The Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. Health Benefits Contract Emergency Approval Resolution of 2025 proposes a multiyear contract valued at approximately $806 million for the provision and administration of fully insured health benefits to District employees, their dependents, and retirees, effective from January 1, 2026, through December 31, 2030. The contract will utilize a Request for Proposal selection method, with annual reviews of adjusted fixed unit prices. The bill also outlines the funding for the District of Columbia's Employee Health Benefits Program for the contract year 2026, certifying $359 million for health insurance contracts with various providers, while seeking additional budget authority for the remaining contract period. The contractor, Kaiser, has a proven track record of satisfactory service to the District for over 15 years.

Additionally, the bill includes provisions for subcontracting, compliance with the Nonprofit Fair Compensation Act, and mandates that contractors adhere to various operational requirements, including customer service standards and performance guarantees. It emphasizes the importance of maintaining a robust health care delivery system, including wellness programs and mental health support, while ensuring compliance with legal standards. The bill also introduces new requirements for handling Personally Identifiable Information (PII) and Protected Health Information (PHI), establishes insurance requirements for contractors, and outlines a structured dispute resolution process. Overall, the bill aims to enhance the quality and efficiency of health benefits administration for District employees and their dependents while ensuring accountability and compliance with applicable laws.