The District's new Health Benefit Exchange Authority Executive Board (HBX) was officially sworn in by Mayor Vincent C. Gray on July 17, 2012. The District’s Health Benefit Exchange Authority will guide implementation of a crucial part of the Affordable Care Act (ACA) – state-level insurance exchanges that will provide health-insurance customers with more choice and buying power in purchasing affordable health-care plans.
Health Benefit Exchange Authority Meetings
June 14, 2017
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio Recording of meeting
- Final Agenda
- Resolution - past due premiums
- Resolution 2018 Open Enrollment Period
- June Enrollment Data
April 12, 2017
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio Recording of meeting
- Final Agenda
- Meeting Minutes for April 12th meeting
- April Enrollment Data
March 8, 2017
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio Recording of meeting
- Final Agenda
- Minutes from March 8th meeting
- 2017 Executive Board Committee Assignment Changes
- March Enrollment Data
February 27, 2017
Health Benefit Exchange (HBX) Executive Board Meeting
February 23, 2017
Health Benefit Exchange (HBX) Executive Board Meeting
February 8, 2017
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio Recording of meeting
- Final Agenda
- Minutes from February 8th meeting
- DC Health Link Open Enrollment Period 4 Outreach Summary - Video
- Standard Plans Working Group Report
- Attachment
- Resolution
- Clear Choices Press Release
- Clear Choices Insurance Scorecard
- February Enrollment Data
January 11, 2017
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio Recording of meeting
- Final Agenda
- Minutes from the January 11th meeting
- GW/Commonwealth Study
- DC Specific Fact Sheet
- January 2017 Enrollment Data (Board Stats)
December 14, 2016
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio Recording of meeting
- Agenda
- Minutes from December 14th Meeting
- December 2016 Enrollment Data
- Open Enrollment Data for January 1, 2017
- Draft Minutes from November 9th Meeting
November 28, 2016
Health Benefit Exchange (HBX) Executive Board Meeting
November 9, 2016
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio Recording of meeting
- Agenda
- Minutes from November 9th Meeting
- FY2018 Staff Proposed Budget Presentation
- Resolution – SAB Appointments
- Enrollment Data November 2016
October 19, 2016
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Agenda
- Minutes from October 19th Meeting
- October 2016 Exec Board Committees and Members Track Changes
- BOARD Presentation - Outreach Strategy OEP4 - Oct 19 2016 LWB
- Financial Reserve Recommendations
- Enrollment Data October 2016
September 28, 2016
Health Benefit Exchange (HBX) Executive Board Meeting
August 8, 2016
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Agenda
- Minutes from August 8th Meeting
- Resolution - Network Adequacy
- AHIP Letter on Network Adequacy Resolution
July 11, 2016
Health Benefit Exchange (HBX) Executive Board Meeting
June 27, 2016
Health Benefit Exchange (HBX) Executive Board Meeting
June 13, 2016
Health Benefit Exchange (HBX) Executive Board Meeting
May 11, 2016
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Final Agenda
- Minutes from May 11, 2016 meeting
- Draft Resolution Standing Advisory Board Vacancy
- Event Summary
April 6, 2016
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Final Agenda
- Minutes from April 6, 2016 meeting
- HBX Reserve Policy
- Standard Plan Modification Report from the Advisory Working Group
- Standard Plan Advisory Group Report Attachment
- Resolution on Standard Plan Modifications for Plan Year 2017
- 2016 Exec Board Committees and Members Track Changes
March 9, 2016
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting - Part 1
- Audio recording of meeting - Part 2
- Final agenda
- Final minutes from March 9, 2016 meeting
February 26, 2016
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Final agenda
- Final minutes from February 26, 2016 meeting
- Resolution to define an additional time-limited “exceptional circumstance” for a Special Enrollment Period
February 10, 2016
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Final agenda
- Minutes from February 10, 2016 meeting
- 3rd Open Enrollment (video)
January 13, 2016
Health Benefit Exchange (HBX) Executive Board Meeting
December 9, 2015
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Draft Agenda
- Final Agenda
- Minutes
- Proposed Assessment Regulation
- Comment on Proposed Assessment Regulation
- FY 15 Staff Proposed Budget Presentation
- Draft Resolution on Standing Advisory Board Appointments
November 9, 2015
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Draft agenda
- Final minutes from November 9, 2015 meeting
- Draft minutes from October 19, 2015 meeting
October 19, 2015
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Draft agenda
- Final agenda
- Final minutes from October 19, 2015 meeting
- Draft minutes from September 21, 2015 meeting
- Third Open Enrollment Period Communications, Outreach and Marketing Strategy
September 21, 2015
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Draft agenda
- Final agenda
- Final minutes
- Proposed Contracting and Procurement Policies and Procedures
- Resolution - Loss of employer coverage SEP
- Resolution - Special enrollment period COBRA
- Draft resolution - SAB positions
- Consumer Checkbook
- APS extension
July 21, 2015
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Draft agenda
- Final agenda
- Draft minutes
- Final minutes
- Notice of Emergency Rulemaking
July 13, 2015
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Draft agenda
- Final agenda
- Final minutes
- Redline Draft Contracting and Procurement Policies and Procedures
- Draft Contracting and Procurement Policies and Procedures
- Updates to Assessment Appeal Regulations
- Notice of Emergency Rulemaking
June 24, 2015
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Draft agenda
- Final agenda
- Final minutes
- Resolution - To approve an Essential Health Benefit (EHB) Benchmark Plan for 2017
June 8, 2015
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Draft agenda
- Final agenda
- Final minutes
- Second Open Enrollment Period Evaluation & Debriefing Summit - Key Findings and Recommendations
- Overview of Outreach Efforts - Business Partnership Program
- Minutes from May 11, 2015 meeting
- Draft resolution - To approve an Essential Health Benefit (EHB) Benchmark Plan for 2017
- Federal regulation on habilitation
- Staff memo on habilitation
- Benchmark 2017 further details
May 11, 2015
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting - Part 1
- Audio recording of meeting - Part 2
- Draft agenda
- Final agenda
- Final minutes
April 13, 2015
Health Benefit Exchange (HBX) Executive Board Meeting
April 8, 2015
Health Benefit Exchange (HBX) Executive Board Meeting
March 26, 2015
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting - Part 1
- Audio recording of meeting - Part 2
- Draft agenda
- Final agenda
- Final minutes
March 20, 2015
Health Benefit Exchange (HBX) Executive Board Meeting
March 9, 2015
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Draft agenda
- Final agenda
- Final minutes
- Compliance Policies and Procedure
- Resolution - To define additional “exceptional circumstances” permitting a Special Enrollment Period
- Resolution - To adopt a recommendation revising the standard bronze qualified health plan
February 9, 2015
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting - Part 1
- Audio recording of meeting - Part 2
- Draft agenda
- Final agenda
- Minutes from February 9, 2015 meeting
- Memo on Revised Bronze Standard Plan
- Draft minutes from January 30, 2015 meeting
- Report on Updating the QHP Certification Requirements
- Resolution to update the Qualified Health Plan (QHP) certification requirements
- Qualified Health Plan Certification Requirement Recommendations (1/21/2015)
- Accessing Form 1095-A Online
January 30, 2015
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Final agenda
- Draft agenda
- Draft minutes from January 30, 2015 meeting
- Memo on Revised Bronze Standard Plan
- Report on Updating the QHP Certification Requirements
- Qualified Health Plan Certification Requirement Recommendations (1/21/2015)
- Draft cover letter
January 12, 2015
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting - Part 1
- Audio recording of meeting - Part 2
- Draft agenda
- Final agenda
- Minutes from January 12, 2015 meeting
- Executive Board Working Committee Membership 2015
- Covering the Uninsured Through DC Health Link: Report on the First Year
- HBX Telecommuting Policy
- HBX Board Reimbursement Policy
- 2nd Open Enrollment Period Revised Outreach Strategy
December 10, 2014
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting - Part 1
- Audio recording of meeting - Part 2
- Draft agenda
- Final agenda
- Minutes
- FY16 proposed budget
November 12, 2014
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Draft agenda
- Final agenda
- Minutes
- Second Open Enrollment Period (OEP) Outreach Summary Overview
- Resolution: To approve standard qualified health plans
- Resolution: To appoint two (2) members to the Standing Advisory Board to fill vacancies
- Resolution: To establish a maximum pediatric dental deductible in QHPs with embedded pediatric dental benefits
- Addendum to Recommendations of the Standard Plans Advisory Working Group
- Draft minutes for October 22, 2014 meeting
October 22, 2014
Health Benefit Exchange (HBX) Executive Board Meeting
October 8, 2014
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Draft agenda
- Final agenda
- Final minutes
- Recommendations of the Standard Plans Advisory Working Group
- Small Business 2015 Conversion
- Draft Excerpts from SHOP 2015 Conversion Companion Guide
September 19, 2014
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Draft agenda
- Final agenda
- Draft minutes from September 19, 2014 meeting
- Final minutes from September 19, 2014 meeting
September 10, 2014
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of Executive Board Meeting Part I
- Audio recording of Executive Board Meeting Part II
- Draft agenda [PDF]
- Final agenda [PDF]
- Minutes [PDF]
- Rate Review Presentation [PDF]
- Contracting and Procurement Policies and Procedures [PDF]
August 21, 2014
Health Benefit Exchange (HBX) Executive Board Meeting
- Draft agenda
- Revised agenda
- Minutes
- Audio recording of Executive Board Meeting #1
- Audio recording of Executive Board Meeting #2
August 7, 2014
Health Benefit Exchange (HBX) Executive Board Meeting
July 31, 2014
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of Executive Board Meeting #1
- Audio recording of Executive Board Meeting #2
- Draft agenda
- Revised agenda
- Minutes
- Resolution
July 9, 2014
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Draft agenda
- Revised agenda
- Minutes
- Resolution - To define additional “exceptional circumstances” permitting a Special Enrollment Period
June 17, 2014
Health Benefit Exchange (HBX) Executive Board Meeting
June 11, 2014
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Agenda
- Minutes
- Notice of Emergency Rulemaking
- Informal Comment Discussion Draft
- Resolution to define additional "special circumstances" permitting a Special Enrollment Period
June 4, 2014
Health Benefit Exchange (HBX) Executive Board Meeting
May 22, 2014
Health Benefit Exchange (HBX) Executive Board Meeting
May 14, 2014
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Agenda
- Minutes
- Dental Plan Working Group Second Report
- Dental Plan Working Group Minority Report
- Draft minutes from April 24, 2014, meeting
- Dental Resolution 1
- Dental Resolution 2
- Dental Resolution 3
- Outreach Strategy
April 24, 2014
Health Benefit Exchange (HBX) Executive Board Meeting
April 9, 2014
Health Benefit Exchange (HBX) Executive Board Meeting
Thursday, March 20, 2014
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Agenda [PDF]
- Minutes [PDF]
Wednesday, March 12, 2014
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Agenda [PDF]
- Minutes [PDF]
- Presentation [PowerPoint]
Friday, February 28, 2014
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Agenda [PDF]
- Draft Minutes [PDF]
Wednesday, February 12, 2014
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Agenda [PDF]
- Minutes [PDF]
- 2014 Policy Priorities [PDF]
- Proposed Assessment Rule for Financial Sustainability [PDF]
- Public Comments on the Proposed Assessment Rule [PDF]
- Background material on the proposed assessment:
Wednesday, January 15, 2014
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Agenda [PDF]
- Minutes [PDF]
Wednesday, January 8, 2014
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio recording of meeting
- Agenda [PDF]
- Minutes [PDF]
Tuesday, December 11, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
- Agenda [PDF]
- Minutes [PDF]
- Financial Sustainability Draft Report [PDF]
- Summary of Comments on Financial Sustainability Draft Report [PDF]
- Actuarial Review of DC Health Benefit Exchange Financing Formula [PDF]
Tuesday, December 3, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
Wednesday, November 13, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
- Agenda [PDF]
- Minutes [PDF]
- DC Health Link Tip Sheet for Congressional Enrollment [PDF]
- DC Health Link November Outreach Events [PDF]
Wednesday, October 23, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
Wednesday, October 9, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
Thursday, September 26, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
- Agenda [PDF]
- Minutes [PDF]
- Draft Resolution to Establish a DC Health Link Contact Center Preferred Broker Program [PDF]
- Producers Advisory Committee Report and Policy Recommendations [PDF]
Wednesday, September 11, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
- Agenda [PDF]
- Minutes [PDF]
- Outreach Calendar - September 2013 [PDF]
- Outreach Calendar - October 2013 [PDF]
- Discussion Document (Priorities) [PDF]
- Contact Center Encounter Summary Report [PDF]
Tuesday, September 3, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
Tuesday, August 13, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
- Agenda [PDF]
- Minutes [PDF]
- Certified Application Counselor Recommendations From the Consumer Assistance and Outreach Advisory Committee [PDF]
- Draft Resolution CAC Requirements [PDF]
- Draft Resolution CAC Health Insurance Employee Requirements [PDF]
Monday, July 22, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
Thursday, July 11, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
- Agenda [PDF]
- Minutes [PDF]
- Resolution - To Establish Standards to Allow All Brokers to Sell All Qualified Health Plans in DC Health Link With Strong Consumer Protections [PDF]
- Producers Advisory Committee Final Report [PDF]
- Producers Advisory Committee Consensus Recommendations [PDF]
Monday, June 17, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
- Agenda [PDF]
- Minutes [PDF]
- Resolution - to make appointments to advisory boards, in addition to the Standing Advisory Board, as permitted by DC Code §31-31 [PDF]
- Standing Advisory Board Management Recommendations [PDF]
Thursday, June 6, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
- Agenda [PDF]
- Focus Group Findings [PDF]
- DC Health Benefit Exchange Branding [PDF]
- Quality Working Group Report [PDF]
- Recommendations of the Working Group on Financial Sustainability to the District of Columbia Health Benefit Exchange Authority [PDF]
- Resolution - to Establish a Strategy for the DC Health Benefit Exchange to Improve the Quality of Care Offered by Qualified Health Plans, Including Through Quality Reporting Requirements [PDF]
- Resolution - to Establish a Financial Sustainability Plan for the Operating Costs of the DC Health Benefit Exchange [PDF]
- Minutes [PDF]
Wednesday, May 28, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
Thursday, May 9, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
- Agenda [PDF]
- Plan Management Advisory Committee: Strategies to Encourage Tobacco Cessation and Other Preventative Benefits [PDF]
- Eligibility, Enrollment and Churn Working Group Final Report [PDF]
- IT Infrastructure and Eligibility Working Committee Meeting Minutes from May 3, 2013 [PDF]
- Draft Resolution - to Establish Strategies to Promote Tobacco Cessation [PDF]
- Draft Resolution - to Establish an Automatic Enrollment Policy [PDF]
- Resolution - Churn Working Group Recommendations [PDF]
- Minutes [PDF]
Thursday, April 25, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
Thursday, April 18, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
- Agenda [PDF]
- Report of the Joint Meeting of the Consumer Assistance & Producer Advisory Committees [PDF]
- Resolution - to establish an In-Person Assistor (IPA) program [PDF]
- Resolution - to establish certification requirements for Qualified Dental Plans [PDF]
- Resolution - to establish a reasonable out-of-pocket maximum for Qualified Dental Plans [PDF]
- Minutes [PDF]
Monday, April 8, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
- Agenda [PDF]
- Draft Legislation [PDF]
- Draft Resolution - Tobacco Use [PDF]
- Draft Resolution - Minimum Participation - Minimum Contribution [PDF]
- Legislation - to amend the Health Benefit Exchange Authority Establishment Act of 2011 [PDF]
- Minutes [PDF]
Thursday, April 4, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
- Agenda [PDF]
- DRAFT HBX Legislation [PDF]
- Draft Resolution - Minimum Contribution Participation [PDF]
- Draft Resolution - Employer Plan Choice [PDF]
- Draft Resolution - Reallocated Composite Premium [PDF]
- Minutes [PDF]
Friday, March 22, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
- Agenda [PDF]
- Insurance Market Working Committee Recommendations [PDF]
- Minutes [PDF]
Wednesday, March 13, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
The DC Health Benefit Exchange (HBX) Authority apologizes for technical difficulties with today’s 1 pm teleconference of our Executive Board meeting that may have prevented you from participating. A full audio recording of the meeting is now available.
- Agenda [PDF]
- Minutes [PDF]
- Exchange Market Transition Recommendations [PDF]
- Resolution - Changes to the District of Columbia Healthcare Alliance [PDF]
- Resolution - Market Transition [PDF]
- Resolution - Network Adequacy Standards [PDF]
- Network Adequacy Working Group Report [PDF]
- Resolution - Certification of Qualified Health Plan (QHP) Issuers [PDF]
- Recommendations of the Qualified Health Plan (QHP) Issuer Certification Process Working Group [PDF]
- Resolution - Qualified Health Plan (QHP) Certification Standards to Promote Benefit Standardization [PDF]
- Resolution - Premium Collection Standards and Processes [PDF]
Thursday, March 7, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
- Agenda [PDF]
- QHP Issuer Certification Process Working Group - Final Report [PDF]
- Individual Market Premium Billing Working Group - Final Report [PDF]
- Plan Offerings and Benefit Standardization Working Group - Final Report [PDF]
- Network Adequacy Working Group - Final Report [PDF]
- Exchange Market Transition Recommendations [PDF]
Wednesday, February 13, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
- Agenda [PDF]
- Minutes [PDF]
- Essential Health Benefits Working Group Consensus Recommendations [PDF]
Thursday, February 7, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
- Agenda [PDF]
- Recommendations from the Advisory Board [PDF]
- Applicants for HBX Working Committees [PDF]
Thursday, January 10, 2013
Health Benefit Exchange (HBX) Executive Board Meeting
- Agenda [PDF]
- Minutes [PDF]
- Executive Director's report [PDF]
- Tool Kit [DOC]
Wednesday, December 12, 2012
Health Benefit Exchange (HBX) Executive Board Meeting
- Agenda [PDF]
- Minutes [PDF]
- DCAS IT Deck [PPT]
- HBX Materials from November 2012 [DOC]
- Communication Plan [PDF]
- Operations Committee Report [DOC]
- Meeting Calendar [DOC]
- Proposed EHB Rule Overview [PDF]
- Proposed Market Reform [PDF]
Wednesday, November 28, 2012
Health Benefit Exchange (HBX) Executive Board Meeting
- Agenda [PDF]
- Minutes [PDF]
- Employer Plan Selection Recommendation [PDF]
Wednesday, November 14, 2012
Health Benefit Exchange (HBX) Executive Board Meeting
Wednesday, October 24, 2012
Health Benefit Exchange (HBX) Executive Board Meeting
- Watch the video
- Agenda [PDF]
- Minutes [PDF]
Wednesday, October 3, 2012
Health Benefit Exchange (HBX) Executive Board Meeting
- Watch the video
- Agenda [PDF]
- Minutes [PDF]
Monday, September 24, 2012
Health Benefit Exchange (HBX) Executive Board Meeting
Wednesday, September 5, 2012
Health Benefit Exchange (HBX) Executive Board Meeting
- Agenda [PDF]
- Minutes [PDF]
- Proposed Health Benefit Exchange Board Policy Decision Timeline [PDF]
- Operational Model Presentation [PDF]
Tuesday, August 21, 2012
Health Benefit Exchange (HBX) Executive Board Meeting
- Audio Recording of the DC HBX Executive Board Meeting Minutes
- Agenda [PDF]
- Minutes [PDF]
- District of Columbia Insurance Market Structure Recommendations PowerPoint Presentation [PDF]
- DC HBX Standing Insurance Subcommittee - Market Structure Recommendation Overview [PDF]
Tuesday, August 7, 2012
Health Benefit Exchange (HBX) Executive Board Meeting
Monday, July 23, 2012
Health Benefit Exchange (HBX) Executive Board Meeting
- Minutes [PDF]
- Agenda [PDF]
- Status Report on Establishment of the District's Health Benefit Exchange [PDF]