the Hospital pursuant to Office of Management and Budget circular A-76.
    (B) The limitation under subparagraph (A) of this paragraph shall not apply to studies initiated pursuant to such circular prior to October 1, 1984.
(f) (1) To assist the Mayor in the development of the system implementation plan, the Secretary shall contract for a financial audit and a physical plant audit of all existing facilities at the hospital to be completed by January 1, 1986. The financial audit shall be conducted according to generally accepted accounting principles. The physical plant audit shall recognize any relevant national and District codes and estimate the useful life of existing facility support systems.
  (2) (A) Pursuant to such physical plant audit, the Secretary shall initiate not later than October 1, 1987, and, except as provided under an agreement entered into pursuant to subparagraph (C) of this paragraph, complete not later than October 1, 1993, such repairs and renovations to such physical plant and facility support systems of the hospital as are to be utilized by the District under the system implementation plan as part of a comprehensive District mental health system, as are necessary to meet any applicable code requirements or standards.
    (B) At a minimum until October 1, 1987, the Secretary shall maintain all other facilities and infrastructure of the hospital not assumed by the District in the condition described in such audit.
    (C) The Secretary may enter into an agreement with the Mayor under which the Secretary shall provide funds to the Mayor to complete the repairs and renovations described in subparagraph (A) of this paragraph and to make other capital improvements that are necessary for the safe and cost effective delivery of mental health services in the District, except that $7,500,000 of the funds provided to the Mayor under such an agreement shall be used to make capital improvements to facilities not located at Saint Elizabeths Hospital. Of the $7,500,000 provided for improvements to facilities not located at the Hospital, not less than $5,000,000 shall be used to make capital improvements to housing facilities for seriously and chronically mentally ill individuals.
(g) During the service coordination period, the District of Columbia and the Secretary, to the extent provided in the federal court consent decree, shall be jointly responsible for providing citizens with the full range and scope of mental health services set forth in such decree and the system implementation plan. No provision of this subchapter or any action or agreement during the service coordination period may be so construed as to absolve or relieve the District or the federal government of their joint or respective responsibilities to implement fully the mandates of the federal court consent decree.
D.C. Code § 44-2110 — DC Code / Title 44 / Chapter 21 / § 44-2110
§ 44-2110. Custody and investment.
Status: repealed

Repealed.
D.C. Code § 44-637 — DC Code / Title 44 / Chapter 6A / § 44-637
§ 44-637. Rules.
Status: repealed

Expired.
D.C. Code § 44-604 — DC Code / Title 44 / Chapter 6 / § 44-604
§ 44-604. Charitable trusts.
Status: in_force

(a) If the Attorney General for the District of Columbia determines, pursuant to § 44-603(12) , that the charitable assets of a healthcare entity have not been placed in a charitable trust controlled independently of the for-profit entity, or other parties to the conversion, and used for appropriate charitable purposes consistent with the healthcare entity’s purposes or operation in the affected community, the Attorney General for the District of Columbia shall ensure that a charitable trust is established.
(b) The governance of any charitable trust established to safeguard assets subject to the provisions of this chapter shall be subject to review by the Attorney General for the District of Columbia, who shall ensure the following: that the governance of the charitable trust is broadly based in the community historically served by the healthcare entity; that the participation on the board of the charitable trust be persons involved in negotiating the conversion shall be limited; that such limitations may take the form of restrictions on the number of representatives or their length of services; and that the charitable activities of the nonprofit person shall not be used to satisfy the charitable obligations of the for-profit entity.
D.C. Code § 44-951.16 — DC Code / Title 44 / Chapter 9A / § 44-951.16
§ 44-951.16. Debts and borrowing.
Status: in_force

(a) The Corporation is authorized by the Council pursuant to § 1-204.90(a)(6) to incur debt, including lines of credit, to carry out the authorized purposes of the Corporation. The Corporation may, at any time, and from time to time, enter into debt obligations, by resolution of the Board. Debt of the Corporation shall be payable solely from the revenues of the Corporation from whatever source derived and shall not be issued in the form of obligations maturing longer than 5 years, including renewals. The Corporation shall have the power to incur indebtedness regardless of whether the interest payable by the Corporation or the income derived by the holders of the evidence of the indebtedness is, for the purposes of federal taxation, includable in the taxable income of the recipients of these payments or is otherwise not exempt from the imposition of taxable income on the recipients. No official, employee, or agent of the Corporation shall be held personally liable solely because a debt instrument is issued.
(b) Any debt created pursuant to this section shall not:
  (1) Be considered general obligation debt of the District for any purpose, including the limitation on the annual aggregate limit on debt of the District of Columbia under § 1-206.03(b) ;
  (2) Constitute a lending of the public credit for private undertakings for purposes of § 1-206.02(a)(2) ;
  (3) Be a pledge of or involve the full faith and credit of the District of Columbia, other than with respect to any dedicated taxes; or
  (4) Constitute a debt of the District.
D.C. Code § 44-1917 — DC Code / Title 44 / Chapter 19 / § 44-1917
§ 44-1917. Selection, duties and terms of officers.
Status: repealed

Repealed.
D.C. Code § 44-151.03 — DC Code / Title 44 / Chapter 1A / § 44-151.03
§ 44-151.03. Revocation of license.
Status: in_force

(a) The license of a provider shall remain in effect until revoked after notice and hearing, upon written findings of fact, that the provider has:
  (1) Willfully violated any provision of this chapter or of any related rule or order;
  (2) Failed to file an annual disclosure statement or standard form as required by law;
  (3) Failed to deliver to prospective residents the required disclosure statements;
  (4) Delivered to prospective residents a disclosure statement that makes an untrue statement or omits a material fact and the provider, at the time of the delivery of the disclosure statement, had actual knowledge of the misstatement or omission;
  (5) Failed to comply with the terms of a cease and desist order; or
  (6) Been or is in imminent danger of being determined to be in a hazardous financial condition.
(b) The Commissioner may suspend the license of a provider, after notice and hearing, for any of the violations in subsection (a) of this section and set forth the conditions necessary to correct the violations, including whether a provider can enter into new continuing care service contracts while suspended.
(c) The Commissioner may, in lieu of suspension or revocation of the license of a provider issued pursuant to this chapter, after notice and hearing, order a provider to take corrective action or levy an administrative penalty in an amount not more than $50,000 per violation.
(d) Upon review of an order of the Commissioner revoking a license, a court may determine whether a factual finding by the Commissioner is clearly erroneous.
(e) If there is good cause to believe that the provider is guilty of a violation for which revocation could be ordered, the Commissioner may first issue a cease and desist order. The cease and desist order shall be subject to notice and hearing within 10 days of the order. If the cease and desist order is not or cannot be effective in remedying the violation, the Commissioner may, after notice and hearing, issue an order that the license be revoked and surrendered. The provider may accept new applicant funds while the revocation order is under appeal provided the funds are escrowed pending results of the appeal.
D.C. Code § 44-234 — DC Code / Title 44 / Chapter 2A / § 44-234
§ 44-234. Agency fund.
Status: recodified

Recodified as § 7-2371.04 .
D.C. Code § 44-1102.03 — DC Code / Title 44 / Chapter 11 / § 44-1102.03
§ 44-1102.03. Board of Directors; appointment.
Status: repealed

Repealed.
D.C. Code § 44-1601 — DC Code / Title 44 / Chapter 16 / § 44-1601
§ 44-1601. Definitions.
Status: repealed

Repealed.
D.C. Code § 44-151.13 — DC Code / Title 44 / Chapter 1A / § 44-151.13
§ 44-151.13. Examinations; financial statements.
Status: in_force

(a) Each provider shall keep and make available to the Commissioner at the provider’s place of business any books and records that the Commissioner, by rule or regulation, requires to enable the Commissioner to enforce this chapter and any rule or regulation adopted under this chapter.
(b) Each provider shall retain for at least 3 years after final payment is made by a resident copies of any contract or agreement, records of payments received by the provider from a resident or a person on behalf of a resident, and such other papers or records relating to the loan as may be required by rule or regulation.
(c) On approval of the Commissioner, a provider shall not be required to maintain at the provider’s place of business any books and records otherwise required by the Commissioner under subsection (a) of this section if the licensee:
  (1) Makes the books and records available to the Commissioner at the licensee’s place of business within 5 business days of the Commissioner’s official request; and
  (2) Retains the records for at least 60 months in a storage facility disclosed to the Commissioner.
(d) The Commissioner or his designee may, in the Commissioner’s discretion, visit a provider or continuing care facility offering continuing care in the District to examine its books and records. The provider examined shall pay expenses incurred in conducting examinations under this section. These expenses may include the salary of the government employee based on the time spent conducting or supervising the examination, the fees of a third-party auditor, and reasonable and necessary out-of-pocket expenses incurred by the Department or third-party auditor.
D.C. Code § 44-103.03 — DC Code / Title 44 / Chapter 1 / § 44-103.03
§ 44-103.03. Special ALR licensure for community residence facilities.
Status: repealed

Expired.
D.C. Code § 44-151.05 — DC Code / Title 44 / Chapter 1A / § 44-151.05
§ 44-151.05. Disclosure statement.
Status: in_force

(a) At least 30 days prior to the execution of a contract to provide continuing care, or 30 days prior to the transfer of any money or other property to a provider by or on behalf of a prospective resident, whichever occurs first, the provider shall deliver a current disclosure statement to the person with whom the contract is to be entered into. This 30-day period may be waived at the sole request of the prospective resident. The text of the disclosure statement shall contain at least:
  (1) The name and business address of the provider and a statement of whether the provider is a partnership, corporation, or other type of legal entity;
  (2) The names and business addresses of the officers, directors, trustees, managing general partners, any person having a 10% or greater equity or beneficial interest in the provider, and any person who shall be managing the facility on a day-to-day basis, and a description of these persons’ interests in or occupations with the provider;
  (3) The following information on all persons named in response to paragraph (2) of this subsection:
    (A) A description of the business experience, if any, of this person, in the operation or management of similar facilities;
    (B) The name and address of any professional service firm, association, trust, partnership, or corporation in which the person has a 10% or greater interest and which it is presently intended shall currently or in the future provide goods, leases, or services to the facility, or to residents of the facility, including a description of the goods, leases, or services; and
    (C) A description of any matter in which the person:
      (i) Has been convicted of a felony or pleaded nolo contendere to a felony charge, or been held liable or enjoined in a civil action by final judgment, if the felony or civil action involved fraud, embezzlement, fraudulent conversion, or misappropriation of property; or
      (ii) Is subject to a currently effective injunctive or restrictive court order, or within the past 5 years, had any state or federal license or permit suspended or revoked as a result of an action brought by a governmental agency or department, if the order or action arose out of or related to business activity of health care, including actions affecting a license to operate a foster care facility, nursing home, retirement home, home for aged, or facility subject to this chapter or a similar law in another state;
  (4) A statement as to whether the provider is, or is not, affiliated with a religious, charitable, or other nonprofit organization, the extent of the affiliation, if any; the extent to which the affiliate organization shall be responsible for the financial and contract obligations of the provider; and the provision of the Internal Revenue Code of 1986, approved October 22, 1986 (100 Stat. 2085; 26 U.S.C. § 1 et seq.), if any, under which the provider or affiliate is exempt from the payment of income tax;
  (5) The location and description of the physical property of the facility, existing or proposed, and to the extent proposed, the estimated completion date, whether construction has begun, and the contingencies subject to which construction may be deferred;
  (6) The services provided or proposed to be provided pursuant to the contracts for continuing care at the facility, including the extent to which medical care is furnished, and a statement of which services are included for specified basic fees for continuing care and which services are made available at or by the facility at extra charge;
  (7) A description of all fees required of residents, including the entrance fee and periodic charges, if any, which description shall include:
    (A) A statement of the fees that shall be charged if the resident marries while at the facility, and a statement of the terms concerning the entry of a spouse or non-spouse to the facility and the consequences if the spouse or non-spouse does not meet the requirements for entry;
    (B) The circumstances under which the provider may discharge or evict a resident for failure or inability to pay any amount due under the contract or for other violations of the contract;
    (C) The terms and conditions under which a contract for continuing care at the facility may be canceled by the provider or by the resident, and the conditions, if any, under which all or any portion of the entrance fee or any other fee shall be refunded if the contract is cancelled by the provider or by the resident or if the resident dies prior to or following occupancy of a living unit;
    (D) The conditions under which a living unit occupied by a resident may be made available by the facility to a different or new resident other than on the death of the prior resident; and
    (E) The manner by which the provider may adjust periodic charges or other recurring fees and the limitations on these adjustments, if any, if the facility is already in operation, or if the provider or manager operates one or more similar continuing care locations within the District, tables shall be included showing the frequency and average dollar amount of each increase in periodic charges, or other recurring fees at each facility or location for the previous 5 years, or such shorter period as the facility or location may have been operated by the provider or manager);
  (8) The health and financial condition required for an individual to be accepted as a resident and to continue as a resident once accepted, including the effect of any change in the health or financial condition of a person between the date of entering into a contract for continuing care and the date of initial occupancy of a living unit by the person;
  (9) The provisions that have been made or shall be made to provide reserve funding or security to enable the provider to perform its obligations fully under contracts to provide continuing care at the facility, including the establishment of escrow accounts, trusts, or reserve funds, the manner in which these funds shall be invested, and the names and experience of any individuals in the direct employment or on the board of directors of the provider who shall make the investment decisions;
  (10) Financial statements of the provider, certified by an independent certified public accountant as of the end of the most recent fiscal year or such shorter period of time as the provider shall have been in existence; provided, that if the provider’s fiscal year ended more than 120 days prior to the date of the disclosure statement, interim financial statements as of a date not more than 90 days prior to the date of the statement shall be included, but need not be certified by an independent certified public accountant;
  (11) If the facility has had an actuarial report prepared within the prior 2 years of the date of the disclosure statement, the summary of a report of an actuary that estimates the capacity of the provider to meet its contractual obligations to the residents;
  (12) Financial forecasts for the facility for the next 5 years, including a balance sheet, a statement of operations, a statement of cash flows, and a statement detailing all significant assumptions, compiled by an independent certified public accountant;
  (13) The estimated number of residents of the facility to be provided services by the provider pursuant to the contract for continuing care;
  (14) Proposed or development stage facilities shall additionally provide:
    (A) The summary of the report of an actuary estimating the capacity of the provider to meet its contractual obligation to the residents;
    (B) Narrative disclosure detailing all significant assumptions used in the preparation of the forecast financial statements, including:
      (i) Details of any long-term financing for the purchase or construction of the facility, including interest rate, repayment terms, loan covenants, and assets pledged;
      (ii) Details of any other funding sources, including the provider of the funds and other funding sources, that the provider anticipates using to fund any start-up losses or to provide reserve funds to assure full performance of the obligations of the provider under contracts for the provision of continuing care;
      (iii) The total life occupancy fees to be received from or on behalf of, residents at, or prior to, commencement of operations, and anticipated accounting methods used in the recognition of revenues from, and expected refunds of, life occupancy fees;
      (iv) A description of any equity capital to be received by the facility;
      (v) The cost of the acquisition of the facility or, if the facility is to be constructed, the estimated cost of the acquisition of the land and construction cost of the facility;
      (vi) Related costs, such as financing any development costs that the provider expects to incur or become obligated for prior to the commencement of operations;
      (vii) The marketing and resident acquisition costs to be incurred prior to commencement of operations;
      (viii) A description of the assumptions used for calculating the estimated occupancy rate of the facility and the effect on the income of the facility of government subsidies for health care services; and
      (ix) Whether there are any plans anticipated to use any funds or to pledge any assets of this facility in the purchase or construction of any other facility or the purchase of any property not a part of this facility and for the purposes of the residents of this facility;
  (15) Any other material information concerning the facility or the provider necessary to make the disclosed information not misleading; and
  (16) In addition to any other requirements of this section, if a provider’s continuing care agreement includes a provision to provide assisted living program services or nursing home services, and the provider does not execute a separate assisted living agreement, the disclosure statement shall contain, with regard to the assisted living program:
    (A) The name and address and a description of each facility that the provider operates;
    (B) A statement regarding the relationship of the provider to other providers or services if the relationship affects the care of the resident;
    (C) A description of any special programming, staffing, and training provided by the program for individuals with particular needs or conditions, such as cognitive impairment or confinement to bed;
    (D) The security practices and procedures which the provider shall implement to protect the resident and the resident’s property;
    (E) A statement of the obligations of the provider and the obligations and added charges, if any, to the resident or the resident’s agent as to:
      (i) Arranging for or overseeing medical care;
      (ii) Monitoring the health status of the resident; and
      (iii) Purchasing or renting essential or desired equipment and supplies; and
    (F) An explanation of the assisted living program’s and the nursing home component’s complaint or grievance procedure.
(b) The cover page of the disclosure statement shall state, in a prominent location and in boldface type, the date of the disclosure statement, the last date through which that disclosure statement may be delivered if not earlier revised, and that the delivery of the disclosure statement to a contracting party before the execution of a contract for the provision of continuing care is required by this chapter but that the disclosure statement has not been reviewed or approved by any government agency or representative to ensure accuracy or completeness of the information set forth.
(c) A copy of the standard form of contract for continuing care used by the provider shall be attached to each disclosure statement.
(d) Rules adopted under this chapter may prescribe a standardized format for the required disclosure statement. The Mayor shall, when promulgating rules for standardized forms under this chapter, attempt to seek clarity and require that disclosure statements be written in language reasonably designed to be understandable to potential residents.
D.C. Code § 44-405 — DC Code / Title 44 / Chapter 4 / § 44-405
§ 44-405. Reporting, analysis, and publication of utilization, financial, and other health-related data; regulations, reporting periods, format, and forms.
Status: in_force

(a) The SHPDA shall develop and maintain the Health Planning Data System (“HPDS”). In order to implement the HPDS, as necessary for the development of the HSP, the SHPDA shall require each health care facility to submit, in writing or other uniform media, data related to the utilization, management, and financing of health services, including data on utilization of health services, cost of services, charges of services, patient demographic, characteristic information, and data related to the annual level of uncompensated care provided by HCFs, including charity care provided to District residents, charity care provided to non-District residents, care classified as bad debt provided to District residents, care classified as bad debt provided to non-District residents, any other community benefits, including health improvement services and benefits that are provided without charge to District residents,, and assurances of its provision of a reasonable volume of uncompensated care through the “annual compliance level” of 3% of its operating costs (total operating expenses of a facility as set forth in an audited financial statement or its equivalent, minus the amount of reimbursement, if any, under Titles XVIII and XIX of the Social Security Act).
(a-1) The requirement set forth in subsection (a) of this section, that a health care facility submit an assurance of its provision of a reasonable volume of uncompensated care through the "annual compliance level" of 3% of its operating costs, shall not apply to the hospital referenced in Title I of D.C. Law 23-138 .  Such hospital shall instead submit an assurance of its compliance with the uncompensated care, charity care, and community benefits requirement set forth in section 3.7 of the Operations Agreement approved in section 101(a)(2) of D.C. Law 23-138.
(b) The SHPDA shall issue rules which identify the types of data required from HCFs and establish submission schedules and formats. The SHPDA may require HCFs to submit data in the absence of rules or in addition to submissions required by regulation upon the determination by the SHPDA that the data are reasonably necessary to enable the SHPDA to carry out the mission of this chapter. HCFs shall be given written notice of the data requirements. The notice shall include the basis upon which the requirements have been established.
(c) Submission of data by HCFs shall be in the form and format prescribed by the SHPDA and shall utilize forms which may be prescribed by the SHPDA.
(d) The SHPDA shall coordinate with public and private entities that collect data of the type described in this section in order to maximize the use of existing data sources and to minimize the duplication of data collection efforts.
(e) The SHPDA shall analyze data submitted and acquired and may publish data, analyses, and findings which identify major health policy issues.
(f) No application for a certificate of need shall be complete and no certificate of need shall be issued if the applicant has not submitted data as required.
(g) The SHPDA is authorized to establish a fee schedule for certain data, analyses, and reports available through SHPDA.
D.C. Code § 44-951.17 — DC Code / Title 44 / Chapter 9A / § 44-951.17
§ 44-951.17. Continuation of privileges to practice.
Status: in_force

(a) A health-care professional who has the privilege of practicing at the United Medical Center as of September 14, 2011, shall retain practice privileges with the Corporation until the:
  (1) Privilege expires;
  (2) Board alters or amends the privilege; or
  (3) Board revokes the privilege.
(b) The Board shall retain the policies regarding determining the qualifications for health-care professionals to receive the privilege of practicing that existed at United Medical Center on the day prior to September 14, 2011, until the Corporation replaces the policies pursuant to § 44-951.05(i) .
D.C. Code § 44-2002 — DC Code / Title 44 / Chapter 20 / § 44-2002
§ 44-2002. Office of Health Systems Development; establishment and functions.
Status: repealed

Repealed.
D.C. Code § 44-663.09 — DC Code / Title 44 / Chapter 6A / § 44-663.09
§ 44-663.09. Sunset.
Status: in_force

This subchapter shall expire on September 30, 2017.
D.C. Code § 44-605 — DC Code / Title 44 / Chapter 6 / § 44-605
§ 44-605. Mandatory condition precedent.
Status: in_force

The conversion approval required by § 44-603 shall be a condition precedent to the issuance of a Certificate of Need or a Certificate of Authority, permit, license, and any other type of official approval, except zoning approval, by an agency or officer or employee of the District government which is necessary for a particular health project.
D.C. Code § 44-106.08 — DC Code / Title 44 / Chapter 1 / § 44-106.08
§ 44-106.08. Discharge and transfer.
Status: in_force

(a) When a resident wishes to be discharged from an ALR, the resident or surrogate shall give 30 days written notice to the ALR.
(b) When a sudden, unexpected, and life-threatening medical emergency arises necessitating the immediate transfer of the resident to an acute care facility, the ALR shall immediately notify the surrogate and the resident’s healthcare provider of the transfer. The ALR shall provide the surrogate and healthcare provider with information concerning cause of the transfer and the name and location of the acute care facility.
(c) After a resident is transferred pursuant to subsection (b) of this section, his or her return to the ALR shall be determined by the renegotiation of the ISP with the resident or surrogate, the resident’s healthcare provider, and the ALR. If, in renegotiating the ISP, the interested parties determine that the resident can no longer safely reside at the ALR, discharge planning shall take place in consultation with the resident or surrogate, the resident’s healthcare provider, and the ALR. Under these circumstances the ALR shall waive the 30 day notice requirement.
(d) Before a resident may be discharged on an involuntary basis, the ALR shall provide 30 days written notice to the resident and surrogate of the planned discharge, and make arrangements for the discharge in consultation with the resident, the surrogate, and the healthcare provider. Any involuntary discharge shall conform to the notice and process established in subchapter III of Chapter 10 of this title .
(e) Although an ALR shall make every effort to avoid discharge, grounds for involuntary discharge may include the following:
  (1) Failure to pay all fees and costs as specified in the contract; and
  (2) Inability of the ALR to meet the care needs of the resident as provided  in the ISP.
(f) An involuntary discharge shall be canceled upon the occurrence of one of the following:
  (1) The payment of all monies owed at any time prior to discharge; or
  (2) The negotiation of a new ISP.
D.C. Code § 44-301.04 — DC Code / Title 44 / Chapter 3 / § 44-301.04
§ 44-301.04. Grievance process.
Status: in_force

(a) A member or member representative may appeal any adverse benefit determination decision resulting in a rescission, denial, termination, or other limitation of a benefit in accordance with the provisions of this chapter.
(b) At the time an insurer denies, reduces, terminates, or limits a benefit, an insurer shall provide to the affected member or member representative a written description of the procedures for filing appeals, including procedures to request expedited internal or external review if the matter concerns an emergency or urgent medical condition. The notice shall adhere to requirements of Title XXVII of the Public Health Service Act, approved July 1, 1944 (42 U.S.C. § 300gg et seq.), and the Employee Retirement Income Security Act of 1974, approved September 2, 1974 (Pub. L. No. 93-406; 88 Stat. 829), and shall include information sufficient to identify the claim, the reason for the denial, any standards relied on to deny the claim, contact information for the Health Care Ombudsman, and notice of the right of the claimant to receive free of charge all documents relevant to the claim.
(c) The appeal process shall consist of 2 separate appeal levels:
  (1) Review by the insurer; and
  (2) External review by an independent review organization.
(d) Nothing in the health benefits plan shall prohibit a member or member representative from discussing or exercising the right to appeal pursuant to this section.
(e) (1) The insurer shall notify a member seeking a resolution of an adverse benefit determination about the:
    (A) Availability of the Health Care Ombudsman;
    (B) Right to review; and
    (C) Procedures for obtaining continued coverage pending the outcome of the grievance.
  (2) For grievances and appeals concerning urgent or emergency medical conditions, the member has the right to continued coverage at the level of benefits provided before the reduction, termination, or limitation, pending the outcome of the appeal.
(f) (1) Any request that a physician, with knowledge of the covered person’s medical condition, determines involves an emergency or urgent medical condition shall be treated as an urgent care request.
  (2) An individual acting on behalf of the health insurer shall apply the judgment of a prudent layperson who possesses an average knowledge of health and medicine to determine if other requests involve an emergency or urgent medical condition.
  (3) For the purposes of expedited external review, the Director, or the Director’s designee, shall apply the judgment of a prudent layperson that possesses an average knowledge of health and medicine to determine if other requests involve an emergency or urgent medical condition.
D.C. Code § 44-665.16 — DC Code / Title 44 / Chapter 6A / § 44-665.16
§ 44-665.16. Quarterly notice and collection.
Status: in_force

(a) The fee imposed under section § 44-665.13 shall be calculated on a quarterly basis, and shall be due and payable by the 15th day after the last month of each quarter; provided, that the fee shall not be due and payable until:
  (1) The District issues written notice that the payment methodologies for payments to hospitals required under § 44-665.15 have been approved by the Centers for Medicare and Medicaid Services; and
  (2) The District issues written notice to the hospital informing the hospital of its fee rate, outpatient gross patient revenue subject to the fee, and the fee amount owed on a quarterly basis, including, in the initial written notice from the District to the hospital, all fee amounts owed beginning with the period commencing on October 1, 2024.
(b) (1) If a hospital fails to pay the full amount of the fee in accordance with this subchapter , the unpaid balance shall accrue interest at the rate of 1.5% per month or any fraction thereof, which shall be added to the unpaid balance.
  (2) The Chief Financial Officer may arrange a payment plan for the amount of the fee and interest in arrears.
D.C. Code § 44-717 — DC Code / Title 44 / Chapter 7 / § 44-717
§ 44-717. Home for Aged and Infirm — Admission of pay patients.
Status: in_force

Pay patients may be admitted to the Home for the Aged and Infirm for care and treatment at such rates and under such regulations as may be established by the Council of the District of Columbia, insofar as such admissions will not interfere with admission of indigent patients; provided, however, that the rates shall not exceed the estimated per capita cost for the current year.
D.C. Code § 44-420.01 — DC Code / Title 44 / Chapter 4 / § 44-420.01
§ 44-420.01. Establishment of State Health Planning and Development Fund.
Status: in_force

(a) There is established as a special fund the State Health Planning and Development Agency Fund ("SHPDA Fund"), which shall be administered by the Mayor in accordance with this section. All fees and civil fines relating to the SHPDA shall be deposited in the SHPDA Fund.
(b) Repealed.
(c) Money received by and deposited in the SHPDA Fund shall be used for the following purposes:
  (1) To pay the salaries of employees and other necessary expenses of carrying out the duties of the SHPDA; and
  (2) To the extent money is available in the SHPDA Fund in excess of the amount necessary to pay for the costs described in paragraph (1) of this subsection, to pay salaries and other expenses necessary in carrying out other health assessment, planning, and evaluation functions of the Department.
(d) Repealed.
(e) Any money remaining available in the SHPDA Fund at the end of the fiscal year, as determined by the Chief Financial Officer in the fiscal year-end close, shall be transferred to the unassigned fund balance of the General Fund of the District of Columbia as part of the fiscal year-end close.
D.C. Code § 44-1633 — DC Code / Title 44 / Chapter 16A / § 44-1633
§ 44-1633. Appropriation for expenditure or accumulation of endowment fund; rules of construction.
Status: in_force

(a) (1) Subject to the intent of a donor expressed in the gift instrument, an institution may appropriate for expenditure or accumulate so much of an endowment fund as the institution determines is prudent for the uses, benefits, purposes, and duration for which the endowment fund is established.
  (2) Unless stated otherwise in the gift instrument, the assets in an endowment fund are donor-restricted assets until appropriated for expenditure by the institution.
  (3) In making a determination to appropriate or accumulate, the institution shall act in good faith, with the care that an ordinarily prudent person in a like position would exercise under similar circumstances, and shall consider, if relevant, the following factors:
    (A) The duration and preservation of the endowment fund;
    (B) The purposes of the institution and the endowment fund;
    (C) General economic conditions;
    (D) The possible effect of inflation or deflation;
    (E) The expected total return from income and the appreciation of investments;
    (F) Other resources of the institution; and
    (G) The investment policy of the institution.
(b) To limit the authority to appropriate for expenditure or accumulate under subsection (a) of this section, a gift instrument shall specifically state the limitation.
(c) Terms in a gift instrument designating a gift as an endowment, or a direction or authorization in the gift instrument to use only “income”, “interest”, “dividends”, or “rents, issues, or profits”, or “to preserve the principal intact”, or words of similar import:
  (1) Create an endowment fund of permanent duration unless other language in the gift instrument limits the duration or purpose of the fund; and
  (2) Do not otherwise limit the authority to appropriate for expenditure or accumulate under subsection (a) of this section.
D.C. Code § 44-1051.17 — DC Code / Title 44 / Chapter 10A / § 44-1051.17
§ 44-1051.17. Rules.
Status: in_force

The Mayor shall issue rules to implement the provisions of this chapter, including the establishment of:
(1) Fees;
(2) Procedures for license application, issuance, and renewal;
(3) Procedures for regulation of nurse staffing agencies located outside the District of Columbia;
(4) Requirements for maintenance of documentation and for submission of documentation to the Department;
(5) Minimum standards for operation and continued licensure of nurse staffing agencies; and
(6) Enforcement and hearing procedures.
D.C. Code § 44-774 — DC Code / Title 44 / Chapter 7 / § 44-774
§ 44-774. Private facilities — Council authorized to promulgate regulations.
Status: repealed

Repealed.
D.C. Code § 44-951.13 — DC Code / Title 44 / Chapter 9A / § 44-951.13
§ 44-951.13. Reports to the Mayor and the Council.
Status: in_force

On or before December 29th of each year, the Corporation shall submit to the Mayor and the Council a report that sets forth for the prior fiscal year its operations and accomplishments, revenues and expenses, assets and liabilities at the end of the fiscal year, and the status of reserves, depreciation, and special, sinking, or other funds.
D.C. Code § 44-1713 — DC Code / Title 44 / Chapter 17 / § 44-1713
§ 44-1713. Severability.
Status: in_force

If any provision of this chapter, or the application thereof to any persons or circumstances, is held invalid, the remainder of the chapter, and the application of such provision to other persons or circumstances, shall not be affected thereby.
D.C. Code § 44-417 — DC Code / Title 44 / Chapter 4 / § 44-417
§ 44-417. Immunity from civil liability.
Status: in_force

No member of the SHCC or the SHPDA may be held personally liable in any civil action taken in the course of carrying out his or her official duties and responsibilities as set forth in this chapter or the rules issued pursuant to this chapter.
D.C. Code § 44-654 — DC Code / Title 44 / Chapter 6A / § 44-654
§ 44-654. Applicability of fees.
Status: repealed

Expired.
D.C. Code § 44-1205 — DC Code / Title 44 / Chapter 12 / § 44-1205
§ 44-1205. Financial assistance program.
Status: in_force

(a) There is established within the District government a program to provide financial assistance to any person or organization that applies for financial assistance to conduct a program of substance abuse prevention in accordance with the applicable provisions of Unit A of Chapter 3 of Title 2 .
(b) Any person or organization that applies for financial assistance from the District government to conduct a program of substance abuse prevention, education, or counseling, as a condition of receiving assistance, shall demonstrate to the satisfaction of the Mayor that:
  (1) The program has been developed in consultation with a qualified health professional;
  (2) The content of written, audiovisual, or other information to be provided through the program is accurate, current, and consistent with established medical or scientific findings;
  (3) The program will be carried out in accordance with a systematic written plan that shall include goals, timetables, and specific methods to measure the  progress and effectiveness of achieving the established goals; and
  (4) The program meets any other criteria established by rules issued pursuant  to § 44-1207(c) .
(c) The requirements of § 44-1204 and subsection (b) of this section shall not apply to:
  (1) A hospital licensed by the District government pursuant to Chapter 5 of  this title;  or
  (2) A health professional licensed pursuant to Chapter 12 of Title 3 , who provides outpatient substance abuse treatment to private patients within the scope of the practice of the health occupation that he or she is licensed to practice.
D.C. Code § 44-107.01 — DC Code / Title 44 / Chapter 1 / § 44-107.01
§ 44-107.01. Staffing standards.
Status: in_force

(a) An ALR shall be supervised by an ALA who shall be responsible for all personnel and services within the ALR.
(b) The ALA shall ensure that each resident has access to appropriate medical, rehabilitation, and psychosocial services as established in the ISP and that there is appropriate oversight, monitoring, and coordination of all components of the ISP, including necessary transportation and the delivery of needed supplies.
(c) (1) An ALA shall be at least 21 years of age.
  (2) An ALA shall possess at least a high school diploma or general  equivalency diploma (“G.E.D.”) or have served as an operator or administrator  of a licensed community residence facility (“CRF”) in the District of Columbia  for at least one of the past 3 years in which the CRF has met minimum legal  standards. An ALA employed on or after June 24, 2000 shall have at least a  high school diploma or G.E.D. and have served as a direct care provider or  administrator for at least one of the past three years.
  (3) An ALA shall possess satisfactory knowledge of the following:
    (A) The philosophy of assisted living;
    (B) The health and psychosocial needs of residents;
    (C) The resident assessment process;
    (D) The development and use of ISPs;
    (E) Medication administration, including cuing, coaching, and monitoring residents who self-administer medications, with or without assistance;
    (F) The provision of assistance with activities of daily living and personal hygiene;
    (G) Residents’ rights;
    (H) Fire and life safety codes;
    (I) Infection control, including standard precautions to prevent infection;
    (J) Food safety and sanitation;
    (K) First aid and cardiopulmonary resuscitation (CPR);
    (L) Emergency disaster plans;
    (M) Human resource management, including staff employment, orientation and training, employee rights and protection against discrimination, harassment, and wrongful discharge; and
    (N) Financial management.
(d) An ALA shall:
  (1) Employ staff and develop a staffing plan in accordance with this chapter  and based upon the following criteria to assure the safety and proper care of  residents in the ALR:
    (A) The health, mental condition, and psychosocial needs of the residents;
    (B) The fulfillment of the 24-hours-a-day scheduled and unscheduled needs of the residents;
    (C) The size and layout of the ALR;
    (D) The capabilities and training of the employees; and
    (E) Compliance with all of the minimum standards in this chapter;
  (2) Assure that sufficient staff who know how to implement the ALR’s  evacuation plan and emergency management plan are on the premises at all times  to implement emergency procedures;
  (3) Assure that each person employed by the ALR maintains personal  cleanliness and hygiene;
  (4) Develop written job descriptions for staff who are responsible for  providing personal services to residents and provide a copy of the job  description to the employee;
  (5) Assign duties to each staff member consistent with his or her level of  education, preparation, and experience;
  (6) Assure that there is at least one staff member within the ALR at all times who is certified in first-aid and CPR;
  (7) Assure that all members of the staff are mentally and physically capable  of performing their assigned duties;
  (8) Assure that each employee has a background check pursuant to federal and District law executed at the time of initial employment;
  (9) Assure that members of the staff appear to be free from apparent signs  and symptoms of communicable disease, as documented by a written statement  from a healthcare practitioner;
  (10) Remove from duty any staff member who is found to have, or is suspected  of having, a communicable disease or is mentally or physically incapable of  performing her or his duties until the ALA determines that such impairment no  longer exists;
  (11) Maintain personnel records for each employee that include documentation  of criminal background checks, statements of health status, and documentation  of the employee’s communicable disease status;
  (12) Assure that, during periods of temporary absence of the ALA when residents are on the premises, a staff member who is at least 18 years of age  and meets the staffing standards of the ALA required by this section shall  assume responsibilities of the ALA; and
  (13) Complete the training required by § 44-107.02 and 12 additional hours of  training, annually, conducted by a nationally recognized organization that possesses experience in training staff in dementia care, such as the  Alzheimer’s Disease and Related Disorders Association, on managing residents  who are living with cognitive impairments.
(e) Newly hired staff shall have 30 days to document their communicable disease status. For the purposes of this subsection, “newly hired staff” means any individual who is hired by an ALR regardless of the individual’s previous work experience. An employee who is transferring from one ALR to another ALR that is under the same management or ownership, without break in service, shall not be considered newly hired staff.
(f) Employees shall be required on an annual basis to document freedom from tuberculosis in a communicable form.
(g) The staff shall:
  (1) Be at least 21 years of age;
  (2) Possess current and appropriate licensure and certifications as required by law;
  (3) Possess sufficient skills, education, training, and experience to meet the needs of the residents;
  (4) Subject to their assigned duties and responsibilities, possess a satisfactory knowledge of the resident assessment process, use of ISPs, resident health and psychosocial needs, and resident rights;
  (5) Complete initial and ongoing training pertaining to the philosophy of  care in ALRs and meeting the personal care needs of residents; and
  (6) Not work unsupervised without satisfactory completion of the training  required by § 44-107.02 .
(h) Staff who have not completed the training required by § 44-107.02 must work at all times under the supervision of a staff member who has satisfactorily completed this training.
(i) For the purposes of subsection (g)(5) of this section “ongoing training” means a regularly scheduled program of staff training designed by the ALR to assure that all staff who have direct resident contact possess the skills necessary to provide high quality services in a manner appropriate to the philosophy of assisted living and includes staff training in how to monitor changes in a resident’s condition, including physical and cognitive assessments.
D.C. Code § 44-1004.02 — DC Code / Title 44 / Chapter 10 / § 44-1004.02
§ 44-1004.02. Mandamus.
Status: in_force

A resident, a resident’s representative, the Long-Term Care Ombudsman, or the licensee or administrator of a facility may bring an action in court for mandamus to order the Mayor or any District government agency to comply with subchapter III of this chapter , any rule issued by the Mayor pursuant to that subchapter, or any other District or federal law relevant to the operation of a facility or the care of its residents. Any person bringing an action under this section shall give the Mayor at least 5 days advance notice (excluding Saturdays, Sundays, and legal holidays) before the action is filed in court.
D.C. Code § 44-1815 — DC Code / Title 44 / Chapter 18 / § 44-1815
§ 44-1815. Annual report.
Status: repealed

Repealed.
D.C. Code § 44-418 — DC Code / Title 44 / Chapter 4 / § 44-418
§ 44-418. Moratorium on applications.
Status: in_force

The SHPDA may impose a moratorium for up to 120 days on the issuance of certificates of need for any specific type of new institutional health service, if the SHPDA requires additional time to develop and adopt criteria and standards for a new institutional health service. A moratorium may not apply to a certificate of need application which is pending before the SHPDA at the time of the imposition of the moratorium. A particular institutional health services may not be the subject of a moratorium more than once within any 12-month period.
D.C. Code § 44-661.09 — DC Code / Title 44 / Chapter 6A / § 44-661.09
§ 44-661.09. Sunset.
Status: in_force

This chapter shall expire on September 30, 2016.
D.C. Code § 44-1502 — DC Code / Title 44 / Chapter 15 / § 44-1502
§ 44-1502. Society to have certain officers.
Status: in_force

The officers of said corporation shall consist of a president, 5 vice-presidents, 1 secretary, 1 treasurer, an executive committee of 11 members, and such other officers as shall from time to time seem necessary to this Society.
D.C. Code § 44-1811 — DC Code / Title 44 / Chapter 18 / § 44-1811
§ 44-1811. Issuance of certificate as condition precedent.
Status: repealed

Repealed.
D.C. Code § 44-609 — DC Code / Title 44 / Chapter 6 / § 44-609
§ 44-609. Violations and penalties for noncompliance.
Status: in_force

(a) The Attorney General for the District of Columbia may seek injunctive relief if the Attorney General for the District of Columbia determines that a person is offering, developing, or operating a entity in violation of this chapter.
(b) Any person, including the principal officers or agents of the for-profit entity, the healthcare entity, or any other party to a conversion subject to the provisions of this chapter, who violates any provision of this chapter by the willful failure to obtain the approval of the Attorney General for the District of Columbia required by § 44-603 , or who deviates from the provision of any decision approving a conversion issued pursuant to § 44-603 , upon conviction, shall be subject to a fine of not less than $2,500 and not more than $10,000. Each day of a continuing violation shall constitute a separate offense.
D.C. Code § 44-1503 — DC Code / Title 44 / Chapter 15 / § 44-1503
§ 44-1503. Officers to be chosen from members.
Status: in_force

The foregoing officers shall be chosen from among the members of the Society.
D.C. Code § 44-665.19 — DC Code / Title 44 / Chapter 6A / § 44-665.19
§ 44-665.19. Sunset.
Status: in_force

This subchapter shall expire on September 30, 2029.
D.C. Code § 44-805 — DC Code / Title 44 / Chapter 8 / § 44-805
§ 44-805. Use of peer review reports, records, or statements in judicial and administrative proceedings.
Status: in_force

(a) Except as otherwise provided by this section:
  (1) The files, records, findings, opinions, recommendations, evaluations, and reports of a peer review body, information provided to or obtained by a peer review body, the identity of persons providing information to a peer review body, and reports or information provided pursuant to § 44-802 or federal or other District of Columbia law shall be confidential and shall be neither discoverable nor admissible into evidence in any civil, criminal, legislative, or administrative proceeding. Nothing in this paragraph shall preclude use of reports or information provided under § 44-802 or federal or other District of Columbia law by a board regulating a health profession or the Mayor in proceedings by the board or the Mayor.
  (2) No person who participated in the proceedings of or provided information to a peer review body shall be compelled to testify or give discovery in any civil, criminal, legislative, or administrative proceeding relating to any matter presented or discussed at those proceedings, or any information provided to or obtained by any reports, records, opinion, evaluation, finding, or recommendation of the body or its members.
  (3) Notwithstanding paragraphs (1) and (2) of this subsection, a court may order a peer review body to provide information in a criminal proceeding in which a health professional is accused of a felony, if the court determines that disclosure is essential to protect the public interest and that the information being sought can be obtained from no other source. In determining whether disclosure is essential to protect the public interest, the court shall consider the seriousness of the offense with which the health professional is charged, the need for disclosure of the party seeking it, and the probative value of the information. If the court orders disclosure, the identity of any patient shall not be disclosed without the consent of the patient or his legal representative, and the information disclosed shall not be used except in the criminal proceeding.
(b) Notwithstanding subsection (a) of this section, primary health records and other information, documents, or records available from original sources shall not be deemed nondiscoverable or inadmissible merely because they are a part of the files, records, or reports of a peer review body.
(c) This section shall not affect the right of any health professional to discover or to have admitted into evidence the minutes and reports of a peer review body concerning the health professional for the limited purpose of adjudicating the appropriateness of an adverse action affecting the employment, membership, privileges, or association of the health professional by the peer review body.
D.C. Code § 44-1203 — DC Code / Title 44 / Chapter 12 / § 44-1203
§ 44-1203. Establishment of substance abuse treatment facility.
Status: in_force

(a) Within one year from March 15, 1990, the Mayor shall establish a comprehensive substance abuse treatment facility to provide residential and outpatient treatment for persons who suffer from substance abuse, regardless of a person’s ability to pay.
(b) The treatment facility shall be under the management of a director who shall be a qualified health professional appointed by the Mayor.
(c) The treatment facility shall have an initial space and staff capacity to admit at least 250 individuals for inpatient treatment and provide appropriate follow-up treatment on an outpatient basis, except that a minimum of 150 additional beds shall be authorized if federal funds are available to fund the additional beds. The treatment facility subsequently shall be expanded based upon the need and the availability of funds.
(d) The treatment facility shall be centrally managed, but may be physically located at more than one site, if the director determines that separate sites are necessary to provide the most effective treatment.
(e) The treatment facility shall be subject to the certification requirements established by § 44-1204 .
D.C. Code § 44-109.04 — DC Code / Title 44 / Chapter 1 / § 44-109.04
§ 44-109.04. Medication storage.
Status: in_force

(a) The ALA shall provide a secured space for medication storage with access to a sink and cold storage in the same area. Space for necessary medical supplies and equipment shall be provided.
(b) The storage area shall be kept locked when not in use.
(c) The storage area shall be used only for storage of medications and medical supplies.
(d) The key to the storage area shall be kept on the person of the employee on duty who is responsible for administering the medications.
(e) (1) All medications shall be kept in their original packaging and shall be properly labeled and identified.
  (2) The label of each resident’s prescription medication container shall be permanently affixed and contain the resident’s full name, healthcare practitioner’s name, prescription number, name and strength of drug, lot  number, quantity, date of issue, expiration date, manufacturer’s name, if  generic, directions for use, and cautionary or accessory information. Required information appearing on individually packaged drugs or within an alternate medication delivery system need not be repeated on the label.
  (3) All over-the-counter (OTC) medications repackaged by the pharmacy shall  be labeled with an expiration date, name and strength of the drug, lot number,  date of issue, manufacturer’s name if generic, and cautionary or accessory labels, in accordance with U.S.P. regulations. Original manufacturer’s  containers shall be labeled with at least the resident’s name. The name label shall not obstruct any of the aforementioned information.
  (4) In the “unit of use” distribution system, each dose of medication shall  be individually packaged in a hermetically sealed, tamper-proof container, and shall carry full manufacturer’s disclosure information on each discrete dose. Disclosure information shall include product name, strength, lot number, expiration date, and the manufacturer’s distributor’s name.
  (5) Single use and disposable items shall not be reused.
  (6) No stock supply of prescription medications shall be maintained, unless prior approval is obtained from the Mayor.
  (7) Discontinued or expired medications shall be destroyed within 30 days in the ALR, or, if unopened and properly labeled, returned to the pharmacy. All  medication destroyed in the ALR shall be witnessed and documented by two persons, one of whom shall be the ALA or the ALA designee.
  (8) Residents who self-administer may keep and use prescription and nonprescription medications in their units as long as they keep them secured from other residents.
D.C. Code § 44-2107 — DC Code / Title 44 / Chapter 21 / § 44-2107
§ 44-2107. Patients of District and federal government.
Status: repealed

Repealed.
D.C. Code § 44-1510 — DC Code / Title 44 / Chapter 15 / § 44-1510
§ 44-1510. Enforcement of laws by Mayor — Cruelty to animals.
Status: in_force

The Mayor of the District of Columbia is authorized, in his discretion, to detail from time to time 1 or more members of the Metropolitan Police force to aid the Washington Humane Society in the enforcement of laws relating to cruelty to animals as well as of the laws relating to cruelty to children.
D.C. Code § 44-105.03 — DC Code / Title 44 / Chapter 1 / § 44-105.03
§ 44-105.03. Dignity.
Status: in_force

A resident shall have the right to the following:
(1) A safe, clean, comfortable, stimulating, and homelike environment  allowing the resident to use personal belongings to the greatest extent  possible;
(2) Control time, space, and lifestyle;
(3) Free access to visitors of his or her choice;
(4) To receive and send correspondence without any restrictions;
(5) To maintain personal possessions to the extent the health, safety, and  well being of others is not disturbed;
(6) To remain in his or her living unit unless a change corresponds to the  uncoerced preference of the resident or conforms to the obligations set forth  in the resident’s contract respecting discharge and is related to the resident’s preference or to transfer conditions stipulated in his or her contract with the ALR;
(7) To approve his or her roommate whenever possible, if the resident is  living in a semi-private unit;
(8) To attend or not attend religious services of his or her choice;
(9) To choose activities and schedules consistent with his or her interests,  and physical, mental, and psychosocial well-being;
(10) To interact with members of the community inside and outside the  facility and make choices about aspects of his or her life in the facility  that are significant to the resident;
(11) To be free from mental, verbal, emotional, sexual and physical abuse,  neglect, involuntary seclusion, and exploitation; and
(12) To participate in the development, implementation, and review of plans  designed to provide services to residents, including the Individualized  Service Plan.
D.C. Code § 44-508 — DC Code / Title 44 / Chapter 5 / § 44-508
§ 44-508. Reporting to licensing authority.
Status: in_force

(a) (1) A health professional shall submit a report notifying the board, commission, or authority responsible for licensing, registering, or certifying the health professional within 10 business days after:
    (A) The health professional obtains knowledge that a health care licensing authority of another state has taken disciplinary action against him or her; or
    (B) The health professional:
      (i) Has been named in a malpractice suit and received notice of a judgment against him or her in that suit;
      (ii) Has been convicted of a crime; or
      (iii) (I) Is party to a confidential settlement stemming from a malpractice claim to be paid by the health professional, an insurer, or other entity on behalf of the health professional.
        (II) For a report arising from a confidential settlement pursuant to sub-sub-subparagraph (I) of this sub-subparagraph, the health professional shall not include in a report any details required by the settlement to be kept confidential.
  (2) Consistent with paragraph (1) of this subsection, nothing in a confidential settlement agreement between a health professional, the insurer of the health professional, or other entities acting on behalf of the health professional and another person shall operate to prevent the parties to that agreement from filing a complaint with the board, commission, or authority responsible for licensing, registering or certifying the health professional, or from testifying in any investigation conducted by the board, commission, or authority responsible for licensing, registering, or certifying the health professional.
(a-1) A health professional's employer shall submit a report notifying the board, commission, or authority responsible for licensing, registering, or certifying a health professional within 10 business days after:
  (1) The health professional's employer has:
    (A) Reduced, suspended, revoked, or not renewed the health professional's clinical privileges;
    (B) Involuntarily terminated or restricted the health professional's employment or staff membership; or
    (C) Asked the health professional to resign because the health professional's conduct has been determined, pursuant to § 3-1205.14(c) , to have committed a violation listed in § 3-1205.14(a) ; or
  (2) The health professional has voluntarily resigned, or has been asked by the health professional employer to resign, while being investigated by the health professional employer for conduct in violation listed in § 3-1205.14(a) .
(b) The reporting requirement in subsection (a-1) of this section shall not apply to a temporary suspension or relinquishment of privileges or responsibilities if a health professional enters and successfully completes a prescribed program of education or rehabilitation. As soon as there exists no reasonable expectation that he or she will enter and successfully complete such a prescribed program, the health professional's employer shall submit a report forthwith pursuant to subsection (a-1) of this section.
(c) The reports required by subsections (a) and (a-1) of this section shall be sent by registered or certified mail, with return receipt requested, or sent by a courier service, commercial carrier, or personal service, or to a secure email address created by the Department.
(d) In computing the 10 business-day reporting period in subsections (a) and (a-1) of this section, the day of the action or event that gave rise to the requirement to send the report shall not be counted. The last day of the 10-day period shall be counted unless it is a Saturday, Sunday, legal holiday, or day on which the Department of Health is officially closed, in which event the 10-day period shall continue until the next day that is not a Saturday, Sunday, legal holiday, or day on which the Department of Health is officially closed.
(e) The reporting required by subsections (a) and (a-1) of this section shall not act as a waiver of confidentiality of medical records and committee reports. Records reported and obtained under this section shall remain confidential and shall not be disclosed, except as otherwise authorized or required by law. The records shall be used by the board, commission, or authority responsible for licensing, registering or certifying the health professional in the exercise of their functions and shall be made available to the public only as required by subchapter II of Chapter 5 of Title 2 .
(f) Any health professional employer, or employee of such employer, participating in good faith in the making of a report pursuant to this subchapter shall have immunity from liability, administrative, civil, and criminal, that might otherwise be incurred or imposed with respect to the making of the report. The same immunity shall extend to participation in any judicial proceeding involving the report. In all administrative, civil, or criminal proceedings concerning the employee resulting from the report, there shall be a rebuttable presumption that the maker of the report acted in good faith.
D.C. Code § 44-663.18 — DC Code / Title 44 / Chapter 6A / § 44-663.18
§ 44-663.18. Sunset.
Status: in_force

This subchapter shall expire on September 30, 2017.
D.C. Code § 44-663.13 — DC Code / Title 44 / Chapter 6A / § 44-663.13
§ 44-663.13. Hospital provider fee.
Status: in_force

(a) (1) Beginning October 1, 2016, and except as provided in subsection (b) of this section and § 44-663.16 , the District, through the Office of Tax and Revenue, may charge each hospital a fee based on its inpatient net patient revenue.
  (2) The fee shall be charged at a uniform rate necessary to generate no more than $10.4 million. Of this amount, $1.4 million may be used to support the Medicaid Managed Care Organization rates for inpatient hospitalization. The remaining amount shall be used to support the maintenance of inpatient Medicaid Fee-for-Service rates at the District Fiscal Year ("DFY") 2015 level of 98% of cost to non-specialty hospitals.
  (3) The fee collected pursuant to this section shall be deposited in the Hospital Fund, established by § 44-663.12 .
(b) A psychiatric hospital that is an agency or a unit of the District government is exempt from the fee imposed under subsection (a) of this section, unless the exemption is adjudged to be unconstitutional or otherwise invalid, in which case a psychiatric hospital that is an agency or a unit of the District government shall pay the fee imposed by subsection (a) of this section.
(c) If necessary, by August 1, 2016, the Department shall submit a provider tax waiver application to the Center for Medicare and Medicaid Services to ensure the provisions of this subchapter qualify as a broad-based health care related tax, as that term is defined in section 1903(w)(3)(B) of the Social Security Act.
D.C. Code § 44-105.06 — DC Code / Title 44 / Chapter 1 / § 44-105.06
§ 44-105.06. Privacy and confidentiality.
Status: in_force

(a) A resident shall have the right to the following:
  (1) To access their ALA and healthcare records on demand;
  (2) To have their records kept confidential and released only in accordance  with their informed uncoerced consent in accordance with District and federal  law;
  (3) To have their records maintained during their residency;
  (4) To have their records maintained for up to 3 years after discharge or  death; and
  (5) To have any case discussion, consultation, examination, or treatment of  the resident be kept confidential.
(b) If, for any reason, a resident cannot act for him or herself, their consent shall be given on their behalf by their designated surrogate which consent shall also be uncoerced and informed.
D.C. Code § 44-1913 — DC Code / Title 44 / Chapter 19 / § 44-1913
§ 44-1913. Qualifications for membership.
Status: repealed

Repealed.
D.C. Code § 44-663.17 — DC Code / Title 44 / Chapter 6A / § 44-663.17
§ 44-663.17. Rules.
Status: in_force

The Mayor, pursuant to subchapter I of Chapter 5 of Title 2 , may issue rules to implement the provisions of this subchapter .
D.C. Code § 44-1004.04 — DC Code / Title 44 / Chapter 10 / § 44-1004.04
§ 44-1004.04. Court costs and attorney’s fees.
Status: in_force

The court shall award costs and a reasonable attorney’s fee to any plaintiff who prevails in an action brought under this chapter.
D.C. Code § 44-535.04 — DC Code / Title 44 / Chapter 5 / § 44-535.04
§ 44-535.04. Severability.
Status: in_force

Any paragraph or subparagraph or any elements thereof of any section and each section and each paragraph and/or subparagraph of each section are hereby deemed as separate and independent.
D.C. Code § 44-661.07 — DC Code / Title 44 / Chapter 6A / § 44-661.07
§ 44-661.07. Multi-hospital systems, closure, merger, and new hospitals. [Expired.].
Status: repealed

Expired.
D.C. Code § 44-1102.11 — DC Code / Title 44 / Chapter 11 / § 44-1102.11
§ 44-1102.11. Conflict of interest.
Status: repealed

Repealed.
D.C. Code § 44-951.09 — DC Code / Title 44 / Chapter 9A / § 44-951.09
§ 44-951.09. Budget.
Status: in_force

(a) The Board shall submit its proposed fiscal year 2011 operating budget and each subsequent operating budget for the Corporation to the Mayor on the date that District departments and agencies are required to submit proposed budgets to the Mayor. Prior to submission to the Mayor, the proposed operating budget must be certified by the Chief Financial Officer of the District of Columbia as being balanced.
(b) (1) If any of the conditions set forth in § 44-951.04(l) has been met, the Fiscal Management Board shall meet no later than 45 days thereafter and approve an operating budget that requires a subsidy from the District no greater than $40 million in Fiscal Year 2021, no greater than $22 million per year in Fiscal Years 2022 through 2024, and no greater than $26 million per year thereafter, that supports the following services:
    (A) An emergency department;
    (B) Behavioral health (e.g., psychiatric) services;
    (C) The inpatient, outpatient, and support services necessary to provide services pursuant to subparagraphs (A) and (B) of this paragraph; and
    (D) Any additional critical care services meeting a community need that the Fiscal Management Board deems viable within the budget and financial plan for UMC adopted by the Council.
  (2) No later than 15 days after the approval by the Fiscal Management Board of an operating budget pursuant to paragraph (1) of this subsection, the Chief Financial Officer of the District of Columbia shall determine whether the budget approved by the Financial Management Board can be certified as meeting the requirements set forth in paragraph (1) of this subsection.
  (3) The following requirements shall govern any reduction-in-force ("RIF") necessitated by an operating budget adopted pursuant to paragraph (1) of this subsection:
    (A) Before implementing a RIF, the United Medical Center shall provide 30 days' notice to the affected unions.
    (B) In structuring a RIF, the Fiscal Management Board shall make utmost efforts to ensure that front-line care givers and support staff are affected the least and that all reductions comply with any existing collective bargaining agreement.
  (4) (A) By July 1, 2021, the Fiscal Management Board shall develop an operational plan for the Corporation with an implementation schedule providing for reductions in services and staffing necessary to meet the requirements set forth in paragraph (1) of this subsection through the time of dissolution of the Corporation under § 44-951.04 . The Fiscal Management Board shall make the best effort to ensure that the nonsupervisory employees will be the last staff to be impacted by reduction of staffing after supervisory and contracted staff have been impacted; provided, that any staffing plan or decisions regarding reductions in staffing made by the Fiscal Management Board shall prioritize the health and safety of patients.
    (B) The budgetary aspects of the operational plan shall be certifiable by the Chief Financial Officer, and then, no later than 15 days after the approval by the Fiscal Management Board of an operational plan pursuant to subparagraph (A) of this paragraph, the Chief Financial Officer of the District of Columbia shall certify that the operational plan will satisfy the requirements set forth in paragraph (1) of this subsection.
    (C) Beginning October 1, 2021, the Corporation shall produce quarterly financial reports subject to audit by the Chief Financial Officer measuring progress against the operational plan.
    (D) Copies of such reports shall also be filed with the Secretary of the Council of the District of Columbia.
    (E) The Fiscal Management Board shall make adjustments to the Corporation's budget and operations as necessary to maintain spending within the requirements of paragraph (1) of this subsection
D.C. Code § 44-1102.16 — DC Code / Title 44 / Chapter 11 / § 44-1102.16
§ 44-1102.16. Terms for sale of bonds; additional bond and note provisions.
Status: repealed

Repealed.
D.C. Code § 44-1102.02 — DC Code / Title 44 / Chapter 11 / § 44-1102.02
§ 44-1102.02. Establishment of the District of Columbia Health and Hospitals Public Benefit Corporation.
Status: repealed

Repealed.
D.C. Code § 44-151.01 — DC Code / Title 44 / Chapter 1A / § 44-151.01
§ 44-151.01. Definitions.
Status: in_force

For the purposes of this chapter, the term:
(1) “Assisted living” means an assisted living residence as defined in § 44-102.01(4) .
(2) “Commissioner” means the Commissioner of the Department of Insurance, Securities, and Banking.
(3) “Continuing care facility” means a building, or complex of buildings under one management at one or more sites, if continuing care services are provided.
(4) “Continuing care services” means the continuum of care, ranging from independent living to assisted living to nursing home care, provided pursuant to a contract for the life of the individual purchasing the services or for a period of not less than one year.
(5) “Entrance fee” means a payment that assures a resident a place in a facility for a term of at least a year or for life.
(6) “Hazardous financial condition” means a provider is insolvent or in imminent danger of becoming insolvent.
(7) “Independent living” means an individual residing in a continuing care facility’s living unit with no need for specialized health care services beyond general preventative health care.
(8) “Living unit” means a room, apartment, cottage, or other area within a continuing care facility set aside for the exclusive use or control of one or more identified residents.
(9) “Nursing home” means a nursing home as defined in § 44-501(3) .
(10) “Provider” means the promoter, developer, or owner, whether a natural person, partnership, or other unincorporated association, however organized, trust, or corporation, whether operated for profit or not, or any other person, that solicits or undertakes to provide continuing care services.
(11) “Resident” means a purchaser of, a nominee of, or a subscriber to, a continuing care contract.
D.C. Code § 44-105.07 — DC Code / Title 44 / Chapter 1 / § 44-105.07
§ 44-105.07. Full disclosure.
Status: in_force

A resident shall have the right to full disclosure of contract terms and billing practices that are fair and reasonable.
D.C. Code § 44-665.07 — DC Code / Title 44 / Chapter 6A / § 44-665.07
§ 44-665.07. Multi-hospital systems, closure, merger, and new hospitals.
Status: in_force

(a) If a hospital system owns, operates, or maintains more than one hospital licensed by the Department of Health, the hospital system shall pay the fee for each hospital separately.
(b) (1) Notwithstanding any other provision in this subchapter , if a hospital system or person ceases to own, operate, or maintain a hospital that is subject to a fee under § 44-665.03 , as evidenced by the transfer or surrender of the hospital license, the fee for the fiscal year in which the cessation occurs shall be adjusted by multiplying the fee computed under § 44-665.03 by a fraction, the numerator of which is the number of days in the year during which the hospital system or person conducted, operated, or maintained the hospital, and the denominator of which is 365.
  (2) Within 15 days after ceasing to own, operate, or maintain a hospital, the hospital system or person shall pay the fee for the year as so adjusted, to the extent not previously paid.
D.C. Code § 44-662.04 — DC Code / Title 44 / Chapter 6A / § 44-662.04
§ 44-662.04. Quarterly notice and collection.
Status: in_force

(a) The fee imposed under § 44-662.03 shall be due and payable by the 15th of the last month of each DFY quarter.
(b) The fee imposed under § 44-662.03 shall be calculated, due, and payable on a quarterly basis, but shall not be due and payable until the District issues written notice to each hospital informing the hospital of its fee rate, inpatient net patient revenue subject to the fee, and the fee amount owed on a quarterly basis, including, in the initial written notice from the District to the hospital, all fee amounts owed beginning with the period October 1, 2015, to ensure all applicable fee obligations have been identified.
(c) (1) If a hospital fails to pay the full amount of its fee by the date required, the unpaid balance shall accrue interest at the rate of 1.5% per month or any fraction thereof, which shall be added to the unpaid balance.
  (2) The Chief Financial Officer may arrange a payment plan for the amount of the fee and interest in arrears.
(d) The payment by the hospital of the fee created in this chapter shall be reported as an allowable cost for purposes of Medicaid hospital reimbursement.
D.C. Code § 44-103.08 — DC Code / Title 44 / Chapter 1 / § 44-103.08
§ 44-103.08. Appeals.
Status: in_force

Appeals under this subchapter may be taken pursuant to subchapter XII of this chapter .
D.C. Code § 44-110.03 — DC Code / Title 44 / Chapter 1 / § 44-110.03
§ 44-110.03. General building exterior.
Status: in_force

(a) An ALR shall ensure that the exterior of its facility, including walkways, yards, porches, chimney, gutters, downspouts, paintable surfaces, and accessory buildings are maintained structurally sound, sanitary, and in good repair.
(b) An ALR that provides services to residents who use wheelchairs, shall make reasonable accommodations to render the ALR accessible to residents who use wheelchairs through the installation of a chair lift, curbcuts, an exterior ramp, or like accommodations.
D.C. Code § 44-951.11 — DC Code / Title 44 / Chapter 9A / § 44-951.11
§ 44-951.11. Procurement law inapplicable.
Status: in_force

(a) Chapter 3A of Title 2 and its implementing regulations shall not apply to the Corporation; except, that the Corporation shall be required to comply with the requirements regarding multiyear contracts and contracts in excess of $1 million during a 12-month period pursuant to §§ 1-204.51 and 2-352.02 .
(b) Procurement policies employed by the United Medical Center on the day prior to September 14, 2011, shall continue until the Corporation develops new procurement policies.
D.C. Code § 44-151.17 — DC Code / Title 44 / Chapter 1A / § 44-151.17
§ 44-151.17. Rulemaking authority; reasonable time to comply with rules.
Status: in_force

(a) The Mayor may promulgate rules to carry out and enforce the provisions of this chapter.
(b) Any provider who is offering continuing care shall be given a reasonable time, not to exceed one year from the date of publication of any applicable rules promulgated pursuant to this chapter, within which to comply with the rules and to obtain a license.
D.C. Code § 44-664.07 — DC Code / Title 44 / Chapter 6A / § 44-664.07
§ 44-664.07. Multi-hospital systems, closure, merger, and new hospitals.
Status: in_force

(a) If a hospital system conducts, operates, or maintains more than one hospital licensed by the Department of Health, the hospital system shall pay the fee for each hospital separately.
(b) (1) Notwithstanding any other provision in this subchapter , if a hospital system or person ceases to conduct, operate, or maintain a hospital that is subject to a fee under § 44-664.03 , as evidenced by the transfer or surrender of the hospital license, the fee for the DFY in which the cessation occurs shall be adjusted by multiplying the fee computed under § 44-664.03 by a fraction, the numerator of which is the number of days in the year during which the hospital system or person conducted, operated, or maintained the hospital, and the denominator of which is 365.
  (2) Immediately upon ceasing to conduct, operate, or maintain a hospital, the hospital system or person shall pay the fee for the year as so adjusted, to the extent not previously paid.
(c) Notwithstanding any other provision in this subchapter a hospital system or person who conducts, operates, or maintains a hospital, upon notice by the Department, shall pay the fee computed under § 44-664.03 and subsection (a) of this section in installments on the due date stated in the notice and on the regular installment due dates for the DFY occurring after the due dates of the initial notice.
D.C. Code § 44-665.18 — DC Code / Title 44 / Chapter 6A / § 44-665.18
§ 44-665.18. Rules.
Status: in_force

The Mayor, pursuant to subchapter I of Chapter 5 of Title 2 , may issue rules to implement the provisions of this subchapter .
D.C. Code § 44-1707 — DC Code / Title 44 / Chapter 17 / § 44-1707
§ 44-1707. Representations as to finding by Mayor in regard to registration certificate or solicitor card prohibited.
Status: in_force

No person shall make or cause to be made any representation that the issuance of a certificate of registration or of a solicitor information card is a finding by the Mayor:
(1) That the statements contained in the registrant’s application are true and accurate;
(2) That the application does not omit a material fact; or
(3) That the Mayor has in any way passed upon the merits or given approval to such solicitation.
D.C. Code § 44-1002.07 — DC Code / Title 44 / Chapter 10 / § 44-1002.07
§ 44-1002.07. Termination of receivership.
Status: in_force

(a) Except as provided in subsection (b) of this section, a receivership shall terminate when:
  (1) The person who will assume control of the facility has been granted a current license by the Mayor and:
    (A) The time period specified in the order appointing the receiver elapses and is not extended; or
    (B) The court determines the receivership is no longer necessary because the grounds on which it was based no longer exist; or
  (2) The facility is closing and all of its residents have been transferred or discharged.
(b) (1) Notwithstanding subsection (a) of this section, a receivership of a private facility shall not be terminated in favor of any person who was the licensee or administrator at the time a petition was filed under § 44-1002.03 , or, in the discretion of the court, any person who is or was an affiliate of the licensee or administrator, unless he or she first:
    (A) Reimburses the District government for any increase in Medicaid expenditures needed to finance the receiver’s bond premium under § 44-1002.05(c)(2) , to pay the receiver’s fee under § 44-1002.06(h) , or to correct deficiencies caused by the licensee’s or administrator’s own negligence; and
    (B) Reimburses the District government for any amount it loaned the receiver for major repairs or improvements to the facility, or assumes an obligation to repay the loan and provides collateral or other assurance of payment deemed sufficient by the Mayor.
  (2) The court may in addition require that, before a person specified in paragraph (1) of this subsection resumes control of a facility, he or she post bond in an amount it deems appropriate as security against future noncompliance with the law. If the receivership is not reinstated under subsection (c) of this section, the bond money shall be returned.
(c) Should it appear that, within 2 years after a receivership is terminated in favor of a person specified in subsection (b)(1) of this section, that person is not maintaining the facility in substantial compliance with all applicable laws, and should the court so find after granting notice and a hearing to all parties to the earlier receivership proceeding, the previous order appointing a receiver may be reinstated. A receiver thus reappointed may use all or part of any bond posted pursuant to subsection (b)(2) of this section to remedy the deficiencies.
D.C. Code § 44-1921 — DC Code / Title 44 / Chapter 19 / § 44-1921
§ 44-1921. Staff members.
Status: repealed

Repealed.
D.C. Code § 44-1204 — DC Code / Title 44 / Chapter 12 / § 44-1204
§ 44-1204. Certification requirements.
Status: in_force

(a) Any public or private person, partnership, corporation, association, charitable organization, or other legally-constituted entity, whether for profit or not for profit, that provides or offers to provide nonhospital residential or outpatient treatment for substance abuse shall be certified by the Mayor as a condition of operation and shall operate in compliance with the standards necessary to maintain certification.  The Mayor may certify a facility as qualified to provide nonhospital residential treatment, outpatient treatment, or both.
(b) To qualify for certification, a substance abuse treatment facility shall demonstrate to the satisfaction of the Mayor that the treatment facility meets the standards established by § 31-3106(c)(1) , (2), and (3).
(c) In addition to the requirement set forth in subsection (b) of this section, a substance abuse treatment facility that offers or proposes to offer nonhospital residential treatment shall demonstrate to the satisfaction of the Mayor that it has the staff, space, and financial resources to provide each patient with a sufficient number of consecutive days of nonhospital residential care to treat the substance abuse disorder that the patient experiences.
(d) In addition to the requirement set forth in subsection (b) of this section, a substance abuse treatment facility that offers or proposes to offer outpatient treatment shall demonstrate to the satisfaction of the Mayor that it has the staff, space, and financial resources to provide each patient with a sufficient number of treatment sessions on a regular schedule to treat the substance abuse disorder that the patient experiences.
(e) The Mayor, after the provision of notice and an opportunity for a hearing in accordance with § 2-509 , shall suspend or revoke the certification of a substance abuse treatment facility upon a determination by the Mayor that the substance abuse treatment facility is not in substantial compliance with the requirements of subsection (b) and subsection (c) or (d) of this section, whichever is applicable.  If the Mayor suspends certification of a treatment facility pursuant to this subsection, the period of suspension shall be for a fixed period of time and shall be specified by the Mayor in the suspension order.
(f) The penalty for the operation of a substance abuse treatment facility without the certification required by this section shall be:
  (1) A civil fine of not less than $100 for each day of operation without  certification; and
  (2) Revocation of the certificate of occupancy issued by the Department of Consumer and Regulatory Affairs for the premises occupied by the substance  abuse treatment facility.
(g) Any certification issued pursuant to this section shall be issued as a Public Health: Health Care Facility endorsement to a basic business license under the basic business license system as set forth in subchapter I-A of Chapter 28 of Title 47 .
D.C. Code § 44-664.02 — DC Code / Title 44 / Chapter 6A / § 44-664.02
§ 44-664.02. Hospital Provider Fee Fund.
Status: in_force

(a) There is established as a special fund the Hospital Provider Fee Fund ("Fund"), which shall be administered by the Department in accordance with subsections (c) and (d) of this section.
(b) Revenue from the following sources shall be deposited in the Fund:
  (1) Fees collected under this subchapter ; and
  (2) Interest and penalties collected under this subchapter .
(c) Money in the Fund may only be used for the following purposes:
  (1) Making Medicaid outpatient hospital access payments to hospitals as required under § 44-664.05 , either directly or through payments to managed care organizations;
  (2) Payment of administrative expenses incurred by the Department or its agent in performing the activities authorized by this subchapter in an amount not to exceed $150,000 annually; and
  (3) Providing refunds to hospitals pursuant to § 44-664.04 .
(d) Money in the Fund may not be used to replace money appropriated to the Medicaid program.
(e) (1) The money deposited into the Fund shall not revert to the unrestricted fund balance of the General Fund of the District of Columbia at the end of a fiscal year, or at any other time.
  (2) Subject to authorization in an approved budget and financial plan, any funds appropriated in the Fund shall be continually available without regard to fiscal year limitation.
D.C. Code § 44-205 — DC Code / Title 44 / Chapter 2 / § 44-205
§ 44-205. License requirements for physician office laboratories.
Status: repealed

Repealed.
D.C. Code § 44-951.14 — DC Code / Title 44 / Chapter 9A / § 44-951.14
§ 44-951.14. Representation and indemnification.
Status: in_force

(a) The officers and employees of the Corporation shall not be considered District government employees for purposes of subchapter II of Chapter 4 of Title 2 [ § 2-411 et seq.], and the District of Columbia shall not be liable for any acts or occurrences of the Corporation regardless of whether the Corporation purchases insurance or whether purchased insurance covers any act or omission of an act.
(b) The District of Columbia may, upon request by the Corporation and at the discretion of the Attorney General for the District of Columbia (“Attorney General”), provide representation through the Office of the Attorney General to the Corporation and its officers and employees for legal matters related to their official duties.
(c) The Corporation may retain outside counsel, other than the Attorney General, at its own expense to provide representation for the Corporation and its officers and employees in actual or anticipated litigation related to their official duties and functions or in any other legal proceeding, lawsuit, grievance, or arbitration filed against the Corporation, its officers, or its employees.
(d) An action other than an action for medical negligence or malpractice may not be maintained against the Corporation for unliquidated damages to persons or property unless, within 6 months after the injury or damage was sustained, the claimant, his agent, or attorney has given notice in writing to the CEO of the approximate time, place, cause, and circumstances of the injury or damage.
(e) The District of Columbia and its officers and employees shall not be liable for and may not be made a party to any lawsuits or claims arising from the operation of the Corporation.
D.C. Code § 44-951.10 — DC Code / Title 44 / Chapter 9A / § 44-951.10
§ 44-951.10. Transfer of employees.
Status: in_force

(a) The employees of United Medical Center shall be transferred to the Corporation with the same rights and obligations they enjoyed as employees of the United Medical Center.
(b) The employees transferred from the United Medical Center to the Corporation shall not be governed by Chapter 6 of Title 1 [ § 1-601.01 et seq.], or its implementing regulations and shall not enjoy any rights, benefits, or obligations afforded by Chapter 6 of Title 1 .
D.C. Code § 44-665.02 — DC Code / Title 44 / Chapter 6A / § 44-665.02
§ 44-665.02. Inpatient Hospital Directed Payment Provider Fee Fund.
Status: in_force

(a) There is established as a special fund the Inpatient Hospital Directed Payment Provider Fee Fund, which shall be administered by the Department in accordance with subsections (c) and (d) of this section.
(b) Revenue from the following sources shall be deposited in the Fund:
  (1) Fees collected under this subchapter ; and
  (2) Interest and penalties collected under this subchapter .
(c) Money in the Fund shall be used only for the following purposes:
  (1) Making separate payments to Medicaid managed care organizations to fund Medicaid inpatient hospital directed payments to hospitals as required under § 44-665.05 ;
  (2) Providing refunds to hospitals pursuant to § 44-665.04 ; and
  (3) Through the District retention:
    (A) Paying the salary and fringe benefits of one full-time equivalent staff position at the Department;
    (B) Funding the local match for Medicaid fee-for-service hospital reimbursements;
    (C) Funding Chapter 38F of Title 31 , using an amount from the District retention equal to 1.125% of the fees collected under this subchapter ; and
    (D) Making a transfer to Local Funds in an amount not to exceed 13.125% of the fees collected under this subchapter .
(d) (1) Except as otherwise provided in subsection (c)(3)(D) of this section, the money deposited into the Fund shall not revert to the unrestricted fund balance of the General Fund of the District of Columbia at the end of a fiscal year, or at any other time.
  (2) Subject to authorization in an approved budget and financial plan, any funds appropriated in the Fund shall be continually available without regard to fiscal year limitation.
D.C. Code § 44-109.01 — DC Code / Title 44 / Chapter 1 / § 44-109.01
§ 44-109.01. Responsibilities of the ALR personnel in medication management.
Status: in_force

An ALA shall ensure that an initial assessment identifies whether a resident:
(1) Is capable of self-administering his or her own medications;
(2) Is capable of self-administering his or her own medication, but requires a reminder to take medications or requires physical assistance with opening  and removing medications from the container, or both; or
(3) Requires that medications be administered by a TME or a licensed nurse.
D.C. Code § 44-1955 — DC Code / Title 44 / Chapter 19 / § 44-1955
§ 44-1955. Confidentiality of medical records and information.
Status: repealed

Repealed.
D.C. Code § 44-661.03 — DC Code / Title 44 / Chapter 6A / § 44-661.03
§ 44-661.03. Hospital provider fee. [Expired].
Status: repealed

Expired.
D.C. Code § 44-2106 — DC Code / Title 44 / Chapter 21 / § 44-2106
§ 44-2106. Private patients.
Status: repealed

Repealed.
D.C. Code § 44-151.18 — DC Code / Title 44 / Chapter 1A / § 44-151.18
§ 44-151.18. Continuing Care Retirement Community Regulatory and Supervision Trust Account.
Status: in_force

All fees, fines, penalties, and assessments received by the Commissioner under this chapter shall be deposited in, and credited to, the Continuing Care Retirement Community Regulatory and Supervision Trust Account established by § 31-1202(b-2) and expended in accordance with § 31-1202(b-2) .
D.C. Code § 44-773 — DC Code / Title 44 / Chapter 7 / § 44-773
§ 44-773. Private facilities — Violations of provisions or regulations.
Status: repealed

Repealed.
D.C. Code § 44-909 — DC Code / Title 44 / Chapter 9 / § 44-909
§ 44-909. Buy American provisions.
Status: in_force

(a) Generally. — The Mayor shall insure that the requirements of the Buy American Act of 1933, as amended, apply to all procurements made under this subchapter.
(b) Determination by the Mayor. — (1) If the Mayor, after consultation with the United States Trade Representative, determines that a foreign country which is party to an agreement described in paragraph (2) of this subsection  has violated the terms of the agreement by discriminating against certain types of products produced in the United States that are covered by the agreement, the United States Trade Representative shall rescind the waiver of the Buy American Act with respect to such types of products produced in that foreign country.
  (2) An agreement referred to in paragraph (1) of this subsection is any agreement, between the United States and a foreign country pursuant to which the head of an agency of the United States Government has waived the requirements of the Buy American Act with respect to certain products produced in the foreign country.
(c) Report to Congress. — The Mayor shall submit to Congress a report on the amount of purchases from foreign entities under this subchapter from foreign entities in fiscal years 1992 and 1993. Such report shall separately indicate the dollar value of items for which the Buy American Act was waived pursuant to any agreement described in subsection (b)(2) of this section, the Trade Agreement Act of 1979 (19 U.S.C. 2501 et seq.), or any international agreement to which the United States is a party.
(d) Buy American Act defined. — For purposes of this section, the term “Buy American Act” means title III of the Act entitled “An Act making appropriations for the Treasury and Post Office Departments for the fiscal year ending June 30, 1934, and for other purposes”, approved March 3, 1933 (41 U.S.C. 10a et seq.).
(e) Restrictions on contract awards. — No contract or subcontract made with funds authorized under this subchapter may be awarded for the procurement of an article, material, or supply produced or manufactured in a foreign country whose government unfairly maintains in government procurement a significant and persistent pattern or practice of discrimination against United States products or services which results in identifiable harm to United States businesses, as identified by the President pursuant to (g)(1)(A) of section 305 of the Trade Agreements Act of 1979 (19 U.S.C. 2515(g)(1)(A)). Any such determination shall be made in accordance with section 305 [of such act].
(f) Prohibition against fraudulent use of “Made in America” labels. — If it has been finally determined by a court or Federal agency that any person intentionally affixed a label bearing a “Made in America” inscription, or any inscription with the same meaning, to any product sold in or shipped to the United States that is not made in the United States, that person shall be ineligible to receive any contract or subcontract under this subchapter, pursuant to the debarment, suspension, and ineligibility procedures in subpart 9.4 of chapter 1 of title 48 , Code of Federal Regulations.
D.C. Code § 44-109.02 — DC Code / Title 44 / Chapter 1 / § 44-109.02
§ 44-109.02. Pre-admission medication management assessment.
Status: in_force

Within 30 days prior to admission, the ALR shall consult with the prospective resident’s healthcare practitioner regarding:
(1) The prospective resident’s current medication profile, including a review  of nonprescription drugs;
(2) Possible adverse interactions;
(3) Common expected or unexpected side effects; and
(4) The potential that such medications have to act as chemical restraints.
D.C. Code § 44-207 — DC Code / Title 44 / Chapter 2 / § 44-207
§ 44-207. Inspections.
Status: in_force

(a) The Mayor shall conduct inspections of clinical laboratories licensed to perform moderately complex and highly complex tests, including inspections of their methods, procedures, materials, staff, and equipment and may conduct inspections of clinical laboratories licensed to perform only waived tests.
(b) To ensure that each clinical laboratory is in compliance with the provisions of this chapter, and the rules issued pursuant to this chapter, the Mayor shall conduct an on-site inspection prior to the laboratory’s initial licensure and before each license renewal. Temporary licenses or renewals may be granted for a period not to exceed 60 days to afford the Mayor sufficient time to conduct the on-site inspection. The Mayor may issue a provisional license for less than one year to a new clinical laboratory, pending satisfactory completion of additional follow-up inspections.
D.C. Code § 44-665.14 — DC Code / Title 44 / Chapter 6A / § 44-665.14
§ 44-665.14. Federal Determination; Suspension and Termination of Assessment; and Applicability of fees.
Status: in_force

(a) The fee imposed by § 44-665.13 shall be applicable as of October 1, 2024.
(b) The fee imposed by § 44-665.13 shall cease to be imposed, and any moneys remaining in the Fund shall be refunded to hospitals in proportion to the amounts paid by them if the payments under § 44-665.15 are not eligible for federal matching funds or if the fee is deemed to be an impermissible tax under section 1903(w) of the Social Security Act, approved July 30, 1965 (79 Stat. 349; 42 U.S.C. § 1396b(w)).
(c) The Department shall work with District hospitals and the District of Columbia Hospital Association to create a plan to address needs in the community, including:
  (1) Maternal and child health outcomes;
  (2) Discharge for long term care and transitions of care plans;
  (3) Substance use; and
  (4) Workforce pipelines.
D.C. Code § 44-665.17 — DC Code / Title 44 / Chapter 6A / § 44-665.17
§ 44-665.17. Multi-hospital systems, closure, merger, and new hospitals.
Status: in_force

(a) If a hospital system owns, operates, or maintains more than one hospital licensed by the Department of Health, the hospital system shall pay the fee for each hospital separately.
(b) (1) Notwithstanding any other provision in this subchapter , if a hospital system or person ceases to own, operate, or maintain a hospital that is subject to a fee under § 44-665.13 , as evidenced by the transfer or surrender of the hospital license, the fee for the fiscal year in which the cessation occurs shall be adjusted by multiplying the fee computed under § 44-665.13 by a fraction, the numerator of which is the number of days in the year during which the hospital system or person conducted, operated, or maintained the hospital, and the denominator of which is 365.
  (2) Within 15 days after ceasing to own, operate, or maintain a hospital, the hospital system or person shall pay the fee for the year as so adjusted, to the extent not previously paid.
D.C. Code § 44-2112 — DC Code / Title 44 / Chapter 21 / § 44-2112
§ 44-2112. Real property or tangible personal property.
Status: repealed

Repealed.
D.C. Code § 44-665.06 — DC Code / Title 44 / Chapter 6A / § 44-665.06
§ 44-665.06. Quarterly notice and collection.
Status: in_force

(a) The fee imposed under § 44-665.03 shall be calculated on a quarterly basis and shall be due and payable by the 15th day after the last month of each quarter; provided, that the fee shall not be due and payable until:
  (1) The District issues written notice that the payment methodologies for payments to hospitals required under § 44-665.05 have been approved by the Centers for Medicare and Medicaid Services; and
  (2) The District issues written notice to the hospital informing the hospital of its fee rate, inpatient net patient revenue subject to the fee, and the fee amount owed on a quarterly basis, including, in the initial written notice from the District to the hospital, all fee amounts owed beginning with the period commencing on October 1, 2024.
(b) (1) If a hospital fails to pay the full amount of the fee in accordance with this subchapter , the unpaid balance shall accrue interest at the rate of 1.5% per month or any fraction thereof, which shall be added to the unpaid balance.
  (2) The Chief Financial Officer may arrange a payment plan for the amount of the fee and interest in arrears.
D.C. Code § 44-731 — DC Code / Title 44 / Chapter 7 / § 44-731
§ 44-731. Fees for clinical services.
Status: in_force

(a) A fee, based on rates to be established by the Mayor, shall be charged to each person who is not indigent for all clinical services provided at District of Columbia health clinics. The Mayor’s authority to set such fees at D.C. General Hospital and for those services provided at the Ambulatory Health Care Administration community health clinics shall terminate on the date that the Board of Directors of the District of Columbia Health and Hospitals Public Benefit Corporation has its first meeting in accordance with § 44-1102.04(h) [repealed].
(b) The following clinical health services shall be provided by the Mayor at District of Columbia health clinics, including the outpatient clinic at the D.C. General Hospital, through contractual arrangements with private agencies or providers, or through other alternative arrangements:
  (1) Screening services:
    (A) Hypertension;
    (B) Sickle cell anemia; and
    (C) Asbestosis, cancer of the stomach, cancer of the colon, rectal cancer, and other diseases resulting from prolonged exposure to asbestos. Free screening services for these diseases shall be provided only to those persons who have been identified as having a high risk of asbestos related disease and who do not have any form of health insurance in accordance with recommendations of the Task Force on Asbestos Abatement and rules and regulations issued by the Mayor.
  (2) Screening and treatment services:
    (A) Drug addiction;
    (B) Lead poisoning;
    (C) Venereal disease;
    (D) Tuberculosis outpatient care; and
    (E) Forensic psychiatry.
  (3) Immunization services:
    (A) Communicable disease in adults and children; and
    (B) Rabies in animals.
(c) (1) The Mayor may determine that certain services will be provided without charge to all patients, because such a policy is determined to be in the public interest on the basis of any of the following health factors:
    (A) Threat of communicable disease;
    (B) Danger to the public health; or
    (C) Mortality and morbidity related to a specific disease.
  (2) All clinical health services shall be provided, without charge, at District of Columbia health clinics, including the outpatient clinic at the D.C. General Hospital, to persons who are receiving assistance under subchapter VII of Chapter 2 of Title 4 , and who do not receive assistance under Medicaid.
(d) At the beginning of each fiscal year, the Mayor shall cause to be published in the District of Columbia Register a list of those services, if any, rendered free of charge by city clinics and by the D.C. General Hospital in the public interest.
(e) For purposes of this subchapter, the term “clinical services” shall include all health services rendered by the District in an ambulatory setting, including mental health, alcoholism, and drug treatment services.
D.C. Code § 44-151.14 — DC Code / Title 44 / Chapter 1A / § 44-151.14
§ 44-151.14. Civil liability.
Status: in_force

(a) Any provider, facility, or person who enters into a contract for continuing care at a facility without having first delivered a disclosure statement meeting the requirements of this chapter to the person contracting for continuing care, or enters into a contract for continuing care at a facility with a person who has relied on a disclosure statement that omits to state, or misstates, a material fact required to be stated therein or necessary in order to make the statements made therein, in light of the circumstances under which they are made, not misleading, shall be liable to the person contracting for continuing care for actual damages and repayment of all fees paid to the provider, facility, or person violating this chapter, less the reasonable value of care and lodging provided to the resident by or on whose behalf the contract for continuing care was entered into prior to discovery of the violation, misstatement, or omission or the time the violation, misstatement, or omission should reasonably have been discovered, together with interest thereon at the legal rate for judgments, court costs, and reasonable attorneys’ fees. The interest shall accrue on the date of entering into a contract or when the resident or their representative knew or should have known of the violation, omission, or misstatement, whichever is later.
(b) Liability under this section shall exist regardless of whether the provider or person liable had actual knowledge of the misstatement or omission.
(c) A person shall not file or maintain an action under this section if the person, before filing the action, received a written offer of a refund of all amounts paid the provider, facility, or person violating this chapter, together with interest at the legal rate for judgments, less the current contractual value of care and lodging provided prior to receipt of the offer, and if the offer recited the provisions of this section and the recipient of the offer failed to accept it within 30 days of actual receipt. The interest shall begin to accrue on the date of entering into a contract or when the resident or their representative knew or should have known of the violation, omission, or misstatement, whichever is later. Nothing in this subsection shall prohibit the Mayor from bringing an action for a violation of this chapter.
(d) An action shall not be maintained to enforce a liability created under this chapter unless brought before the expiration of 3 years after the execution of the contract for continuing care that gave rise to the violation or the date when the resident or his or her representative knew or should have known of the violation, omission, or misstatement, whichever is earlier.
(e) The Mayor may impose civil penalties or take other action appropriate to correct violations of this chapter. The Mayor may bring an action to enforce this chapter.
D.C. Code § 44-302.02 — DC Code / Title 44 / Chapter 3 / § 44-302.02
§ 44-302.02. Standing referrals to specialists.
Status: in_force

(a) In general, subject to subsection (b) of this section, a health benefits plan shall permit a member to receive medically necessary or appropriate specialty care for more than one visit without having to obtain the insurer’s approval for subsequent visits authorized by a primary care provider.
(b) Subsection (a) of this section shall not apply to specialty care if the insurer informs the member, orally and in writing, of any limitation on the choice of participating providers with respect to such care.
D.C. Code § 44-1003.09 — DC Code / Title 44 / Chapter 10 / § 44-1003.09
§ 44-1003.09. Hearing to review Mayor’s decision to transfer or discharge.
Status: in_force

(a) Within 10 calendar days after a transfer or discharge by the Mayor, the licensee or administrator of the facility, any resident transferred or discharged, and the representative of any resident transferred or discharged may contest the transfer or discharge by submitting to the Mayor a written request for a hearing. The Mayor shall hold a hearing and render a decision within 30 calendar days after a timely hearing request is received.
(b) A resident who is transferred or discharged from a facility by the Mayor under § 44-1003.05 shall be liable to that facility only for the costs of his or her maintenance incurred before the transfer or discharge.
(c) If as a result of a hearing held under this section a resident is to be returned to a facility, the Mayor shall facilitate that return if the licensee or administrator of the facility, resident, or resident’s representative requests assistance.
D.C. Code § 44-1202 — DC Code / Title 44 / Chapter 12 / § 44-1202
§ 44-1202. Eligibility for treatment for substance abuse.
Status: in_force

(a) Each District resident who meets the requirements of this section shall be eligible for treatment for substance abuse at the treatment facility, regardless of his or her ability to pay, subject to the restriction in § 44-1208 , if the resident:
  (1) Applies for treatment or is referred for treatment by a court of competent jurisdiction; and
  (2) Has been examined by a qualified health professional who has determined that the individual needs treatment for substance abuse in a nonhospital residential setting.
(b) Any minor, pregnant woman, or the parent, guardian, or other person who has legal custody of a minor and who meets the requirements of this section shall have priority for admission to the treatment facility over any single adult who does not have a minor child.
(c) The determination of an individual’s need for treatment may be made by a qualified health professional on duty at the treatment facility or by any other qualified health professional who has examined the individual prior to the individual’s application or referral for admission.
D.C. Code § 44-2005 — DC Code / Title 44 / Chapter 20 / § 44-2005
§ 44-2005. Reporting, analysis and publication of utilization, financial and other health-related data; regulations, reporting periods, format and forms.
Status: repealed

Repealed.
D.C. Code § 44-415 — DC Code / Title 44 / Chapter 4 / § 44-415
§ 44-415. Certificate of need mandatory condition precedent.
Status: in_force

The issuance of a certificate of need, if required under this chapter, shall be a condition precedent to the issuance of any license, permit, and any other type of official approval, except zoning approval, by an agency or officer or employee of the District government which is necessary for a particular health project.
D.C. Code § 44-304.01 — DC Code / Title 44 / Chapter 3 / § 44-304.01
§ 44-304.01. Regulations and standards; compliance.
Status: in_force

(a) Within 120 days of April 27, 1999, the Director shall promulgate any regulations and standards as may be necessary to carry out the purposes of this chapter.
(b) Health benefits plans and insurers subject to this chapter shall comply with the regulations promulgated pursuant to subsection (a) of this section for contracts issued or renewed on or after 120 days from the promulgation of final regulations pursuant to subsection (a) of this section.
D.C. Code § 44-1604 — DC Code / Title 44 / Chapter 16 / § 44-1604
§ 44-1604. Investments authorized for institutional funds.
Status: repealed

Repealed.
D.C. Code § 44-906 — DC Code / Title 44 / Chapter 9 / § 44-906
§ 44-906. Conditions of employment for former employees of the Hospital.
Status: in_force

(a) Each individual accepting employment without a break in service with the District government pursuant to § 44-905 shall:
  (1) Except as specifically provided in this subchapter, be required to meet all District qualifications other than licensure requirements for appointment required of other candidates, and shall become District employees in the comparable District service subject to the provisions of Chapter 6 of Title 1 , and all other statutes and regulations governing District personnel;
  (2) Meet all licensure requirements within 27 months of appointment by the District government or shall be issued a limited license subject to the provisions, limitations, conditions, or restrictions that shall be determined by the appropriate board or commission. The limited license shall not exceed the term of employment with the Commission on Mental Health Services;
  (3) Notwithstanding Chapter 63 of Title 5, United States Code, transfer accrued annual and sick leave balances pursuant to subchapter XII of Chapter 6 of Title 1 ;
  (4) Have the grade and rate of pay determined in accordance with regulations established pursuant to subchapter XI of Chapter 6 of Title 1 , except that no employee shall suffer a loss in the basic rate of pay or in seniority;
  (5) If applicable, retain a rate of pay including the physician’s comparability allowance under the provisions of § 5948 of Title 5, United States Code, and continue to receive such allowance under the terms of the then prevailing agreement until its expiration or for a period of 2 years from the date of appointment by the District government, whichever occurs later;
  (6) Be entitled to the same health and life insurance benefits as are available to District employees in the applicable service;
  (7) If employed by the federal government before January 1, 1984, continue to be covered by the United States Civil Service Retirement System, under Chapter 83 of Title 5, United States Code, to the same extent that such retirement system covers District government employees; and
  (8) If employed by the federal government on or after January 1, 1984, be subject to the retirement system applicable to District government employees pursuant to subchapter XXVI, Retirement, of Chapter 6 of Title 1 .
(b) An individual appointed to a position in the District government without a break in service, from the retention list, or from the District or federal agency reemployment priority lists, shall be exempt from the residency requirements of subchapter VIII of Chapter 6 of Title 1 .
(c) An individual receiving compensation for work injuries pursuant to Chapter 81 of Title 5, United States Code, shall:
  (1) Continue to have the claims adjudicated and the related costs paid by the federal government until such individual recovers and returns to duty;
  (2) If medically recovered and returned to duty, have any subsequent claim for the recurrence of the disability determined and paid under the provisions of subchapter XXIII of Chapter 6 of Title 1 .
(d) The District government may initiate or continue an action against an individual who accepts employment under § 44-905(c) for cause related to events that occur prior to the end of the service coordination period. Any such action shall be conducted in accordance with such federal laws and regulations under which action would have been conducted had the assumption of function by the District not occurred.
(e) Commissioned public health service officers detailed to the District of Columbia mental health system shall not be considered employees for purposes of any full-time employee equivalency total of the Department of Health and Human Services.
(f) For purposes of this section, Hospital employees shall include former patient employees occupying career positions at the Hospital.
D.C. Code § 44-110.05 — DC Code / Title 44 / Chapter 1 / § 44-110.05
§ 44-110.05. Accessibility.
Status: in_force

An ALR that provides services for residents who use wheelchairs, shall insure that:
(1) Doorways and hallways provide a clear opening of at least 32 inches; and
(2) Thresholds exceeding 1/2 inch are modified to provide a 1:12 maximum slope.
D.C. Code § 44-1003.03 — DC Code / Title 44 / Chapter 10 / § 44-1003.03
§ 44-1003.03. Hearing.
Status: in_force

(a) (1) Whenever a facility decides to involuntarily discharge, transfer, or relocate a resident, that resident, his or her representative, or the Long-Term Care Ombudsman may contest the decision by mailing a written hearing request to the Mayor and notifying the administrator or facility staff of the request:
    (A) Within 7 calendar days after receiving notice of a proposed discharge or transfer to another facility; or
    (B) Within 5 calendar days after receiving notice of a proposed relocation within the facility.
  (2) If the resident or resident’s representative mails the hearing request from the facility, the day he or she places it in the facility’s outgoing mail or gives it to a member of the facility staff for mailing shall be considered the date of mailing for purposes of the 7-day and 5-day time limits. In all other cases, the postmark date shall be considered the date of mailing.
  (3) A timely hearing request shall stay the discharge, transfer, or relocation unless a condition set forth in § 44-1003.02(b)(1) and (2) develops in the interim.
(b) The Mayor shall hold a hearing at the Office of Administrative Hearings ("OAH") within 10 calendar days, and OAH shall render a decision within 21 calendar days, after a timely hearing request is received. If the resident is unable to travel to OAH due to a physical or mental disability, he or she shall be offered the opportunity to participate remotely through telephone or other means. The facility shall have the burden of proof unless the ground for the proposed discharge, transfer, or relocation is a prescribed change in the resident’s level of care, in which case the person(s) responsible for prescribing that change shall have the burden of proof and the resident shall have the right to challenge the level of care determination at the hearing. A hearing held under this section may not be used by the resident to litigate or relitigate Medicaid eligibility.
(c) If the Mayor finds that the existence of a ground listed in § 44-1003.01(a) has been proven by clear and convincing evidence, the resident shall not be:
  (1) Discharged or transferred from the facility before the 22nd calendar day following his or her receipt of the notice required by § 44-1003.02(a) or the 5th calendar day following his or her notification of the hearing decision, whichever is later, unless a condition set forth in § 44-1003.02(b)(1) and (2) develops in the interim; or
  (2) Relocated within the facility before the 8th calendar day following his or her receipt of the notice required by § 44-1003.02(a) or the 3rd calendar day following his or her notification of the hearing decision, whichever is later, unless a condition set forth in § 44-1003.02(b)(1) and (2) develops in the interim.
D.C. Code § 44-713 — DC Code / Title 44 / Chapter 7 / § 44-713
§ 44-713. Compensation of physicians to the poor.
Status: in_force

The compensation of the physicians to the poor shall not exceed $40 per month each.
D.C. Code § 44-103.07 — DC Code / Title 44 / Chapter 1 / § 44-103.07
§ 44-103.07. Restrictions.
Status: in_force

(a) An ALR licensed pursuant to this chapter shall not use in its title the words “hospital,” “sanitorium,” “nursing,” “convalescent,” “rehabilitive,”  “subacute,” or “hospice.”
(b) Only a licensed ALR may describe, market, and offer itself as such. No other entity, whether licensed or not by the District government, shall describe, market, or offer itself as an Assisted Living Residence without first obtaining an ALR license. Violation of this requirement shall constitute operation of an ALR without a license and shall be subject to penalties in accordance with this chapter.
D.C. Code § 44-671.02 — DC Code / Title 44 / Chapter 6B / § 44-671.02
§ 44-671.02. Medicaid hospital provider reimbursement.
Status: in_force

(a) Beginning October 1, 2023, the Department shall fund capitation rates for each managed care organization at a level that complies with the minimum reimbursement levels established in §§ 44-664.05(b-1) and 44-664.13(a)(2) , and that ensures a covered hospital receives:
  (1) Maximum outpatient hospital reimbursements of 110% of the fee-for-service rate methodology set forth in the State Plan; and
  (2) Maximum inpatient hospital reimbursements equal to the negotiated managed care hospital rates that were in effect on March 31, 2023, for the managed care organization for inpatient hospital services.
(b) If necessary to ensure federal concurrence with the provisions of this section, the Department shall, by September 30, 2023, submit a state plan amendment or a managed care directed payment proposal to the Center for Medicare and Medicaid Services.
(c) This section shall expire on September 30, 2027.
D.C. Code § 44-1003.06 — DC Code / Title 44 / Chapter 10 / § 44-1003.06
§ 44-1003.06. Notice to facility owner or administrator; informal conference.
Status: in_force

(a) Before a resident is transferred or discharged under § 44-1003.05(a)(1) through (3), the Mayor shall provide the licensee or administrator of the facility with a written notice stating the reasons for the intended action and informing the licensee or administrator of his or her right to an informal conference and a subsequent hearing. The licensee or administrator may contest a nonemergency transfer or discharge by submitting to the Mayor a written request for an informal conference within 4 days (excluding Saturdays, Sundays, and legal holidays) after he or she receives notice of the proposed transfer or discharge. A timely request for an informal conference shall stay the nonemergency transfer or discharge pending the Mayor’s decision after the conference.
(b) The Mayor shall hold an informal conference within 4 days (excluding Saturdays, Sundays, and legal holidays) after a timely request for the conference is received. Following the conference, the Mayor shall affirm, modify, or reverse his or her previous decision to transfer or discharge the resident.
D.C. Code § 44-1711 — DC Code / Title 44 / Chapter 17 / § 44-1711
§ 44-1711. Registered solicitor’s use of name of other person; publication of names of contributors.
Status: in_force

(a) No person who is required to obtain a certificate of registration under this chapter shall, for the purpose of soliciting contributions, use the name of any other person, except that of an officer, director, or trustee of the organization for which contributions are solicited, without the written consent of such other person.
(b) A person shall be deemed to have used the name of another person for the purpose of soliciting contributions if such latter person’s name is listed on any stationery, advertisement, brochure, or correspondence in or by which a contribution is solicited by or on behalf of a charitable organization or his name is listed or referred to in connection with a request for a contribution as one who has contributed to, sponsored, or endorsed the charitable organization or its activities.
(c) Nothing contained in this section shall prevent the publication of names of contributors without their written consents, in an annual or other periodic report issued by a charitable organization for the purpose of reporting on its operations and affairs to its membership or for the purpose of reporting contributions to contributors.
D.C. Code § 44-804 — DC Code / Title 44 / Chapter 8 / § 44-804
§ 44-804. Confidentiality of identity in publications.
Status: in_force

Any publication by any medical utilization review committee, peer review committee, medical staff committee or tissue review committee shall keep confidential the identity of any patient whose condition, care or treatment was a part thereof.
D.C. Code § 44-706 — DC Code / Title 44 / Chapter 7 / § 44-706
§ 44-706. Institutional care under contract.
Status: in_force

The Mayor of the District of Columbia is authorized to contract with hospitals and other institutions for both the care of indigent or medically indigent patients in hospitals and the care and maintenance of persons for whom the District of Columbia is responsible. The Mayor may from time to time adjust the rates of reimbursement for such care by issuing rules pursuant to subchapter I of Chapter 5 of Title 2 , and by filing a copy of proposed rate changes with the Council of the District of Columbia at least 30 days before their effective date. The 30-day period for Council review shall not include days that pass during a recess of the Council. The rates of reimbursement under the D.C. Medical Charities program in effect for the fiscal year ending September 30, 1985, shall thereafter remain in effect until adjusted by the Mayor in accordance with this section.
D.C. Code § 44-1003.05 — DC Code / Title 44 / Chapter 10 / § 44-1003.05
§ 44-1003.05. Grounds for transfer or discharge by Mayor.
Status: in_force

(a) The Mayor may transfer or discharge any resident from any facility on 1 or more of the following grounds:
  (1) The facility is unlawfully operating without a current District license, or is operating in violation of restrictions placed on its license;
  (2) The Mayor has suspended, revoked, or refused to renew the facility’s license;
  (3) The facility is closing or intends to close and adequate arrangements for the relocation of its residents, in a manner designed to keep transfer trauma to a minimum, have not been made at least 30 calendar days before the anticipated closure date;
  (4) The facility has requested the Mayor’s assistance in the transfer or discharge, and the Mayor determines that the resident and his or her representative have consented to the transfer or discharge; or
  (5) The Mayor has determined that an emergency exists which poses an immediate danger of death or serious physical injury to the resident.
(b) In deciding whether to transfer or discharge a resident under this section, the Mayor shall consider the likelihood of serious harm that may result if the resident remains in the facility and the availability of other remedies besides transfer or discharge.
D.C. Code § 44-653 — DC Code / Title 44 / Chapter 6A / § 44-653
§ 44-653. Hospital provider fee.
Status: repealed

Expired.
D.C. Code § 44-1919 — DC Code / Title 44 / Chapter 19 / § 44-1919
§ 44-1919. Compensation.
Status: repealed

Repealed.
D.C. Code § 44-664.01 — DC Code / Title 44 / Chapter 6A / § 44-664.01
§ 44-664.01. Definitions.
Status: in_force

For the purposes of this subchapter , the term:
(a) (1) "Department" means the Department of Health Care Finance.
  (2) "Hospital" shall have the same meaning as provided in § 44-501(a)(1) , but excludes any hospital operated by the federal government.
  (3) "Hospital system" means any group of hospitals licensed separately, but operated, owned, or maintained by a common entity.
  (4) "Medicaid" means the medical assistance programs authorized by Title XIX of the Social Security Act, approved July 30, 1965 (79 Stat. 343; 42 U.S.C. § 1396 et seq .), and by § 1-307.02 , and administered by the Department.
  (5) (A) "Outpatient gross patient revenue" means the amount that is reported in column 2 of line 28 of Worksheet G-2 of the hospital's most recently available Hospital and Hospital Health Care Complex Cost Report ("Form CMS 2552-10").
    (B) Notwithstanding subparagraph (A) of this paragraph, for a hospital that has not yet filed its first Form CMS-2552-10, the term "outpatient gross patient revenue" shall mean a dollar value determined by the Department based on projected utilization volume and projected utilization migration from other area hospitals that approximates the hospital's expected outpatient gross patient revenue.
D.C. Code § 44-951.03 — DC Code / Title 44 / Chapter 9A / § 44-951.03
§ 44-951.03. Not-for-Profit Hospital Corporation Fund.
Status: in_force

(a) (1) There is established as a nonlapsing fund the Not-for-Profit Hospital Corporation Fund. The Fund shall be comprised of:
    (A) Accounts receivable of the Corporation;
    (B) Transferred funds of the United Medical Center; and
    (C) Funds obtained through payments from third-party payers, and other sources.
  (2) The Mayor may direct the Chief Financial Officer to deposit in the Fund any and all other funds received by or on behalf of the Corporation or the hospital for the purpose of operating the Corporation, the hospital, and any other operations conducted by or through the Corporation on the site.
  (3) All funds deposited into the Fund, and any interest earned on those funds, shall not revert to the unrestricted fund balance of the General Fund of the District of Columbia at the end of a fiscal year, or at any other time, but shall be continually available for the uses and purposes set forth in subsection (b) of this section without regard to fiscal year limitation, subject to authorization by Congress.
(b) Disbursements from the Fund may be used for all purposes related to operating the Corporation, the hospital, and other operations on the site, and to purchase for the general public for educational or promotional events and programs sponsored or organized by the Corporation, including the Corporation’s Marketing/Public Relations department:
  (1) Food;
  (2) Snacks;
  (3) Nonalcoholic beverages; and
  (4) Marketing and promotional items and gifts.
D.C. Code § 44-922 — DC Code / Title 44 / Chapter 9 / § 44-922
§ 44-922. Rules.
Status: in_force

The Mayor may issue rules to implement the provisions of this subchapter in accordance with subchapter I of Chapter 5 of Title 2 .
D.C. Code § 44-780 — DC Code / Title 44 / Chapter 7 / § 44-780
§ 44-780. Admission of pay patients to contagious-disease ward of General Hospital.
Status: repealed

Repealed.
D.C. Code § 44-106.01 — DC Code / Title 44 / Chapter 1 / § 44-106.01
§ 44-106.01. Admissions.
Status: in_force

(a) An ALR shall accept as residents only individuals for whom the ALR can provide appropriate services unless the ALR arranges for third party services or the resident does so with the agreement of the ALR.
(b) Prior to admission of a resident, the ALA or designee shall determine that the resident is appropriate for admission to the ALR and that the resident’s needs can be met in addition to the needs of the other residents.
(c) An ALR may only admit individuals who are at least 18 years of age.
(d) No individual may be admitted who at the time of initial admission, and as established by the initial assessment:
  (1) Is dangerous to him or herself or others or exhibits behavior that  significantly and negatively impacts the lives of others, where the ALR would  be unable to eliminate such danger or behavior through the use of appropriate  treatment modalities; or
  (2) Is at high risk for health or safety complications which cannot be  adequately managed by the ALR and requires more than 35 hours per week of  skilled nursing and home health aide services combined, provided on less than  a daily basis, according to section 2113.1 of HCFA Pub. 75 and 42 CFR, sections 409.32, 409.33, and 409.44.
(e) An ALR shall not admit individuals who require the following:
  (1) More than intermittent skilled nursing care;
  (2) Treatment of stage 3 or 4 skin ulcers;
  (3) Ventilator services; or
  (4) Treatment for an active, infectious, and reportable disease or a disease  or condition that requires more than contact isolation.
(f) The ALR shall maintain records of all denials of admission.
(g) Nothing in this section shall automatically exclude persons with primary or secondary mental health issues from admission.
D.C. Code § 44-1804 — DC Code / Title 44 / Chapter 18 / § 44-1804
§ 44-1804. Adoption of procedures and criteria governing review.
Status: repealed

Repealed.
D.C. Code § 44-1051.01 — DC Code / Title 44 / Chapter 10A / § 44-1051.01
§ 44-1051.01. Short title.
Status: in_force

This chapter may be cited as the “Nurse Staffing Agency Act of 2003”.
D.C. Code § 44-110.01 — DC Code / Title 44 / Chapter 1 / § 44-110.01
§ 44-110.01. General conditions.
Status: in_force

(a) An ALR shall meet applicable zoning, building, housing, sewer, water, fire prevention codes, rules, and regulations of the District of Columbia.
(b) An ALR shall maintain all structures, installed equipment, grounds, and individual living units in good repair and operable.
(c) An ALR may be classified as a residential occupancy and may be located in a single or multi-family dwelling.
D.C. Code § 44-1702 — DC Code / Title 44 / Chapter 17 / § 44-1702
§ 44-1702. Powers of Mayor and Council.
Status: in_force

(a) The Mayor and the Council of the District of Columbia are authorized and empowered:
  (1) To administer and enforce the provisions of this chapter;
  (2) To investigate the allegations of any application for a certificate of registration;
  (3) To have access to and inspect and make copies of all the financial books, records, and papers of any person making any solicitation or on whose behalf any solicitation is made;
  (4) To investigate at any time the methods of making or conducting any solicitation;
  (5) To issue a certificate of registration to any person filing an  application pursuant to this chapter;
  (6) To suspend or revoke any certificate of registration or solicitor information card, on the ground that the holder of such certificate or card has violated any provision of this chapter or any regulation promulgated  pursuant thereto.  The Mayor shall give to the interested person or persons an opportunity for a hearing after reasonable notice thereof before suspending or revoking any such certificate or card;
  (7) To prescribe by regulation the form of and the information to be contained in the solicitor information cards required by this chapter, and to prescribe the manner of reproduction and authentication of such cards; and
  (8) To publish, in any manner he deems appropriate, the results of any investigation authorized by this chapter.  The Mayor shall, in publishing the results of any such investigation, have power to publish information concerning the officers and members of the governing board of any organization  coming within the purview of this chapter; provided, that such information  shall not include membership and contribution lists of any such organization.
(b) The Mayor is authorized to prescribe and collect fees for the filing of applications, issuance of certificates of registration, and any other service which this chapter authorizes to be performed by the Mayor.  The Mayor shall fix such fees in such amounts as will, in his judgment, approximate the cost to the District of Columbia of such services.  In fixing such fees the Mayor may, in his discretion, prescribe either uniform fees or varying schedules of fees based on actual or estimated amounts solicited or to be solicited by registrants or applicants for certificates of registration.  No fees may be fixed pursuant to this section until after a public hearing has been held thereon pursuant to reasonable notice thereof.
(c) Licenses or certificates of registration issued under this section shall be issued as a General Business endorsement to a basic business license under the basic business license system as set forth in subchapter I-A of Chapter 28 of Title 47 .
D.C. Code § 44-1632 — DC Code / Title 44 / Chapter 16A / § 44-1632
§ 44-1632. Standard of conduct in managing and investing institutional fund.
Status: in_force

(a) Subject to the intent of a donor expressed in a gift instrument, an institution, in managing and investing an institutional fund, shall consider the charitable purposes of the institution and the purposes of the institutional fund.
(b) In addition to complying with the duty of loyalty imposed by law other than this chapter, each person responsible for managing and investing an institutional fund shall manage and invest the fund in good faith and with the care an ordinarily prudent person in a like position would exercise under similar circumstances.
(c) In managing and investing an institutional fund, an institution:
  (1) May incur only costs that are appropriate and reasonable in relation to the assets, the purposes of the institution, and the skills available to the institution; and
  (2) Shall make a reasonable effort to verify facts relevant to the management and investment of the fund.
(d) An institution may pool 2 or more institutional funds for purposes of management and investment.
(e) Except as otherwise provided by a gift instrument, the following rules shall apply:
  (1) In managing and investing an institutional fund, the following factors, if relevant, shall be considered:
    (A) General economic conditions;
    (B) The possible effect of inflation or deflation;
    (C) The expected tax consequences, if any, of investment decisions or strategies;
    (D) The role that each investment or course of action plays within the overall investment portfolio of the fund;
    (E) The expected total return from income and the appreciation of investments;
    (F) Other resources of the institution;
    (G) The needs of the institution and the fund to make distributions and to preserve capital; and
    (H) An asset’s special relationship or special value, if any, to the charitable purposes of the institution.
  (2) Management and investment decisions about an individual asset shall be made not in isolation but rather in the context of the institutional fund’s portfolio of investments as a whole and as a part of an overall investment strategy having risk and return objectives reasonably suited to the fund and to the institution.
  (3) Except as otherwise provided by law other than this chapter, an institution may invest in any kind of property or type of investment consistent with this section.
  (4) An institution shall diversify the investments of an institutional fund unless the institution reasonably determines that, because of special circumstances, the purposes of the fund are better served without diversification.
  (5) Within a reasonable time after receiving property, an institution shall make and carry out decisions concerning the retention or disposition of the property or to rebalance a portfolio to bring the institutional fund into compliance with the purposes, terms, and distribution requirements of the institution as necessary to meet other circumstances of the institution and the requirements of this chapter.
  (6) A person that has special skills or expertise, or is selected in reliance upon the person’s representation that the person has special skills or expertise, has a duty to use those skills or that expertise in managing and investing institutional funds.
D.C. Code § 44-710 — DC Code / Title 44 / Chapter 7 / § 44-710
§ 44-710. Mayor authorized to visit, investigate and report on certain organizations.
Status: in_force

The Mayor of the District of Columbia is authorized to visit, investigate the management of, and have a report of the receipts and expenditures of the Columbia Hospital for Women and Lying-in Asylum, the Children’s Hospital, Saint Ann’s Infant Asylum, National Association for Colored Women and Children, Women’s Christian Association, Little Sisters of the Poor, and the German Orphan Asylum, so long as they respectively accept money appropriated by Congress for their aid.
D.C. Code § 44-1956 — DC Code / Title 44 / Chapter 19 / § 44-1956
§ 44-1956. Coordination between facilities.
Status: repealed

Repealed.
D.C. Code § 44-663.06 — DC Code / Title 44 / Chapter 6A / § 44-663.06
§ 44-663.06. Quarterly notice and collection.
Status: in_force

(a) The fee imposed under § 44-663.03 , which shall be calculated, due, and payable on a quarterly basis, shall be due and payable by the 15th of the last month of each DFY quarter; provided, that the fee shall not be due and payable until:
  (1) The District issues written notice that the payment methodologies for payments to hospitals required under § 44-663.05 have been approved by the federal Centers for Medicare and Medicaid Services; and
  (2) The District issues written notice to the hospital informing the hospital of its fee rate, outpatient gross patient revenue subject to the fee, and the fee amount owed on a quarterly basis, including, in the initial written notice from the District to the hospital, all fee amounts owed beginning with the period commencing on October 1, 2016, to ensure all applicable fee obligations have been identified.
(b) (1) If a hospital fails to pay the full amount of the fee in accordance with this subchapter , the unpaid balance shall accrue interest at the rate of 1.5% per month or any fraction thereof, which shall be added to the unpaid balance.
  (2) The Chief Financial Officer may arrange a payment plan for the amount of the fee and interest in arrears.
(c) The payment by the hospital of the fee created in this subchapter shall be reported as an allowable cost for purposes of Medicaid hospital reimbursement.
D.C. Code § 44-634 — DC Code / Title 44 / Chapter 6A / § 44-634
§ 44-634. Interest and penalties.
Status: repealed

Expired.
D.C. Code § 44-1920 — DC Code / Title 44 / Chapter 19 / § 44-1920
§ 44-1920. Duties and powers.
Status: repealed

Repealed.