1 _____________________________ ______________________________
2 Chairman Phil Mendelson Councilmember Robert C. White, Jr.
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7 Councilmember Charles Allen Councilmember Anita Bonds
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12 Councilmember Vincent C. Gray Councilmember Brianne K. Nadeau
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17 Councilmember Trayon White, Sr. Councilmember Brooke Pinto
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22 Councilmember Christina Henderson Councilmember Janeese Lewis George
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27 Councilmember Zachary Parker
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29 A BILL
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34 IN THE COUNCIL OF DISTRICT OF COLUMBIA
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38 To amend the Women's Health and Cancer Rights Federal Law Conformity Act of 2000 to
39 require private insurance companies to cover certain health care costs without imposing
40 cost-sharing requirements.
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42 BE IT ENACTED BY THE COUNCIL OF THE DISTRICT OF COLUMBIA, That this
43 act may be cited as the “Health Insurance Coverage Expansion Amendment Act of 2024”.
44 Sec. 2. The Women's Health and Cancer Rights Federal Law Conformity Act of 2000,
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45 effective April 3, 2001 (D.C. Law 13-254; D.C. Official Code § 31-3831 et seq.), is amended as
46 follows:
47 (a) A new section 5b-1 is added to read as follows:
48 “Section 5b-1. Coverage of additional services.
49 “(a) An individual health plan or group health plan shall provide coverage for abortion
50 and abortion-related services, including follow-up services for an enrollee. No individual health
51 plan or group health plan shall impose any deductible, coinsurance, copayment, or other cost-
52 sharing requirement on an enrollee for the coverage required by this section.
53 “(b) A health plan shall not impose any restrictions or delays on the coverage required by
54 this section.
55 “(c) Coverage for services under this section shall be provided without discrimination on
56 the basis of age, ancestry, disability, domestic partner status, gender, gender expression, gender
57 identity, genetic information, marital status, national origin, race, religion, sex, or sexual
58 orientation.
59 “(d) Health insurance coverage through Medicaid is excluded from the requirements of
60 this subsection.”.
61 (b) Section 5d (D.C. Official Code § 31-3834.04) is amended as follows:
62 (1) Subsection (a) is amended as follows:
63 (A) Paragraph (1) is amended by striking the phrase “and services under
64 sections 5a, 5b, 5c, and 5f” and inserting the phrase “and services, or abortion and abortion-
65 related services under sections 5a, 5b, 5b-1, 5c, and 5f” in its place.
66 (B) Paragraph (2) is amended by striking the phrase “and services” and
67 inserting the phrase “and services, or abortion and abortion-related services” in its place.
68 (c) Section 5e (D.C. Official Code § 31-3834.05) is amended as follows:
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69 (1) Subsection (a) is amended as follows:
70 (A) The lead-in language is amended by striking the phrase “sections 5a,
71 5b, or 5c” and inserting the phrase “sections 5a, 5b, 5b-1, and 5c” in its place.
72 (B) Paragraph (1) is amended by striking the phrase “contraceptive drugs,
73 devices, products, and services” and inserting the phrase “contraceptive or fertility enhancing
74 drugs, devices, products, and services, and abortion and abortion-related services” in its place.
75 (C) Paragraph (2) is amended by striking the phrase “sections 5a, 5b, or
76 5c” and inserting the phrase “sections 5a, 5b, 5b-1, and 5c” in its place.”
77 (2) Subsection (c) is amended by striking the phrase “and services described in
78 sections 5a, 5b, or 5c” and inserting the phrase “and services, and abortion and abortion-related
79 services described in sections 5a, 5b, 5b-1, and 5c” in its place.
80 Sec. 3. Rules.
81 The Mayor, pursuant to Title I of the District of Columbia Administrative Procedure Act,
82 approved October 21, 1968 (82 Stat. 1204; D.C. Official Code § 2-501 et seq.), shall issue rules
83 to implement the provisions of this act.
84 Sec. 4. Fiscal impact statement.
85 The Council adopts the fiscal impact statement in the committee report as the fiscal
86 impact statement required by 4a of the General Legislative Procedures Act of 1975, approved
87 October 16, 2006 (120 Stat. 2038; D.C. Official Code § 1-301.47a).
88 Sec. 5. Effective date.
89 This act shall take effect following approval by the Mayor (or in the event of veto by the
90 Mayor, action by the Council to override the veto), a 30-day period of Congressional review as
91 provided in sections 602(c)(1) of the District of Columbia Home Rule Act, approved December
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92 24, 1973 (87 Stat. 813; D.C. Official Code § 1-206.02(c)(1)), and publication in the District of
93 Columbia Register.
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