The "Health Benefits Contract Emergency Approval Resolution of 2025" seeks the Council's approval for a multiyear contract with Group Hospitalization and Medical Services, Inc. (CareFirst BlueCross BlueShield) to provide fully insured health benefits to District employees, their dependents, and retirees, with an estimated cost of $769,361,993.67 over five years. The contract will cover various health plan types and is designed to ensure the continuation of health benefits for District employees, with provisions for annual premium rate adjustments. The bill also includes a funding certification for health insurance contracts for employees hired after September 30, 1987, and outlines the estimated costs associated with four health insurance companies involved in the program.
Additionally, the bill incorporates several provisions aimed at enhancing the health benefits program, including requirements for contractors to maintain compliance with federal and District laws, ensure data security, and provide comprehensive care management services. It emphasizes the importance of mental health support and mandates performance guarantees for contractors regarding customer service and claims administration. Notably, the bill deletes Article 25 from the Standard Contract Provisions and introduces new clauses related to hiring requirements for District residents and compliance with the Nonprofit Fair Compensation Act of 2020. Overall, the bill aims to improve the quality and accessibility of healthcare services for District employees while ensuring accountability and fair compensation for contractors.