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PR 26-0366

Group Hospitalization and Medical Services, Inc. d/b/a CareFirst BlueCross BlueShield, CareFirst BlueChoice, Inc. Health Benefits Contract Emergency Declaration Resolution of 2025

26th Council Period (2025-2026) Introduced by Phil Mendelson

Summary of PR 26-0366: Group Hospitalization and Medical Services, Inc. d/b/a CareFirst BlueCross BlueShield, CareFirst BlueChoice, Inc. Health Benefits Contract Emergency Declarat

Resolution R26-0236, Effective from Nov 04, 2025 Published in DC Register Vol 72 and Page 012925
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Bill Summary · PR 26-0366

Summary of PR 26-0366: Group Hospitalization and Medical Services, Inc. d/b/a CareFirst BlueCross BlueShield, CareFirst BlueChoice, Inc. Health Benefits Contract Emergency Declaration Resolution of 2025

Purpose and Intent

This resolution declares a state of emergency regarding the health benefits contracts between the District of Columbia and Group Hospitalization and Medical Services, Inc. d/b/a CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. The intent is to address an imminent threat to the provision of health care services for District residents enrolled in CareFirst plans.

Key Provisions

  • Declares a 90-day state of emergency related to the CareFirst health benefits contracts, effective November 4, 2025.
  • Authorizes the Mayor to take all necessary steps to ensure uninterrupted health care services for CareFirst enrollees, including:
    • Renegotiating or extending the existing CareFirst contracts on an emergency basis.
    • Procuring alternative health plan providers if CareFirst is unable to continue providing services.
    • Implementing any other measures needed to protect the health and welfare of District residents.
  • Requires the Mayor to report to the Council on the status of the emergency measures within 30 days.
  • States that the resolution shall expire after 90 days unless extended by the Council.

Affected Parties

  • District of Columbia residents enrolled in CareFirst BlueCross BlueShield or CareFirst BlueChoice health plans.
  • CareFirst BlueCross BlueShield and CareFirst BlueChoice as the current health plan providers for the District.
  • The District government, which contracts with CareFirst to provide health benefits to residents.

Timeline and Procedure

  • The resolution was introduced on October 27, 2025 and became effective on November 4, 2025 upon publication in the D.C. Register.
  • The state of emergency declared by the resolution will last for 90 days, unless extended by the Council.
  • The Mayor must report to the Council on the status of emergency measures within 30 days of the resolution's effective date.

Overall, this resolution gives the District government emergency authority to ensure continuity of health care coverage for CareFirst enrollees, in response to an imminent threat to the provision of those services.

Compiled from official sources — confirm details with the bill’s official record.

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