Source: https://code.dccouncil.us/dc/council/code/titles/1/chapters/3/subchapters/IV/
Timestamp: 2019-04-25 10:10:18+00:00

Document:
D.C. Law Library - Subchapter IV. Special Programs.
Subchapter V. Advisory Neighborhood Commissions.
Part D-i. Captive Insurance Agencies.
Part F. Poverty Lawyer Loan Assistance Repayment Program.
(5) To establish a student loan program for District of Columbia residents which shall be funded in whole or in part through the proceeds of Industrial Revenue Bonds and to enter into agreements with other entities for the purpose of managing, regulating, and overseeing such a program.
(b) Notwithstanding the provisions of any applicable law, if the borrower, on any loan insured under the program established pursuant to this section, is a minor, any otherwise valid note or other written agreement executed by him for the purposes of such loan shall create a binding obligation.
(c) There are authorized to be appropriated such amounts as may be necessary for the purposes of this section.
In subsection (a), the words “this title” refer to Title IV of the Higher Education Act of 1965, as amended, which is classified to 20 U.S.C. § 1070 et seq.
For purposes of protecting the income of the community spouse of a Medicaid beneficiary who is institutionalized, the Mayor is directed to set the minimum monthly maintenance needs allowance at the maximum level permitted under section 1924 of the Social Security Act, approved July 1, 1988 (102 Stat. 758; 42 U.S.C. § 1396r-5 ), and to amend the District of Columbia Medicaid State Plan accordingly.
§ 1–307.03. Medical assistance expansion program establishment.
(a) The Mayor shall establish a program to expand medical assistance to adult District residents with an annual family income up to 200% of the federal poverty level.
(1) The Mayor may provide medical assistance to eligible residents by making arrangements with managed care providers either on a fee-for-service or capitated basis.
(2) Enrollees of the program shall select a health maintenance organization with a current contract with the District to provide managed care services.
(3) The Mayor shall assign any enrollee who does not choose a provider within a reasonable period of time to the District of Columbia Health and Hospitals Public Benefit Corporation.
(4)(A) In fiscal year 2000, the Mayor may establish a pilot project to expand Medicaid coverage to not more than 2,400 adult District residents.
(B) The funding for the pilot shall be derived by amending the Disproportionate Share adjustment paid to hospitals.
(B) Amend the District State Medicaid plan.
(b) The Mayor shall establish a program to provide medical assistance to undocumented children not eligible for coverage under Medicaid who reside in the District and have an annual family income up to 200% of the federal poverty level.
(4) In fiscal year 2000, the Mayor shall establish a pilot program to provide medical assistance to not more than 500 immigrant children not eligible to be covered under Medicaid.
(c) Beginning with fiscal year 2001, the Mayor may increase enrollment contingent upon the certification by the Chief Financial Officer of the availability of funding and subject to the District’s financial plan and budget.
(d) The Mayor may provide financial support to providers to register the uninsured in conformity with the financial plan and budget.
(e) Nothing in this section, § 1-307.05, or § 1-307.06 shall be deemed to create or constitute an entitlement or right to medical coverage.
This section is referenced in § 1-307.06.
D.C. Law 13-172, in subsec. (b)(4), substituted “immigrant” for “undocumented”.
For temporary (90-day) addition of section, see § 902 of the Fiscal Year 1999 Budget Support Congressional Review Emergency Act of 1999 (D.C. Act 13-41, March 31, 1999, 46 DCR 3446).
For temporary (90 day) amendment of section, see §§ 3902, 3903, and 4802 of the Fiscal Year 2001 Budget Support Congressional Review Emergency Act of 2000 (D.C. Act 13-438, October 20, 2000, 47 DCR 8740).
For temporary (90 day) amendment of section, see § 7009 of Fiscal Year 2010 Budget Support Second Emergency Act of 2009 (D.C. Act 18-207, October 15, 2009, 56 DCR 8234).
For temporary (90 day) amendment of section, see § 7009 of Fiscal Year Budget Support Congressional Review Emergency Amendment Act of 2009 (D.C. Act 18-260, January 4, 2010, 57 DCR 345).
Short title: Section 5051 of D.C. Law 17-219 provided that subtitle T of title V of the act may be cited as the “Medicaid Fee-For-Service State Plan Amendment Act of 2008”.
§ 1–307.04. Supplementary medical insurance program.
(2) Provisions will be made for payment of the monthly premiums of such individuals for such program.
Section 1843 of the Social Security Act, referred to in the introductory language, is set out as § 1395v of Title 42 of the United States Code.
Title XIX of the Social Security Act, referred to in (1), is set out as 42 U.S.C. § 1396 et seq.
Section 1836 of the Social Security Act, referred to in (1), is set out in § 1395o of Title 42 of the United States Code.
Part B of Title XVIII of the Social Security Act, referred to in (1), is set out as §§ 1395j to 1395w-4 of Title 42 of the United States Code.
Private Attorney Contract Authorization: Title XIII of D.C. Law 12-175 authorized the District of Columbia to enter into contingent fee contracts for private attorney services in bringing Medicaid reimbursement litigation.
(a) The Mayor may submit a state child health plan and modifications to the plan to the Secretary of the United States Department of Health and Human Services (“Secretary”), to enable the District to receive federal assistance under title XXI of the Social Security Act, approved August 5, 1997 (Pub.L. No. 105-33; 42 U.S.C. § 1397aa et seq.).
(b) The Mayor may take such action, in accordance with the rules issued by the Mayor pursuant to this part, as may be necessary to submit the plan to the Secretary and to establish and carry out the Children’s Health Insurance Program.
This section is referenced in § 1-307.03 and § 1-307.06.
For temporary (90-day) addition of section, see § 2203 of the Service Improvement and Fiscal Year 2000 Budget Support Emergency Act of 1999 (D.C. Act 13-110, July 28, 1999, 46 DCR 6320).
This section is referenced in § 7-402.
Health care professional volunteer assistance protection, see § 7-402.
Section 7(b) of D.C. Law 6-155, as amended by § 2 of the Free Clinic Assistance Program Act of 1986 Amendment Emergency Act of 1988 (D.C. Act 7-203, June 30, 1988, 35 DCR 5439), § 2 of D.C. Law 7-172, § 2 of D.C. Law 7-223, § 4 of the Residential Property Tax Relief Act of 1977 Application Deadline and Free Clinic Assistance Program Act of 1986 Extension Emergency Amendment Act of 1991 (D.C. Act 9-83, September 13, 1991, 38 DCR 6021), § 4 of D.C. Law 9-53, § 3 of D.C. Law 9-65, and by § 2 of D.C. Law 11-175 provided that the act shall expire 15 years from the day it became effective. D.C. Law 6-155 became effective September 23, 1986.
For temporary extension of the Free Clinic Assistance Program Act of 1986 (D.C. Law 6-155) through the year 2001, see § 2 of the Free Clinic Assistance Program Extension Second Congressional Review Emergency Amendment Act of 1996 (D.C. Act 11-486, January 2, 1997, 44 DCR 632), and § 2 of the Free Clinic Assistance Program Extension Congressional Review Emergency Amendment Act of 1997 (D.C. Act 12-38, March 31, 1997, 44 DCR 2042).
For temporary (90 day) extension of the Free Clinic Assistance Program of 1986 (D.C. Law 6-155) until September 23, 2004, see § 2 of Free Clinic Assistance Program Extension Emergency Amendment Act of 2001 (D.C. Act 14-110, August 3, 2001, 48 DCR 7634), and § 2 of Free Clinic Assistance Program Extension Congressional Review Emergency Amendment Act of 2001 (D.C. Act 14-139, October 23, 2001, 48 DCR 9930).
For temporary (90 day) extension of program, see § 2(b) of Free Clinic Assistance Program Extension Emergency Amendment Act of 2002 (D.C. Act 14-407, July 10, 2002, 49 DCR 7109).
For temporary (90 day) extension of program, see § 2(b) of Free Clinic Assistance Program Extension Congressional Review Emergency Amendment Act of 2002 (D.C. Act 14-477, October 3, 2002, 49 DCR 9572).
For temporary (90 day) amendment of section, see § 2182(a) of Fiscal Year 2007 Budget Support Emergency Act of 2006 (D.C. Act 16-477, August 8, 2006, 53 DCR 7068).
For temporary (90 day) amendment of section, see § 2182(a) of Fiscal Year 2007 Budget Support Congressional Review Emergency Act of 2006 (D.C. Act 16-499, October 23, 2006, 53 DCR 8845).
For temporary (90 day) amendment of section, see § 2182(a) of Fiscal Year 2007 Budget Support Congressional Review Emergency Act of 2007 (D.C. Act 17-1, January 16, 2007, 54 DCR 1165).
For temporary (225 day) extension of program, see § 2 of Free Clinic Assistance Program Extension Temporary Amendment Act of 2001 (D.C. Law 14-54, December 6, 2001, law notification 49 DCR 355).
Short title: Section 2181 of D.C. Law 16-192 provided that subtitle O of title II of the act may be cited as the “Free Clinic Assistance Program Coverage Amendment Act of 2006”.
See Historical and Statutory Notes following § 1-307.21.
D.C. Law 17-353 validated a previously made technical correction.
For temporary (90 day) amendment of section, see § 2182(b) of Fiscal Year 2007 Budget Support Emergency Act of 2006 (D.C. Act 16-477, August 8, 2006, 53 DCR 7068).
For temporary (90 day) amendment of section, see § 2182(b) of Fiscal Year 2007 Budget Support Congressional Review Emergency Act of 2006 (D.C. Act 16-499, October 23, 2006, 53 DCR 8845).
For temporary (90 day) amendment of section, see § 2182(b) of Fiscal Year 2007 Budget Support Congressional Review Emergency Act of 2007 (D.C. Act 17-1, January 16, 2007, 54 DCR 1165).
Delegation of authority pursuant to Law 6-155, “Free Clinic Assistance Program Act of 1986”, see Mayor’s Order 87-32, February 5, 1987.
Delegation of authority, see Mayor’s Order 88-100, April 26, 1988.
(a) No insurer may deny coverage or withhold payments under its plan for any enrollee, subscriber, policyholder, or certificateholder on the basis that such enrollee, subscriber, policyholder, or certificateholder is eligible for Medicaid pursuant to a Medicaid state plan adopted by the District of Columbia or any other jurisdiction pursuant to § 1902 of the Social Security Act (79 Stat. 344; 42 U.S.C. § 1396a).
(3) The child does not reside with the parent or in the insurer’s service area.
(1) Provide such information to the custodial parent as may be necessary to obtain benefits through such coverage, including the information required under § 46-251.05(a).
(3) Make payments on claims submitted in accordance with paragraph (2) of this subsection directly to the custodial parent, the provider, or the District of Columbia Medicaid agency.
(B) The child is or will be enrolled in comparable health coverage through another insurer which will take effect not later than the effective date of disenrollment.
(1) An insurer shall not impose requirements on a District of Columbia agency that has been assigned the rights of an individual eligible for medical assistance under the District State Medicaid Plan and covered for health benefits from the insurer that are different from requirements applicable to an agent or assignee of any other individual so covered.
(ii) Any other information prescribed by the Mayor.
(f) For the purposes of this section, the term “insurer” includes a self-insured plan, a group health plan, as defined in section 607(1) of the Employee Retirement Income Security Act of 1974, approved April 7, 1986 (100 Stat. 231; 29 U.S.C. § 1167(1)), a service benefit plan, a managed care organization, a pharmacy benefit manager, or other party that is, by statute, contract, or agreement, legally responsible for payment of a claim for all or part of a health-care item or service.
This section is referenced in § 46-205 and § 46-251.10.
D.C. Law 15-130, in subsec. (c)(1), deleted “for the child” following “may be necessary”, and inserted “, including the information required under § 46-251.05(a)”; and, in subsec. (d), deleted “and” from the end of par. (2), and added par. (2A).
D.C. Law 17-353, in subsec. (f), substituted “member insurer” for “hospital and medical service plan”.
“(e) An insurer may not impose requirements on a District of Columbia agency, which has been assigned the rights of an individual eligible for medical assistance under Medicaid and covered for health benefits from the insurer, that are different from requirements applicable to an agent or assignee of any other individual so covered.
For temporary (90 day) amendment of section, see § 201(a) of Medical Support Establishment and Enforcement Emergency Amendment Act of 2002 (D.C. Act 14-485, October 3, 2002, 49 DCR 9631).
For temporary (90 day) amendment of section, see § 201(a) of Medical Support Establishment and Enforcement Congressional Review Emergency Amendment Act of 2002 (D.C. Act 14-600, January 7, 2003, 50 DCR 664).
For temporary (90 day) amendment of section, see § 201(a) of Medical Support Establishment and Enforcement Emergency Amendment Act of 2003 (D.C. Act 15-208, October 24, 2003, 50 DCR 9856).
For temporary (90 day) amendment of section, see § 201(a) of Medical Support Establishment and Enforcement Congressional Review Emergency Amendment Act of 2004 (D.C. Act 15-330, January 28, 2004, 51 DCR 1603).
For temporary (90 day) amendment of section, see § 1002 of Fiscal Year 2010 Balanced Budget Support Emergency Act of 2010 (D.C. Act 18-450, June 28, 2010, 57 DCR 5635).
For temporary (90 day) amendment of section, see § 1002 of Fiscal Year 2010 Balanced Budget Support Congressional Review Emergency Act of 2010 (D.C. Act 18-531, August 6, 2010, 57 DCR 8109).
For temporary (90 day) amendment of section, see § 5102 of Fiscal Year 2011 Budget Support Emergency Act of 2010 (D.C. Act 18-463, July 2, 2010, 57 DCR 6542).
For temporary (225 day) amendment of section, see § 201(a) of Medical Support Establishment and Enforcement Temporary Amendment Act of 2002 (D.C. Law 14-238, March 25, 2003, law notification 50 DCR 2751).
For temporary (225 day) amendment of section, see § 201(a) of Medical Support Establishment and Enforcement Temporary Amendment Act of 2003 (D.C. Law 15-84, March 10, 2004, law notification 51 DCR 3376).
“(ii) Any other information prescribed by the Mayor.”.
“(f) For the purposes of this section, the term “insurer” includes a self-insured plan, a group health plan, as defined in section 607(1) of the Employee Retirement Income Security Act of 1974, approved April 7, 1986 (100 Stat. 231; 29 U.S.C. 1167(1)), a service benefit plan, a managed care organization, a pharmacy benefit manager, or other party that is, by statute, contract, or agreement, legally responsible for payment of a claim for all or part of a health care item or service.”.
Short title: Section 5101 of D.C. Law 18-223 provided that subtitle K of title V of the act may be cited as the “Medicaid Benefits Protection Amendment Act of 2010”.
(6) Upon receipt of a medical support notice issued by the IV-D agency under § 46-251.02, comply with the provisions of §§ 46-251.04, 46-251.07, and 46-251.08.
This section is referenced in § 46-205, § 46-251.03, and § 46-251.10.
D.C. Law 13-269, in par. 3(C), deleted “and” at the end; in par. (4), substituted “; and” for a period at the end; and added par. (5).
For temporary amendment of section, see § 2 of the Child Support and Welfare Reform Compliance Emergency Amendment Act of 1997 (D.C. Act 12-222, December 23, 1997, 44 DCR 114), § 2 of the Child Support and Welfare Reform Compliance Congressional Review Emergency Amendment Act of 1998 (D.C. Act 12-309, March 20, 1998, 45 DCR 1923), § 2 of the Child Support and Welfare Reform Compliance Second Emergency Amendment Act of 1998 (D.C. Act 12-439, August 12, 1998, 45 DCR 6110), § 2 of the Child Support and Welfare Reform Compliance Legislative Review Emergency Amendment Act of 1998 (D.C. Act 12-503, November 2, 1998, 45 DCR 8495), and § 2 of the Child Support and Welfare Reform Compliance Second Congressional Review Emergency Amendment Act of 1998 (D.C. Act 12-600, January 20, 1999, 46 DCR 1239).
For temporary (90-day) amendment of section, see § 102 of the Child Support and Welfare Reform Compliance Emergency Amendment Act of 1999 (D.C. Act 13-126, August 4, 1999, 46 DCR 6606).
For temporary (90-day) amendment of section, see § 102 of the Child Support and Welfare Reform Compliance Legislative Review Emergency Amendment Act of 1999 (D.C. Act 13-177, November 2, 1999, 46 DCR 9678).
For temporary (90-day) amendment of section, see § 102 of the Child Support and Welfare Reform Compliance Congressional Review Emergency Amendment Act of 1999 (D.C. Act 13-241, January 11, 2000, 47 DCR 581).
For temporary (90 day) amendment of section, see § 102 of the Child Support and Welfare Reform Compliance Emergency Amendment Act of 2000 (D.C. Act 13-446, November 7, 2000, 47 DCR 9213).
For temporary (90 day) amendment of section, see § 102 of Child Support and Welfare Reform Compliance Congressional Review Emergency Amendment Act of 2001 (D.C. Act 14-5, February 13, 2001, 48 DCR 2440).
For temporary (90 day) amendment of section, see § 201(b) of Medical Support Establishment and Enforcement Emergency Amendment Act of 2002 (D.C. Act 14-485, October 3, 2002, 49 DCR 9631).
For temporary (90 day) amendment of section, see § 201(b) of Medical Support Establishment and Enforcement Congressional Review Emergency Amendment Act of 2002 (D.C. Act 14-600, January 7, 2003, 50 DCR 664).
For temporary (90 day) amendment of section, see § 201(b) of Medical Support Establishment and Enforcement Emergency Amendment Act of 2003 (D.C. Act 15-208, October 24, 2003, 50 DCR 9856).
For temporary (90 day) amendment of section, see § 201(b) of Medical Support Establishment and Enforcement Congressional Review Emergency Amendment Act of 2004 (D.C. Act 15-330, January 28, 2004, 51 DCR 1602).
For temporary (225 day) amendment of section, see § 2 of Child Support and Welfare Reform Compliance Temporary Amendment Act of 1998 (D.C. Law 12-103, May 8, 1998, law notification 45 DCR 3254).
For temporary (225 day) amendment of section, see § 2 of Child Support and Welfare Reform Compliance Temporary Amendment Act of 1998 (D.C. Law 12-210, April 13, 1999, law notification 46 DCR 3832).
For temporary (225 day) amendment of section, see § 102 of Child Support and Welfare Reform Compliance Temporary Amendment Act of 1999 (D.C. Law 13-57, March 7, 2000, law notification 47 DCR 1979).
For temporary (225 day) amendment of section, see § 102 of Child Support and Welfare Reform Compliance Temporary Amendment Act of 2000 (D.C. Law 13-207, March 31, 2001, law notification 48 DCR 3238).
For temporary (225 day) amendment of section, see § 201(b) of Medical Support Establishment and Enforcement Temporary Amendment Act of 2002 (D.C. Law 14-238, March 25, 2003, law notification 50 DCR 2751).
For temporary (225 day) amendment of section, see § 201(b) of Medical Support Establishment and Enforcement Temporary Amendment Act of 2003 (D.C. Law 15-84, March 10, 2004, law notification 51 DCR 3376).
§ 1–307.43. Recoupment of amounts spent on child medical care.
(2) Has received payment from a third party for the costs of such services, but has not used the payments to reimburse either the other parent or guardian of the child or the provider of the services.
(b) A garnishment or tax intercept effectuated pursuant to subsection (a) of this section shall be effected only to the extent necessary to reimburse the District of Columbia Medicaid agency for its cost under the state plan, but claims for current and past due child support shall take priority over these claims.
(1) “Account holder” means a person who is the owner of an opportunity account.
(2) “Administering organization” means an entity that is approved by the Mayor to implement and administer an opportunity account program.
(3) “District of Columbia median income” means the most recent measurement of median income for the District of Columbia published by the United States Department of Housing and Urban Development.
(4) “Financial institution” means a bank, trust company, savings bank, credit union, or savings and loan association with an office in the District of Columbia.
(5) “Medical emergency” means a debilitating or life-threatening illness.
(6) “Opportunity account” means a special savings account established under this part.
(7) “Opportunity Account Office” means the special savings account office established under § 1-307.62.
(8) “Opportunity account program” means a program of an administering organization to administer and oversee opportunity accounts and to encourage the establishment of opportunity accounts.
(9) “Opportunity account reserve fund” means the fund created by an administering organization for the purposes of funding the costs incurred in the administration of an opportunity account program and for providing matching funds for opportunity accounts.
(10) “Retirement” means the period commencing upon the eligibility of a person for Social Security benefits.
Delegation of Authority Pursuant to D.C. Law 13-266, the “Opportunity Accounts Act of 2002”, see Mayor’s Order 2002-45, March 8, 2002 ( 49 DCR 2252).
(12) Other information as may be required by the Mayor.
(9) Any other factors the Mayor considers relevant to the determination of the ability of the organization to create and operate an opportunity account program efficiently and effectively.
D.C. Law 14-310, in subsec. (b), validated a previously made technical correction.
§ 1–307.64. Responsibilities of administering organization.
(3) Review and approve expenditures of opportunity account funds to ensure that the expenditures are used for a purpose permitted under this part.
§ 1–307.65. Financial institution establishment of opportunity accounts.
(a) A financial institution shall not establish an opportunity account for an account holder unless the establishment of the account by the financial institution is approved by the Mayor. The Mayor may grant general approval to a financial institution to establish an opportunity account for any person meeting specified standards.
(b) A financial institution may establish an opportunity account reserve fund account if the establishment of the account by the financial institution is approved by the Mayor. The Mayor may grant general approval to a financial institution to establish an opportunity account reserve fund account for any organization meeting specified standards.
(c) A financial institution establishing an opportunity account shall certify to the Mayor, on a form to be prescribed by the Mayor and accompanied by any documentation required by the Mayor, that an opportunity account has been established and that funds have been deposited into the account.
(d) A financial institution establishing an opportunity account reserve fund account shall certify to the Mayor, on a form to be prescribed by the Mayor and accompanied by any documentation required by the Mayor, that an opportunity account reserve fund account has been established and that funds have been deposited into the account.
(4) Permit the account holder, or, if in an escrow or custodial account, the administering organization, to withdraw money from the account.
(a) An individual whose household income does not exceed 85% of the District of Columbia median income may open an opportunity account.
(b) The total balance in an opportunity account, except interested earned on matching funds or funds deposited into the account by the account holder, shall not exceed $10,000.
(8) To purchase a federally qualified individual retirement account if such purchase takes place not earlier than 5 years after the establishment of the opportunity account.
(b) If an account holder withdraws opportunity account funds or matching funds for a purpose not allowed by this part: (1) the account holder shall lose his or her matching funds and the matching funds shall be returned to the District of Columbia and administering organization in the same amounts as the matching funds were provided; (2) the account holder shall be removed from the opportunity account program; and (3) all funds deposited by the account holder into the opportunity account shall be returned to the account holder. The Mayor may establish, by rule, an opportunity for an account holder to reinstate funds to his or her opportunity account or matching funds account after an unlawful withdrawal before the penalties in this subsection shall take effect.
This section is referenced in § 1-307.67.
D.C. Law 13-313, in subsec. (a)(2), deleted “who is at least 18 years of age” following “account holder”; and, in subsec. (a)(5), deleted “who is at least 18 years of age or older” following “account holder”.
(a) An account holder may make an emergency withdrawal of his or her opportunity account funds in accordance with this section.
(3) Making payments necessary to enable the account holder to meet necessary living expenses following loss of employment.
(d) An emergency withdrawal shall not be made unless authorized by an administering organization on a case-by-case basis.
(3) All funds deposited by the account holder into the opportunity account shall be returned to the account holder.
§ 1–307.70. Disposition upon death.
(a) An account holder shall designate in writing a contingent beneficiary at the time the account is established.
(b) In the event of the death of an account holder, ownership of the account shall be transferred to the contingent beneficiary. If the contingent beneficiary is deceased, is not eligible to be an account holder, or otherwise cannot or will not accept ownership of the account, the matching funds shall be returned to the District of Columbia and administering organization in the same amounts as the matching funds were provided and the funds in the opportunity account shall be disbursed in accordance with District of Columbia law.
(c) The account holder may change, by a written instrument, his or her designation of the contingent beneficiary at any time.
§ 1–307.71. Use of reserve funds for administrative expenses.
(a) No more than 20% of the funds in the opportunity account reserve fund account shall be used for administrative costs of the opportunity account program during either of the first 2 years of an opportunity account program. No more than 15% of the funds in the opportunity account reserve fund account may be used for administrative costs during any subsequent year.
(b) Funds deposited by account holders shall not be used for administrative costs.
§ 1–307.72. Exclusion of opportunity account funds from public assistance program calculations.
Funds in an opportunity account, including accrued interest, shall not be considered in the determination of whether a person is eligible to receive, or the determination of the amount of, any public assistance or benefits.
The Mayor shall promulgate rules, in accordance with subchapter I of Chapter 5 of Title 2, to carry out the purposes and functions of this part.
§ 1–307.74. Report to Council.
The Mayor shall provide a comprehensive report on the costs and benefits of the administration of the Opportunity Account Office and opportunity account programs to the Council 18 months after April 3, 2001, and every 2 years thereafter.
(1) “Advisory Council” means the advisory council established by § 1-307.85.
(2) “Agency” means the Captive Insurance Agency.
(2A) “Act of terrorism” shall have the same meaning as provided in § 22-3152(1).
(3) “Captive manager” means the person appointed by the Risk Officer pursuant to § 1-307.84(b) to run the day-to-day affairs of the Agency.
(4) “Commissioner” means the Commissioner of the Department of Insurance, Securities, and Banking.
(4A) "District personal property asset" means property, other than a District real property asset, that is owned by the District.
(4B) “District real property asset” means improved real property owned by the District and includes all structures of a permanent character erected on or affixed to the property.
(5) “Fund” or “Captive Trust Fund” means the Captive Trust Fund established under § 1-307.91.
(6) “Federally qualified health center” shall have the same meaning as provided in section 1861(aa)(4) of the Social Security Act, approved August 14, 1935 (79 Stat. 313; 42 U.S.C. § 1395x(aa)(4)).
(7) “Gap coverage” means coverage for medical malpractice risks of the District’s Federally Qualified Health Centers not covered through the Federal Tort Claims Act, approved August 2, 1946 (60 Stat. 847; 15 U.S.C. § 41 et seq.).
(ii) Patients on a sliding fee scale.
(8A) "Liability insurance" means an insurance policy that pays, or renders a service on behalf of, the insured for losses arising out of a legal liability to others.
(8B) “Medical malpractice” means professional negligence by act or omission by a health care provider in which the treatment provided falls below the accepted standard of practice in the medical community and causes injury or death to the patient, with most cases involving medical error.
(9) “Operational” means that the Council has approved insurance policies for the health centers covered under part B of this subchapter.
(9A) "Personal property insurance" means an insurance policy that protects against risks to personal property.
(9B) "Real property insurance" means an insurance policy that protects against risks to real property such as earthquakes, floods, acts of terrorism, fire, boiler or machinery failures, business interruptions, pollution, debris removal, and weather damage.
(10) “Risk Officer” means the Chief Risk Officer, established by Reorganization Plan No. 1 of 2003, effective December 15, 2003 [§ 1-1518.01].
(11) “Tail coverage” means liability insurance purchased by an insured to extend the insurance coverage beyond the end of the policy period of a liability policy written on a claims-made basis.
(C) Without receiving payment from the District government for the performance of those services.
The 2013 amendment by D.C. Law 20-61 substituted “Captive Insurance Agency” for “District of Columbia Medical Liability Captive Insurance Agency” in (2); substituted “Captive” for “Medical Liability Captive” twice in (5); and added (2A), (4A), (8A), and (9A).
For temporary (90 days) amendment of this section, see § 2(a) of the Captive Earthquake Property Insurance Emergency Act of 2013 (D.C. Act 20-39, March 20, 2013, 60 DCR 4663, 20 DCSTAT 523).
For temporary (90 days) amendment of this section, see § 2(a) of the Captive Earthquake Property Insurance Congressional Review Emergency Act of 2013 (D.C. Act 20-85, June 19, 2013, 60 DCR 9536, 20 DCSTAT 1441).
For temporary (90 days) amendment of this section, see § 1032(a) of the Fiscal Year 2014 Budget Support Emergency Act of 2013 (D.C. Act 20-130, July 30, 2013, 60 DCR 11384, 20 DCSTAT 1827).
For temporary (90 days) amendment of this section, see § 1032(a) of the Fiscal Year 2014 Budget Support Congressional Review Emergency Act of 2013 (D.C. Act 20-204, October 17, 2013, 60 DCR 15341, 20 DCSTAT 2311).
For temporary (225 days) amendment of this section, see § 2(a) of the Captive Earthquake Property Insurance Temporary Amendment Act of 2013 (D.C. Law 20-9, June 22, 2013, 60 DCR 6407, 20 DCSTAT 1277).
(4A) Procure policies of real property insurance, personal property insurance, and liability insurance to reduce the risk of loss to the District.
(16) Provide gap coverage to the District’s Federally Qualified Health Centers for medical malpractice risks.
(b) Upon the request of the Risk Officer, the Mayor and the governing officer or body of each instrumentality of the District, by delegation or agreement, may direct that personnel or other resources of a District agency or instrumentality be made available to the Agency on a full cost-reimbursable basis to carry out the Agency’s duties. Personnel detailed to the Agency under this subsection shall not be considered employees of the Agency, but shall remain employees of the agency or instrumentality from which the employees were detailed. With the consent of an executive agency, department, or independent agency of the federal government or the District government, the Agency may use the information, services, staff, and facilities of the department or agency on a full cost-reimbursable basis.
This section is referenced in § 1-307.91.
The 2013 amendment by D.C. Law 20-61 rewrote (a)(1); and added (a)(4A).
For temporary (90 days) amendment of this section, see § 2(c) of the Captive Earthquake Property Insurance Emergency Act of 2013 (D.C. Act 20-39, March 20, 2013, 60 DCR 4663, 20 DCSTAT 523).
For temporary (90 days) amendment of this section, see § 2(c) of the Captive Earthquake Property Insurance Congressional Review Emergency Act of 2013 (D.C. Act 20-85, June 19, 2013, 60 DCR 9536, 20 DCSTAT 1441).
For temporary (90 days) amendment of this section, see § 1032(c) of the Fiscal Year 2014 Budget Support Emergency Act of 2013 (D.C. Act 20-130, July 30, 2013, 60 DCR 11384, 20 DCSTAT 1827).
For temporary (90 days) amendment of this section, see § 1032(c) of the Fiscal Year 2014 Budget Support Congressional Review Emergency Act of 2013 (D.C. Act 20-204, October 17, 2013, 60 DCR 15341, 20 DCSTAT 2311).
For temporary (225 days) amendment of this section, see § 2(c) of the Captive Earthquake Property Insurance Temporary Amendment Act of 2013 (D.C. Law 20-9, June 22, 2013, 60 DCR 6407, 20 DCSTAT 1277).
§ 1–307.84. Management of the Agency.
(a) The Agency shall be administered by the Risk Officer.
(b) The Risk Officer shall employ a captive manager who shall run the day-to-day affairs of the Agency and shall report to the Risk Officer. The Risk Officer shall employ such other professionals as are necessary or appropriate to effectuate the purposes of this part.
(c) The Risk Officer may delegate the authority to perform any function authorized to be performed by the Risk Officer under this part.
(d) The Risk Officer may hire Agency staff.
This section is referenced in § 1-307.81.
(a) There is established an Advisory Council to the Agency to assist and advise the Risk Officer regarding the Agency.
(b) The Advisory Council shall consist of 7 members appointed by the Risk Officer. One member shall represent the District of Columbia Primary Care Association, 2 members shall represent District health centers, 2 members shall have expertise in general property insurance and re-insurance, and 2 members shall have general insurance expertise, whether medical malpractice or general property insurance.
(c) The Risk Officer and the captive manager shall serve as ex officio members of the Advisory Council.
(d) The Risk Officer shall serve as chairperson of the Advisory Council.
(e) Except as provided in subsection (f) of this section, Advisory Council members shall serve terms of 3 years. An Advisory Council member’s term shall continue until his or her successor is appointed. The Advisory Council members may be reappointed for additional terms.
(f) The Risk Officer shall determine the terms the initial Advisory Council members shall serve. Three of the Advisory Council members shall serve terms of 2 years, 2 shall serve terms of 4 years, and 2 shall serve terms of 6 years.
(g) Vacancies in the Advisory Council shall be filled by the Risk Officer. Advisory Council members may be removed by the Risk Officer for cause.
(h) Advisory Council members shall not be compensated in their capacity as Advisory Council members, but shall be reimbursed for reasonable expenses incurred in the necessary performance of their duties.
(2A) Assess the needs and interests of the District with respect to procuring insurance through the Agency.
(3) Meet at least on an annual basis, at meetings announced by the Risk Officer.
D.C. Law 17-353 validated a previously made technical correction in subsec. (e).
The 2013 amendment by D.C. Law 20-61 rewrote (b); and added (i)(2A) and made a related change.
For temporary (90 days) amendment of this section, see § 1032(d) of the Fiscal Year 2014 Budget Support Emergency Act of 2013 (D.C. Act 20-130, July 30, 2013, 60 DCR 11384, 20 DCSTAT 1827).
For temporary (90 days) amendment of this section, see § 1032(d) of the Fiscal Year 2014 Budget Support Congressional Review Emergency Act of 2013 (D.C. Act 20-204, October 17, 2013, 60 DCR 15341, 20 DCSTAT 2311).
(a) The Risk Officer shall submit an annual report to the Mayor and the Council.
(b) The report shall be filed within 60 days of the Agency filing the annual report with the Commissioner under § 1-307.86(b).
(c) The report shall summarize the activities of the Agency in the preceding calendar year, including the net earned premiums, health center enrollment in the Agency program, the expense of administration, and the paid and incurred losses.
(a) The Agency shall offer health centers medical malpractice insurance that is consistent with coverage offered in the market.
(b) The insurance policies and coverage offered pursuant to this part shall be established by the Risk Officer with the advice of the Advisory Council and subject to the approval of the Commissioner.
(c) Any policy offered by the Agency shall state that the liability of the Agency shall be limited to the funds in the Captive Trust Fund.
The 2013 amendment by D.C. Law 20-61 rewrote this section.
For temporary (90 days) amendment of this section, see § 2(e) of the Captive Earthquake Property Insurance Emergency Act of 2013 (D.C. Act 20-39, March 20, 2013, 60 DCR 4663, 20 DCSTAT 523).
For temporary (90 days) amendment of this section, see § 2(e) of the Captive Earthquake Property Insurance Congressional Review Emergency Act of 2013 (D.C. Act 20-85, June 19, 2013, 60 DCR 9536, 20 DCSTAT 1441).
For temporary (90 days) amendment of this section, see § 1032(g) of the Fiscal Year 2014 Budget Support Emergency Act of 2013 (D.C. Act 20-130, July 30, 2013, 60 DCR 11384, 20 DCSTAT 1827).
For temporary (90 days) amendment of this section, see § 1032(g) of the Fiscal Year 2014 Budget Support Congressional Review Emergency Act of 2013 (D.C. Act 20-204, October 17, 2013, 60 DCR 15341, 20 DCSTAT 2311).
For temporary (225 days) amendment of this section, see § 2(e) of the Captive Earthquake Property Insurance Temporary Amendment Act of 2013 (D.C. Law 20-9, June 22, 2013, 60 DCR 6407, 20 DCSTAT 1277).
(3) Chapter 6 of this title.
Nothing in this part shall be construed to limit or constitute a waiver of the District's sovereign immunity or common-law defenses to claims that may be covered by insurance.
The Mayor may issue rules to implement the provisions of this part.
Delegation of Rulemaking Authority to the Commissioner of the Department of Insurance, Securities and Banking under the District of Columbia Medical Liability Captive Insurance Agency Establishment Act of 2008, see Mayor’s Order 2010-161, October 15, 2010 ( 57 DCR 9819).
The District of Columbia Free Clinic Captive Insurance Company, an instrumentality established by the District of Columbia Free Clinic Captive Insurance Company Establishment Emergency Act of 2007, effective October 3, 2007 (D.C. Act 17-113; 54 DCR 9977 ), is dissolved. All of its assets (including cash, accounts receivable, reserve funds, real or personal property, and contract and other rights), positions, personnel, and records, and the unexpended balances of appropriations, allocations, and other funds available or to be made available to it, are transferred to the Agency.
(a)(1)(A) Subject to approval by the Council under § 1-308.03(a) or (b), the Mayor may enter into a PILOT agreement for the purpose of financing the development costs of one or more projects which qualify under § 1-204.90. Except as otherwise provided in the PILOT agreement, payments in lieu of taxes made pursuant to the PILOT agreement may be assigned or pledged in connection with the Bonds authorized to be issued under this part.
(B) As an inducement to enter into the PILOT agreement, a portion of the payments in lieu of taxes pursuant to the PILOT agreement may be used in accordance with the terms of the PILOT agreement for any other use which will be deemed to contribute to the health, education, safety, or welfare of, or the creation or preservation of jobs for, residents of the District, or to economic development of the District, including the development, redevelopment, and expansion of business, commerce, housing, or tourism, or the provision of necessary or desirable public infrastructure improvements.
(iii) The application of the portion of payments in lieu of taxes set forth in sub-subparagraph (ii) of this subparagraph.
(b)(1) Subject to approval by the Council under § 1-308.03(b), the Mayor may enter into a PILOT agreement for any other use which will be deemed to contribute to the health, education, safety, or welfare of, or the creation or preservation of jobs for, residents of the District, or to economic development of the District, including the development, redevelopment, and expansion of business, commerce, housing, or tourism, or the provision of necessary or desirable public infrastructure improvements.
(E) The use for which the payments in lieu of taxes shall be applied, including a detailed delineation of the expenditures to be made.
(c) Notwithstanding any of the provisions of this part, a PILOT agreement shall not result in a reduction of the total assessed value of real property subject to taxation under Chapter 8 of Title 47.
(d) A PILOT Agreement shall be an encumbrance upon, and run with, the PILOT Parcel. A memorandum of the PILOT Agreement shall be recorded in the land records of the District.
This section is referenced in § 1-308.03.
§ 1–308.03. Approval by the Council.
(iii) The effect of the PILOT Agreement on the budget and financial plan.
(2) If the Council does not approve or disapprove the transaction within the 60-day review period, the proposed resolution shall be deemed disapproved.
(3) If the proposed terms of the transaction shall change in any material respect, including the terms of the proposed PILOT agreement which was transmitted to the Council, a new proposed resolution which complies with paragraph (1) of this subsection shall be submitted to the Council for approval in accordance with this section.
(b)(1) The execution of the PILOT agreement, and any related agreements and documents, pursuant to § 1-308.02(a)(1)(B) or (b) shall be subject to the approval of the Council by act.
(3) If the proposed terms of the transaction shall change in any material respect, including the terms of the proposed PILOT agreement which was transmitted to the Council, a new act which complies with paragraph (1) of this subsection shall be required to approve the transaction in accordance with this section.
This section is referenced in § 1-308.02.
Resolution 16-845, the “DOT PILOT Revision Emergency Approval Resolution of 2006”, was approved effective October 18, 2006.
§ 1–308.04. Payment and collection of payments in lieu of taxes.
(a) The owner of the PILOT parcel shall make the payments in lieu of taxes to the District at the same time and in the same manner as real property taxes under Chapter 8 of Title 47; provided, that in connection with issuance of Bonds, the PILOT may be paid for the benefit of the holders of the Bonds to the bond trustee or other persons as provided in the financing documents for the purposes set forth therein; provided further, that if such provisions are included in the financing documents, the PILOT shall constitute a lien against the property on which the PILOT was assessed to the same extent as a real property tax lien and shall be deemed to be a tax within the meaning of 11 U.S.C. §§ 502(b), 505, and 507(a)(8)(B).
(b) Payments in lieu of taxes shall be subject to the same penalty and interest provisions as unpaid real property tax under the Chapter 8 of Title 47.
(c) A lien for unpaid payments in lieu of taxes, including penalty and interest, shall attach to the PILOT parcel in the same manner and with the same priority as a lien for delinquent real property tax under Chapter 13A of Title 47.
(d) The unpaid payments in lieu of taxes may be collected in accordance with Chapter 13A of Title 47.
The issuance of Bonds in accordance with this part is authorized. The aggregate principal amount of Bonds which may be issued under this part shall not exceed $500 million; provided, that the aggregate amount of Bonds that may be allocated to benefit directly projects in the Central Business District, as that term is defined in Chapter 17 of Title 11 of the District of Columbia Municipal Regulations (11 DCMR § 1700 et seq.), shall not exceed $300 million.
D.C. Law 16-244 substituted “$500 million; provided, that the aggregate amount of Bonds that may be allocated to benefit directly projects in the Central Business District, as that term is defined in Chapter 17 of Title 11 of the District of Columbia Municipal Regulations ( 11 DCMR § 1700 et seq.), shall not exceed $300 million” for “$250 million”.
§ 1–308.06. Details of Bonds.
(10) Actions necessary to qualify the Bonds under blue sky laws of any jurisdiction where the Bonds are marketed.
(b) The Bonds shall contain a legend, which shall provide that the Bonds shall be special obligations of the District, shall be nonrecourse to the District, shall not be a pledge of, and shall not involve, the faith and credit or the taxing power of the District (other than the PILOT or any other security authorized by this part), shall not constitute a debt of the District, and shall not constitute lending of the public credit for private undertakings as prohibited in § 1-206.02(a)(2).
(c) The Bonds shall be executed in the name of the District and on its behalf by the manual or facsimile signature of the Mayor. The Mayor’s execution and delivery of the Bonds shall constitute conclusive evidence of the Mayor’s approval, on behalf of the District, of the final form and content of the same.
(d) The official seal of the District, or facsimile of it, shall be impressed, printed, or otherwise reproduced on the Bonds.
(e) The Bonds may be issued at any time or from time to time in one or more issues and in one of more series.
§ 1–308.07. Security for Bonds.
(b) The Bonds are declared to be issued for essential public and governmental purposes. The Bonds and the interest thereon and the income therefrom, and all monies pledged or available to pay or secure the payment of the Bonds, shall at all times be exempt from taxation by the District, except for estate, inheritance, and gift taxes.
(c) The District does hereby pledge to and covenant and agree with the holders of any Bonds that, subject to the provisions of the financing documents, the District will not limit or alter the revenues pledged to secure the Bonds or the basis on which such revenues are collected or allocated, will not impair the contractual obligations of the District to fulfill the terms of any agreement made with the holders of the Bonds, will not in any way impair the rights or remedies of the holders, and will not modify in any way, with respect to the Bonds, the exemptions from taxation provided for in this part, until the Bonds, together with interest thereon, with interest on any unpaid installment of interest and all costs and expenses in connection with any suit, action or proceeding by or on behalf of the holders, are fully met and discharged. This pledge and agreement of the District may be included as part of the contract with the holders of any of its Bonds. This subsection shall constitute a contract between the District and the holders of the Bonds authorized by this part. To the extent that any acts or resolutions of the Council may be in conflict with this part, this part shall be controlling.
(a) The members of the Council, the Mayor, or any person executing Bonds shall not be liable personally on the Bonds by reason of the issuance thereof.
(b) Notwithstanding any other provision of this part, the Bonds shall not be general obligations of the District and shall not be in any way a debt or liability of the District within the meaning of any debt or other limit prescribed by law. The full faith and credit or the general taxing power of the District (other than the PILOT or other security authorized under this part) shall not be pledged to secure the payment of any Bonds.
This part shall not adversely affect any actions taken, agreements entered into, pledge of security made, or Bonds issued prior to April 5, 2005.
For temporary (90 day) addition, see § 2 of District of Columbia Poverty Lawyer Loan Repayment Program Emergency Act of 2006 (D.C. Act 16-512, October 25, 2006, 53 DCR 9086).
For temporary (90 day) addition, see § 2 of District of Columbia Poverty Lawyer Loan Repayment Program Congressional Review Emergency Act of 2006 (D.C. Act 16-563, December 19, 2006, 53 DCR 10259).
For temporary (90 day) amendment of section, see § 3033(a) of Fiscal Year 2008 Budget Support Emergency Act of 2007 (D.C. Act 17-74, July 25, 2007, 54 DCR 7549).
Delegation of Authority Pursuant to D.C. Act 16-512, the District of Columbia Poverty Lawyer Loan Assistance Repayment Program Emergency Act of 2006, and any substantially identical successor legislation, see Mayor’s Order 2006-161, November 8, 2006 ( 53 DCR 9362).
For temporary (90 day) addition, see § 3 of District of Columbia Poverty Lawyer Loan Repayment Program Emergency Act of 2006 (D.C. Act 16-512, October 25, 2006, 53 DCR 9086).
For temporary (90 day) addition, see § 3 of District of Columbia Poverty Lawyer Loan Repayment Program Congressional Review Emergency Act of 2006 (D.C. Act 16-563, December 19, 2006, 53 DCR 10259).
For temporary (90 day) amendment of section, see § 3033(b) of Fiscal Year 2008 Budget Support Emergency Act of 2007 (D.C. Act 17-74, July 25, 2007, 54 DCR 7549).
For temporary (90 day) addition, see § 4 of District of Columbia Poverty Lawyer Loan Repayment Program Emergency Act of 2006 (D.C. Act 16-512, October 25, 2006, 53 DCR 9086).
For temporary (90 day) addition, see § 4 of District of Columbia Poverty Lawyer Loan Repayment Program Congressional Review Emergency Act of 2006 (D.C. Act 16-563, December 19, 2006, 53 DCR 10259).
For temporary (90 day) amendment of section, see § 3033(c) of Fiscal Year 2008 Budget Support Emergency Act of 2007 (D.C. Act 17-74, July 25, 2007, 54 DCR 7549).
For temporary (90 day) addition, see § 5 of District of Columbia Poverty Lawyer Loan Repayment Program Emergency Act of 2006 (D.C. Act 16-512, October 25, 2006, 53 DCR 9086).
For temporary (90 day) addition, see § 5 of District of Columbia Poverty Lawyer Loan Repayment Program Congressional Review Emergency Act of 2006 (D.C. Act 16-563, December 19, 2006, 53 DCR 10259).
For temporary (90 day) addition, see § 6 of District of Columbia Poverty Lawyer Loan Repayment Program Emergency Act of 2006 (D.C. Act 16-512, October 25, 2006, 53 DCR 9086).
For temporary (90 day) addition, see § 6 of District of Columbia Poverty Lawyer Loan Repayment Program Congressional Review Emergency Act of 2006 (D.C. Act 16-563, December 19, 2006, 53 DCR 10259).
For temporary (90 day) addition, see § 7 of District of Columbia Poverty Lawyer Loan Repayment Program Emergency Act of 2006 (D.C. Act 16-512, October 25, 2006, 53 DCR 9086).
For temporary (90 day) addition, see § 7 of District of Columbia Poverty Lawyer Loan Repayment Program Congressional Review Emergency Act of 2006 (D.C. Act 16-563, December 19, 2006, 53 DCR 10259).
For temporary (90 day) addition, see § 8 of District of Columbia Poverty Lawyer Loan Repayment Program Emergency Act of 2006 (D.C. Act 16-512, October 25, 2006, 53 DCR 9086).
For temporary (90 day) addition, see § 8 of District of Columbia Poverty Lawyer Loan Repayment Program Congressional Review Emergency Act of 2006 (D.C. Act 16-563, December 19, 2006, 53 DCR 10259).
For temporary (90 day) addition, see § 9 of District of Columbia Poverty Lawyer Loan Repayment Program Emergency Act of 2006 (D.C. Act 16-512, October 25, 2006, 53 DCR 9086).
For temporary (90 day) addition, see § 9 of District of Columbia Poverty Lawyer Loan Repayment Program Congressional Review Emergency Act of 2006 (D.C. Act 16-563, December 19, 2006, 53 DCR 10259).
For temporary (90 day) addition, see § 10 of District of Columbia Poverty Lawyer Loan Repayment Program Emergency Act of 2006 (D.C. Act 16-512, October 25, 2006, 53 DCR 9086).
For temporary (90 day) addition, see § 10 of District of Columbia Poverty Lawyer Loan Repayment Program Congressional Review Emergency Act of 2006 (D.C. Act 16-563, December 19, 2006, 53 DCR 10259).

References: V. 
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§ 1
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§ 1
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 § 1002
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§ 1
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§ 1

§ 1
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§ 1

§ 1

§ 1

§ 1
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 § 1395
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 § 1032
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§ 1
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 § 1
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§ 1
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§ 1
 § 1700
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§ 1
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§ 1
 § 2
 § 2
 § 3033
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 § 3033
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