Source: http://dccode.elaws.us/code?no=31-3105
Timestamp: 2019-12-14 13:45:51
Document Index: 531013891

Matched Legal Cases: ['§ 31', '§ 35', '§ 35', '§ 35', '§ 2', '§ 2', '§ 38', '§ 2', '§ 2', '§ 35', '§ 2', '§ 31', '§ 31', '§ 31', '§ 31', '§ 31']

§ 31-3105. Exemptions.
1981 Ed., § 35-2305.
D.C. Law 13-178 rewrote this section which formerly provided:
"(a) Methods of determining levels of payment or reimbursement for services, or for the type of facility charge eligible for payment or reimbursement pursuant to this chapter, shall be consistent with those for physical illnesses in general and shall take into consideration usual, customary, and reasonable charges for those services. Except as otherwise provided in § 35-2304(b) [1981 Ed.], deductible or copayment plans, and limits on total amounts payable to an individual in a calendar year or lifetime payment limits may be applied; Provided, however, that the inpatient and outpatient benefits set forth in § 35-2304 [1981 Ed.] shall be provided with a lifetime payment limit of not less than $80,000 or one third of the lifetime maximum for physical illness, whichever is greater.
"(b) Nothing in this section shall be construed as requiring health maintenance organizations to provide any greater level of covered benefits than the level required of insurers."
"(e) The mental parity provisions in this section shall not apply to benefits for services furnished after September 29, 2001, unless these provisions are re-enacted."
D.C. Law 16-242, in subsec. (b), substituted "health benefit plan or certificate" for "health insurance"; and, in subsec. (d), substituted "health insurers" for "insurers".
For temporary (225 day) repeal of section, see § 2(c) of Drug Abuse, Alcohol Abuse, and Mental Illness Insurance Coverage Temporary Amendment Act of 1998 (D.C. Law 12-108, May 8, 1998, law notification 46 DCR 3259).
For temporary (225 day) addition, see § 2(d) of Drug Abuse, Alcohol Abuse, and Mental Illness Insurance Coverage Temporary Amendment Act of 1998 (D.C. Law 12- 108, May 8, 1998, law notification 46 DCR ).
Section 2(d) of D.C. Law 12-108 was amended by D.C. Law 12-264, § 38, April 20, 1999, 46 DCR 2118.
For temporary amendment of section, see §§ 2(c) and (d) of the Drug Abuse, Alcohol Abuse, and Mental Illness Insurance Coverage Emergency Amendment Act of 1998 (D.C. Act 12-274, February 19, 1998, 45 DCR 1526).
For temporary repeal of section, see § 2(c) of the Drug Abuse, Alcohol Abuse, and Mental Illness Insurance Coverage Second Emergency Amendment Act of 1998 (D.C. Act 12-546, December 24, 1998, 45 DCR 497).
For temporary addition of § 35-2305.1 [1981 Ed.], see § 2(d) of the Drug Abuse, Alcohol Abuse, and Mental Illness Insurance Coverage Second Emergency Amendment Act of 1998 (D.C. Act 12-546, December 18, 1998, 46 DCR 497).
For legislative history of D.C. Law 6-195, see Historical and Statutory Notes following § 31-3101.
For legislative history of D.C. Law 9-192, see Historical and Statutory Notes following § 31-3102.
For legislative history of D.C. Law 12-103, see Historical and Statutory Notes following § 31-3101.
For Law 13-178, see notes following § 31-3101.
For Law 16-242, see notes following § 31-3101.
Because of the prior expiration of certain provisions of this section required by subsection (e) of this section, section 203(a) of D.C. Law 16-232 provided that "subsections (a) through (d) are hereby revived."