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, retirees, and their dependents, effective from the date of award until December 31, 2030. The contract will utilize a premium rate compensation model, with the District covering 75% of the costs and employees responsible for the remaining 25%. The resolution certifies that the contract aligns with the appropriated budget authority and includes performance standards for claims administration and customer service, as well as a subcontracting plan with a minimum requirement adjusted to 0.50%.

Additionally, the bill outlines the responsibilities of the contractor, including the establishment of a comprehensive health care delivery system, adherence to performance guarantees, and the implementation of wellness programs. It emphasizes the importance of trauma-informed care and mandates that contractors maintain confidentiality of records in compliance with HIPAA. The bill also introduces new provisions for contract management, non-discrimination, and data protection, including the handling of Personally Identifiable Information (PII) and Protected Health Information (PHI). Overall, the legislation aims to enhance the quality and efficiency of health benefits administration for District employees while ensuring compliance with various legal and regulatory requirements.