reglab/housing_qa huggingface dataset:
DC Code § 31-3161 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 31C - Health Benefit Plans Equity|§ 31-3161. Prohibition on gender-based discrimination in rate making

(a) For the purposes of this section, the term “health benefit plan” shall have the same meaning as provided in § 31-3001(1). (b) An individual health benefit plan offered, sold, issued, or renewed to a District resident shall not have a premium rate, or any other underwriting decision, determined through a method that is in any way based upon the gender or sex of a person covered under the health benefit plan. (c) Each individual health benefit plan offered, sold, issued, or renewed in the District shall provide hospitalization benefits for childbirth to the same extent as benefits provided in the policy for any covered illness. In addition to the provisions of this subsection and subsection (c) of this section, if a mother is required to remain hospitalized after childbirth for medical reasons and the mother requests that the newborn remain in the hospital, the individual health benefit plan shall pay the cost of additional hospitalization for the newborn for up to 4 days. (d) Each individual health benefit plan offered, sold, issued, or renewed in the District shall provide coverage for the cost of inpatient hospitalization services for a mother and newborn child for a minimum of: (1) Forty-eight hours of inpatient hospitalization care after an uncomplicated vaginal delivery; and (2) Ninety-six hours of inpatient hospitalization care after an uncomplicated cesarean section. (e) A mother may request a shorter length of stay than that provided in subsection (c) of this section if the mother decides, in consultation with the mother’s attending provider, that less time is needed for recovery. (f)(1) For a mother and newborn child who have a shorter hospital stay than that provided under subsection (c) of this section, the individual health benefit plan shall provide coverage for: (A) One home visit scheduled to occur within 24 hours after hospital discharge; and (B) An additional home visit if prescribed by the mother’s attending provider. (2) For a mother and newborn child who remain in the hospital for at least the length of time provided under subsection (c) of this section, the individual health benefit plan shall provide coverage for a home visit if prescribed by the mother’s attending provider. (3) A home visit under paragraph (1) or (2) of this subsection shall: (A) Be provided in accordance with generally accepted standards of nursing practice for home care of a mother and newborn child; (B) Be provided by a registered nurse with at least one year of experience in maternal and child health nursing or community health nursing with an emphasis on maternal and child health; and (C) Include any services required by the mother’s attending provider.  (Apr. 8, 2011, D.C. Law 18-360, § 302, 58 DCR 896.)
DC Code § 31-3162 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 31C - Health Benefit Plans Equity|§ 31-3162. Rules

The Mayor, pursuant to subchapter I of Chapter 5 of Title 2 [§ 2-501 et seq.], shall issue rules to implement the provisions of this chapter.  (Apr. 8, 2011, D.C. Law 18-360, § 303, 58 DCR 896.)
DC Code § 31-3163 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 31C - Health Benefit Plans Equity|§ 31-3163. Application

This chapter shall apply to policies and certificates of insurance that are health benefit plans as defined under § 31-3271(4) that are issued 90 days after April 8, 2011. This chapter shall not apply to short-term limited duration health benefit plans.  (Apr. 8, 2011, D.C. Law 18-360, § 304, 58 DCR 896.)
DC Code § 31-3171.02 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 31D - Health Benefit Exchange|§ 31-3171.02. Establishment and purpose

(a) There is established, as an independent authority of the District government, the District of Columbia Health Benefit Exchange Authority. The Authority shall be an instrumentality, created to effectuate the purposes stated in this chapter, that shall have a legal existence separate from the District government. (b) The purposes of the Authority shall be to: (1) Enable individuals and small employers to find affordable and easier-to-understand health insurance; (2) Facilitate the purchase and sale of qualified health plans; (3) Assist small employers in facilitating the enrollment of their employees in qualified health plans; (4) Reduce the number of uninsured; (5) Provide a transparent marketplace for health benefit plans; (6) Educate consumers; and (7) Assist individuals and groups to access programs, premium assistance tax credits, and cost-sharing reductions.  (Mar. 2, 2012, D.C. Law 19-94, § 3, 59 DCR 213.)  Section References This section is referenced in § 31-3171.01.
DC Code § 31-3171.07 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 31D - Health Benefit Exchange|§ 31-3171.07. Advisory board

(a) In addition to the executive board, there shall be a standing advisory board consisting of 9 members, who shall be residents of the District. (b) The executive board may create additional advisory boards as it considers appropriate. (c) The executive board shall solicit the recommendations of, and consult with, the advisory boards on: (1) Insurance standards; (2) Covered benefits; (3) Premiums; (4) Plan certification; (5) Internet technology system development; and (6) Any other policy or operational issues, within the executive board’s discretion. (d) The executive board shall: (1) Select the members of the advisory boards; (2) Establish the terms of the members; (3) Ensure that at least one member of the standing advisory board demonstrates expertise as a health insurance broker or agent; (4) Appoint the chair of the standing advisory board; (5) Determine the residency requirement of any additional advisory board created; and (6) Appoint the chair of any additional advisory boards created. (e)(1) An advisory board member may continue to serve until the appointment of his or her successor. (2) Vacancies shall be filled by appointment by the executive board for the unexpired term of the appointee’s predecessor. (f) Each person appointed to an advisory board shall have demonstrated and acknowledged expertise on issues related to at least one of the following groups: (1) Health professionals; (2) Health insurance consumers; (3) Disease and demographic-specific advocacy groups; (4) Commercial sector health plans; (5) Public sector health plans; (6) Health insurance brokers; (7) Health care consumer interest advocacy; (8) Health care foundations; (9) Exchange consumers; or (10) Such other interests considered necessary.  (Mar. 2, 2012, D.C. Law 19-94, § 8, 59 DCR 213.)
DC Code § 31-3171.08 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 31D - Health Benefit Exchange|§ 31-3171.08. Executive director and Authority staff

(a) The executive board shall hire an executive director within 60 days of a majority of executive board members being confirmed to organize, administer, and manage the operations of the Authority. (1) The executive director shall not be an employee in the career service and shall serve at the pleasure of the executive board. (2) The executive director shall become a resident of the District within 180 days of the date of hire. (b) The executive board shall determine the appropriate compensation for the executive director; provided, that the executive director’s compensation shall not exceed the maximum allowable salary in the District of Columbia Excepted Service salary schedule. (c) Under the direction of the executive board, the executive director shall; (1) Be the chief administrative officer of the Authority; (2) Direct, administer, and manage the operations of the Authority; and (3) Perform all duties necessary to comply with and carry out the provisions of this chapter, other District laws and regulations, and the Federal Act. (d)(1) The executive director may employ and retain staff for the Authority. (2) The executive director may retain as independent contractors or employees, and set compensation for: (A) Attorneys; (B) Financial consultants; and (C) Other professionals or consultants necessary to carry out the planning, development, and operations of the Authority and the provisions of this chapter. (3) Employee compensation shall not exceed the maximum allowable salary in the District of Columbia Excepted Service salary schedule. (e) Except as otherwise provided in this chapter, an employee or independent contractor of the Authority shall not be subject to any law, regulation or Mayor’s Order governing District government compensation, including furloughs, pay cuts, or any other general fund cost-saving measure.  (Mar. 2, 2012, D.C. Law 19-94, § 9, 59 DCR 213.)
DC Code § 31-3171.09a (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 31D - Health Benefit Exchange|§ 31-3171.09a. Distribution of individual and small group health benefit plans

(a) A carrier that offers individual or small group health benefit plans shall offer such plans solely through the American Health Benefit Exchange, as established pursuant to § 31-3171.04(a), subject to the following transition provisions: (1) Individual health benefit plans with plan years beginning on or after January 1, 2014, shall be offered solely through the American Health Benefit Exchange; (2) On or after January 1, 2014, small group health benefit plans offered to any small business that was not insured as of December 31, 2013, shall be offered and issued solely through the American Health Benefit Exchange; (3) Small group health benefit plans offered to or renewed by any small business that was insured as of December 31, 2013, may be issued or renewed during calendar year 2014 through existing distribution channels with the same carrier or a new carrier, except that such plans shall meet the qualifications for certification of a qualified health plan as provided in § 31-3171.09; and (4) Unless the Council acts by October 1, 2014 to change the date that all small group health plans shall be offered, issued, or renewed through the American Health Benefit Exchange, on or after January 1, 2015, all small group health benefit plans shall be offered and issued or renewed solely through the American Health Benefit Exchange. (b) The requirements of this section shall not apply to grandfathered health plans as defined in section 1251 of the Federal Act.  (Mar. 2, 2012, D.C. Law 19-94, § 10a; as added July 16, 2014, D.C. Law 20-123, § 2(c), 61 DCR 5379.)  Emergency Legislation For temporary (90 days) addition of this section, see § 2(c) of the Better Prices, Better Quality, Better Choices for Health Coverage Emergency Amendment Act of 2013 (D.C. Act 20-87, June 19, 2013, 60 DCR 9542, 20 DCSTAT 1446). For temporary (90 days) addition of this section, see §§ 2(c) and 3 of the Better Prices, Better Quality, Better Choices for Health Coverage Congressional Review Emergency Amendment Act of 2013 (D.C. Act 20-170, September 26, 2013, 60 DCR 14742). For temporary (90 days) addition of this section, see § 2(c) of the Better Prices, Better Quality, Better Choices for Health Coverage Emergency Amendment Act of 2014 (D.C. Act 20-335, May 22, 2014, 61 DCR 5375). Temporary Legislation For temporary (225 days) addition of this section, see § 2(c) of the Better Prices, Better Quality, Better Choices for Health Coverage Temporary Amendment Act of 2013 (D.C. Law 20-22, October 3, 2013, 60 DCR 10880).
DC Code § 31-3171.09b (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 31D - Health Benefit Exchange|§ 31-3171.09b. Sale, solicitation, and negotiation by insurance producers

(a) An insurance producer that is licensed in the District and authorized by the Commissioner to sell, solicit, or negotiate health insurance pursuant to Chapter 11A of Title 31 [§ 31-1131.02 et seq.], may sell any qualified health plan offered in the American Health Benefit Exchange, after satisfactorily completing training developed and provided by the Authority. (b) An insurance producer shall be compensated directly by a health carrier for the sale of a qualified health plan offered in the American Health Benefit Exchange.  (Mar. 2, 2012, D.C. Law 19-94, § 10b; as added July 16, 2014, D.C. Law 20-123, § 2(c), 61 DCR 5379.)  Emergency Legislation For temporary (90 days) addition of section, see § 2(c) of the Better Prices, Better Quality, Better Choices for Health Coverage Emergency Amendment Act of 2013 (D.C. Act 20-87, June 19, 2013, 60 DCR 9542, 20 DCSTAT 1446). For temporary (90 days) addition of section, see §§ 2(a) and 3 of the Better Prices, Better Quality, Better Choices for Health Coverage Congressional Review Emergency Amendment Act of 2013 (D.C. Act 20-170, September 26, 2013, 60 DCR 14742). For temporary (90 days) addition of section, see § 2(c) of the Better Prices, Better Quality, Better Choices for Health Coverage Emergency Amendment Act of 2014, (D.C. Act 20-335, May 22, 2014, 61 DCR 5375). Temporary Legislation For temporary (225 days) addition of section, see § 2(c) of the Better Prices, Better Quality, Better Choices for Health Coverage Temporary Amendment Act of 2013 (D.C. Law 20-22, October 3, 2013, 60 DCR 10880).
DC Code § 31-3171.10 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 31D - Health Benefit Exchange|§ 31-3171.10. Conflicts of interest

(a)(1) A member of the executive board or of the staff of the Authority shall not be employed by, a consultant to, a member of the board of directors of, affiliated with, or otherwise a representative of, a health carrier or other insurer, an agent or broker, a health professional, or a health care facility or health clinic while serving on the board or on the staff of the Authority. (2) A member of the executive board or of the staff of the Authority shall not be a member, a board member, or an employee of a trade association of health carriers, health facilities, health clinics, or health professionals while serving on the board or on the staff of the Authority. (3) A member of the executive board or of the staff of the Authority shall not be a health professional unless he or she receives no compensation for rendering services as a health professional and does not have an ownership interest in a professional health care practice. (b) No member of the executive board or of the staff of the Authority shall, for one year after the end of the member’s service on the board or employment by the Authority, accept employment with any health carrier that offers a qualified health benefit plan through the exchanges. (c) No member of the executive board shall make, participate in making, or in any way attempt to use his or her official position to influence the making of any decision that he or she knows or has reason to know will have a reasonably foreseeable material financial effect, distinguishable from its effect on the public generally, on him or her or a member of his or her immediate family, or on either of the following: (1) Any source of income, other than gifts and other than loans by a commercial lending institution in the regular course of business on terms available to the public without regard to official status, aggregating $250 or more in value provided to, received by, or promised to the member within 12 months prior to the time when the decision is made. (2) Any business entity in which the member is a director, officer, partner, trustee, or employee, or holds any position of management.  (Mar. 2, 2012, D.C. Law 19-94, § 11, 59 DCR 213.)
DC Code § 31-3171.11 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 31D - Health Benefit Exchange|§ 31-3171.11. Open meetings

The executive and advisory boards shall be subject to subchapter IV of Chapter 5 of Title 2 [§ 2-571 et seq.]; except, that the executive board may hold closed sessions when considering matters related to litigation, personnel, contracting, or rates.  (Mar. 2, 2012, D.C. Law 19-94, § 12, 59 DCR 213.)
DC Code § 31-3171.12 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 31D - Health Benefit Exchange|§ 31-3171.12. Limitation of liability

There shall not be any liability, in a private capacity, on the part of the executive or advisory board members, or any officer, or employee of the executive or advisory board, for or on account of any act performed or obligation entered into in an official capacity when done in good faith, without intent to defraud, and in connection with the administration, management, or conduct of this chapter or affairs related to this chapter.  (Mar. 2, 2012, D.C. Law 19-94, § 13, 59 DCR 213.)
DC Code § 31-3171.13 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 31D - Health Benefit Exchange|§ 31-3171.13. Relation to other laws

(a) Nothing in this chapter, and no action taken by the Authority pursuant to this chapter, shall be construed to preempt or supersede the authority of the Commissioner to regulate the business of insurance within the District. Except as expressly provided to the contrary in this chapter, all health carriers offering qualified health plans and qualified dental plans in the District shall comply fully with all applicable health insurance laws of the District and regulations adopted and orders issued by the Commissioner. (b) Nothing in this chapter, and no action taken by the Authority pursuant to this chapter, shall be construed to preempt or supersede the authority of the Department of Health Care Finance, as the single state agency, to establish policy and enforce the rules and regulations governing Titles XIX and XXI of the Social Security Act and other health-care programs under its jurisdiction.  (Mar. 2, 2012, D.C. Law 19-94, § 14, 59 DCR 213.)
DC Code § 31-3171.14 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 31D - Health Benefit Exchange|§ 31-3171.14. Powers of the Mayor

Notwithstanding any other provision of this chapter, all powers and authority vested by this chapter in the Authority shall remain with the Mayor until: (1) A majority of members of the executive board have been confirmed by the Council; and (2) The executive board has hired an executive director.  (Mar. 2, 2012, D.C. Law 19-94, § 15, 59 DCR 213.)
DC Code § 31-3171.15 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 31D - Health Benefit Exchange|§ 31-3171.15. Dissolution of the Authority

Upon dissolution, liquidation, or other termination of the Authority: (1) All rights and properties of the Authority shall pass to and be vested in the District, subject to the rights of lien holders and other creditors; (2) Any net earnings of the Authority, beyond that necessary for retirement of any indebtedness or to implement a public purpose or program of the District authorized under this chapter, shall not inure to the benefit of any person other than the District; (3) The expenditure of any net earnings shall be restricted to costs related to the direct delivery of health care to residents of the District.  (Mar. 2, 2012, D.C. Law 19-94, § 16, 59 DCR 213.)
DC Code § 31-3171.17 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 31D - Health Benefit Exchange|§ 31-3171.17. Rules

(a) The Authority, pursuant to subchapter I of Chapter 5 of Title 2 [§ 2-501 et seq.], shall issue rules to implement the provisions of this chapter and as authorized by § 47-5109. (b) The Authority shall submit all proposed rules adopted by the Authority to the Council for a 30-day period of review, excluding Saturdays, Sundays, legal holidays, and days of Council recess. If the Council does not approve or disapprove the proposed rules, in whole or in part, by resolution, within this 30-day review period, the proposed rules shall be deemed approved. (c) Regulations promulgated under this section shall not conflict with or prevent the application of regulations promulgated by the Secretary under the Federal Act.  (Mar. 2, 2012, D.C. Law 19-94, § 18, 59 DCR 213; Oct. 30, 2018, D.C. Law 22-168, § 5003(b), 65 DCR 9388.)  Emergency Legislation  For temporary (90 days) amendment of this section, see § 5003(b) of Fiscal Year 2019 Budget Support Congressional Review Emergency Act of 2018 (D.C. Act 22-458, Oct. 3, 2018, 65 DCR 11212).   For temporary (90 days) amendment of this section, see § 5003(b) of Fiscal Year 2019 Budget Support Emergency Act of 2018 (D.C. Act 22-434, July 30, 2018, 65 DCR 8200).
DC Code § 31-3171.18 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 31D - Health Benefit Exchange|§ 31-3171.18. Applicability. [Repealed]

Repealed.  (Mar. 2, 2012, D.C. Law 19-94, § 19, 59 DCR 213; Sept. 20, 2012, D.C. Law 19-168, § 7015, 59 DCR 8025; Dec. 13, 2017, D.C. Law 22-33, § 7005, 64 DCR 7652.)  Effect of Amendments The 2012 amendment by D.C. Law 19-168 rewrote the section. Emergency Legislation  For temporary (90 days) repeal of this section, see § 7005 of Fiscal Year 2018 Budget Support Congressional Review Emergency Act of 2017 (D.C. Act 22-167, Oct. 24, 2017, 64 DCR 10802).   For temporary (90 days) repeal of this section, see § 7005 of Fiscal Year 2018 Budget Support Emergency Act of 2017 (D.C. Act 22-104, July 20, 2017, 64 DCR 7032).  For temporary (90 day) amendment of section, see § 7015 of Fiscal Year 2013 Budget Support Emergency Act of 2012 (D.C. Act 19-383, June 19, 2012, 59 DCR 7764). For temporary (90 day) amendment of section, see § 7015 of Fiscal Year 2013 Budget Support Congressional Review Emergency Act of 2012 (D.C. Act 19-413, July 25, 2012, 59 DCR 9290). Editor's Notes Section 7016 of D.C. Law 19-168 provided that § 7015 of the act shall apply as of June 19, 2012.
DC Code § 31-3175.02 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 31E - Health Benefits Plans Behavioral Health Parity|§ 31-3175.02. Compliance and enforcement

(a) All health insurers offering health benefits plans, including Medicaid, in the District that provide mental health condition and substance use disorder benefits, shall comply with the requirements of MHPAEA. (b) The Department shall enforce the requirements of this chapter by: (1) Ensuring compliance by health insurers; (2) Detecting, evaluating, and responding to complaints regarding any potential or actual violations of MHPAEA; (3) Developing, maintaining, and regularly reviewing a publicly-available consumer complaint log recording any potential or actual violations of MHPAEA; and (4) Performing market conduct examinations of health insurers health benefits plans, including a review of any non-quantitative treatment limitations.  (Mar. 13, 2019, D.C. Law 22-242, § 3, 66 DCR 930.)
DC Code § 31-3175.04 (2021)
2021 District of Columbia Code|Title 31 - Insurance and Securities|Chapter 31E - Health Benefits Plans Behavioral Health Parity|§ 31-3175.04. Non-quantitative treatment limitations

A health insurer shall not impose a non-quantitative treatment limitation with respect to a mental health condition or substance use disorder for any classification of benefits unless, under the terms of the health benefits plan, as written and in operation, any processes, strategies, evidentiary standards or other factors used in applying the non-quantitative treatment limitation to mental health or substance use disorder benefits in the classification are comparable to, and are applied no more stringently than, the processes, strategies, evidentiary standards, or other factors used in applying the non-quantitative treatment limitation with respect to medical or surgical benefits in the same classification.  (Mar. 13, 2019, D.C. Law 22-242, § 5, 66 DCR 930.)