Code of the District of Columbia

§ 7–875.02. Definitions.

For the purposes of this chapter, the term:

(1) “Child-related educational program” means public and private schools, including pre-kindergarten, Head Start, child care, and special education.

(2) “Child-related health program” means Medicaid, Children Health Insurance Program (“CHIP”), Healthy Start, Healthy Families, Early Intervention, and private health insurance.

(3) “Child-related human or social services program” means children in foster care and Women, Infants and Children.

(4) “Children with special needs who reside or are receiving care in another state” means children:

(A) With physical or mental disabilities or illnesses who reside or receive care in other states, because the District does not have the facilities, resources, or services to appropriately treat the child’s physical or mental disability or illness; and

(B) Whose parents or legal guardians reside in the District;

(5) “Health benefits plan” means any accident and health insurance policy or certificate, hospital and medical services corporation contract, health maintenance organization subscriber contract, plan provided by a multiple employer welfare arrangement, or plan provided by another benefit arrangement. The term “health benefit plan” does not mean accident only, credit, or disability insurance; coverage of Medicare services or federal employee health plans pursuant to contracts with the United States government; Medicare supplemental or long-term care insurance; dental only or vision only insurance; specified disease insurance; hospital confinement indemnity coverage; limited benefit health coverage; coverage issued as a supplement to liability insurance, insurance arising out of a workers’ compensation or similar law; automobile medical payment insurance; medical expense and loss of income benefits; or insurance under which benefits are payable with or without regard to fault and that is statutorily required to be contained in any liability insurance policy or equivalent self-insurance.

(6) “Health insurer” means any person that provides one or more health benefit plans or insurance in the District of Columbia, including an insurer, a hospital and medical services corporation, a fraternal benefit society, a health maintenance organization, a multiple employer welfare arrangement, or any other person providing a plan of health insurance subject to the authority of the Commissioner.

(7) “Uniform health form” means a standardized health assessment form developed by the Mayor for use when enrolling a child in child-related educational, health, and human or social services programs.