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B 26-0438

District of Columbia CouncilPassed

Summary

B 26-0438, the Medical Debt Mitigation Amendment Act of 2025, was introduced in the Council on Oct 20, 2025 by Sen. Christina Henderson (I) with 7 co-sponsors. It last saw action on Aug 20, 2026: Law Number L26-0172 Effective from Aug 20, 2026.


Record

Text

B 26-0438 has 7 co-sponsors and 2 roll calls.

b260438/enrolled.txt
ENROLLED ORIGINAL
AN ACT
__________________
IN THE COUNCIL OF THE DISTRICT OF COLUMBIA
__________________
To amend the Health Services Planning Program Re-establishment Act of 1996 to require the
Department of Health to collect certain data and to require certain health care facilities
to offer financial assistance and payment plans to eligible patients; to amend Chapter 38
of Title 28 of the District of Columbia Official Code to prohibit the reporting of medical
debt to a credit reporting agency, wage garnishments and property liens to collect on a
medical debt, and health care providers from assisting patients with completing
applications for, or promoting, medical lending products under certain conditions or
requiring credit card authorization before the date that health services are provided or
costs are incurred; to amend Chapter 39 of Title 28 of the District of Columbia to make
a violation of the restrictions on medical lending products an unfair or deceptive trade
practice; and for other purposes.
BE IT ENACTED BY THE COUNCIL OF THE DISTRICT OF COLUMBIA, That this
act may be cited as the “Medical Debt Mitigation Amendment Act of 2026”.
Sec. 2. The Health Services Planning Program Re-establishment Act of 1996, effective
April 9, 1997 (D.C. Law 11-191; D.C. Official Code § 44-401 et seq.), is amended as follows:
(a) The existing text is designated as Title I.
(b) Title I is amended as follows:
(1) Section 2 (D.C. Code § 44-401) is amended by adding a new paragraph (10A)
to read as follows:
“(10A) “Health care facility-FAP” means a health care facility, but excluding an
intermediate care facility, skilled nursing facility, or home health agency, that is required to have
a financial assistance policy under title II.”.
(2) Section 6 (D.C. Official Code 44-405) is amended by adding a new subsection
(a-2) to read as follows:
“(a-2) Beginning one year after the applicability date of this subsection, and annually
thereafter, each health care facility-FAP shall provide a written report to the Department on its
financial assistance policy, including:
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ENROLLED ORIGINAL
“(1) The number of patients who received financial assistance in the past 12
months, disaggregated by patients who received free and discounted care, residency, race,
ethnicity, age, and primary language spoken, if such information is available;
“(2) The total amount of financial assistance provided, disaggregated by amounts
to provide free and discounted care;
“(3) The total number and dollar amount of outstanding medical bills owed by
patients, including a list of the medical bill amount per patient and the percentage of those
patients who were screened for financial assistance eligibility;
“(4) In the past year:
“(A) The number of instances the health care facility-FAP has sold
medical debt to a collection entity, as that term is defined in section 201(1), including the
business name of the collection entity;
“(B) The total dollar amount that has been sold to each collection entity;
and
“(C) The number of instances the health care facility-FAP or collection
entity acting on behalf of the heath care facility-FAP has commenced litigation against a patient
to collect on medical debt, including the court in which the litigation was commenced;
“(5) A description of how the health care facility-FAP is publicizing its financial
assistance policy and communicating to patients about eligibility; and
“(6) Any other information required by the Department through rulemaking.”.
(3) Section 7 (D.C. Code 44-406) is amended by adding a new subsection (e) to
read as follows:
“(e) A health care facility-FAP shall establish a financial assistance policy in accordance
with title II to remain in good standing for its certificate of need.”.
(c) A new title II is added to read as follows:
“TITLE II. FINANCIAL ASSISTANCE AND MEDICAL DEBT.
“Sec. 201. Definitions.
“For the purposes of this title, the term:
“(1) “Collection entity” means a person that purchases medical debt or collects
medical debt on behalf of another.
“(2) “Consumer reporting agency” shall have the same meaning as provided in
section 603(f) of the Fair Credit Reporting Act, approved October 26, 1970 (84 Stat. 1128; 15
U.S.C. § 1681a(f)).
“(3) “External review” means a review of an adverse benefit determination, as
that term is defined in section 101(1) of the Health Benefits Plan Members Bill of Rights Act of
1998, effective April 27, 1999 (D.C. Law 12-274; D.C. Official Code § 44-301.01(1)).
“(4) “Financial assistance policy” means the policy required by section 202.
“(5) “Medical debt” means a debt, including a bill that is not past due, owed by a
patient to a health care provider for the provision of medical services, products, or devices. The
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ENROLLED ORIGINAL
term “medical debt” does not include charges to a credit card for the provision of medical
services, products, or devices, unless the credit card is a medical lending product.
“(6) “Medical lending product” means any third-party financing, including a
medical credit card or installment loan, issued under an open-end or closed-end credit plan
offered specifically for the payment of medical services, products, or devices provided to a
patient.
“(7) “Medically necessary health service” means a health service, including
pharmaceuticals, medical supplies, and plastic surgery designed to correct disfigurement caused
by injury, illness, or congenital defect or deformity, provided by a health care provider to a
patient that is necessary to prevent, diagnose, or treat an illness, injury, condition or disease, or
the symptoms of an illness, injury, condition or disease, and meets accepted standards of
medicine. The term “medically necessary health service” does not include elective cosmetic
surgery.
“(8) “Patient” means an individual who receives medical services, products, or
devices, including an individual’s parent or legal guardian if the individual is a minor, legal
guardian if the individual is an adult under guardianship, or an individual’s legally appointed
healthcare agent.
“Sec. 202. Financial assistance policy requirements.
“(a)(1) Each health care facility-FAP shall establish a financial assistance policy to
provide financial assistance for medically necessary health services to eligible patients residing
within the facility’s defined primary service area.
“(2) The financial assistance policy shall include:
“(A) Eligibility criteria;
“(B) The health care facility-FAP’s basis for calculating amounts charged
to patients;
“(C) The application process, including the information and
documentation needed for the application;
“(D) The application review process, including the maximum number of
days needed to determine a patient’s eligibility;
“(E) The process for a patient to dispute an adverse financial assistance
decision;
“(F) The billing and collections policy, including possible actions in the
event of non-payment; and
“(G) The process to ensure patients have access to, and understand, the
financial assistance policy.
“(3) The financial assistance policy may not discriminate on the basis of a
patient’s health insurance coverage status, citizenship or immigration status, or assets.
“(b) A health care facility-FAP shall make its financial assistance policy, including a
user-friendly summary, publicly available, including by:
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ENROLLED ORIGINAL
“(1) Posting the policy in a prominent location on its website;
“(2) Providing written notice of the policy to patients in their preferred language
during the intake and registration process and discharge, which shall be available in all languages
for which the Department of Health would be required to provide translation of vital documents
under section 4 of the Language Access Act of 2004, effective June 19, 2004 (D.C. Law 15-167;
D.C. Official Code § 2-1933);
“(3) Posting notice of the availability of financial assistance and instructions to
apply:
“(A) In high traffic areas, including the emergency department, billing
office, waiting area, and other outpatient settings; and
“(B) On bills and statements; and
“(4) A disclaimer in the application materials that the patient is not required to
pay the medical bill until a decision on their application has been rendered, in accordance with
section 203(e).
“Sec. 203. Eligibility for financial assistance.
“(a) Except in emergency circumstances, a health care facility-FAP shall inform patients
of the following information before the provision of a medically necessary health service:
“(1) If the patient is uninsured, a good faith estimate of the cost of the health
service; and
“(2) If the patient is insured, a good faith estimate of the patient’s cost-sharing
responsibility under the patient’s health insurance plan.
“(b)(1) A health care facility shall affirmatively offer to screen a patient for financial
assistance if the patient:
“(A) Is uninsured;
“(B) Is participating in a federal or local public assistance program,
including the Supplemental Nutrition Assistance Program, Special Supplemental Nutrition
Program for Women, Infants, and Children, Temporary Assistance for Needy Families, National
School Lunch Program, Low-Income Home Energy Assistance Program, Medicaid, or DC
Healthcare Alliance;
“(C) Is experiencing homelessness or is at risk of homelessness, as those
terms are defined in section 2 of the Homeless Services Reform Act of 2025, effective October
22, 2005 (D.C. Law 16-35; D.C. Official Code § 4-751.01);
“(D) Was previously determined to be eligible for financial assistance by
the health care facility-FAP in the prior 6-month period; provided, that the patient’s income or
insurance status has not changed during that time; or
“(E) Satisfies any other criteria established by the Department through
rulemaking.
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ENROLLED ORIGINAL
“(2) A health care facility-FAP shall also affirmatively screen a patient for
financial assistance if a member of the patient’s household satisfies paragraph (1)(B) or (E) of
this subsection.
“(3) A patient who is screened for financial assistance eligibility under paragraph
(1) of this subsection shall be deemed eligible for financial assistance if they apply for financial
assistance and provide documentation that they satisfy at least one of the criteria under paragraph
(1) of this subsection.
“(c) If a patient does not meet any of the criteria set forth in subsection (b)(1) of this
section, the health care facility-FAP shall screen the patient for financial assistance eligibility
upon request and determine a patient’s eligibility for financial assistance using:
“(1) The following proofs of income:
“(A) The patient’s most recent available tax return; except, that the health
care facility-FAP shall exclude any medical expense deductible;
“(B) Two recent pay stubs from all adults in the patient’s household
showing year-to-date income;
“(C) Proof of enrollment in a public benefits program; or
“(D) Other documentation of household income identified through
rulemaking; and
“(2) Documentation of proof of residency, including a utility bill, pay stub, bank
statement, government-issued identification, or attestation from a homeless shelter.
“(d) A health care facility-FAP shall provide a patient, including the patient’s
representative if the patient is deceased and died intestate, with the opportunity to apply for
financial assistance for up to 240 days after the date of the first posted medical bill; provided,
that a patient who is the subject of a collection activity by the facility or a collection entity may
submit an application for financial assistance at any time and the health care facility-FAP or
collection entity shall cease collection activity until the health care facility-FAP renders a
decision on the application, including a determination on the amount of medical debt owed, new
payment plan terms, or debt cancellation.
“(e) A health care facility-FAP shall determine whether a patient is entitled to financial
assistance within 30 days after the patient files a complete financial assistance application and:
“(1) If approved, notify the patient that their medical bill has been reduced or
eliminated, of any amount still outstanding, and on how to apply for additional financial
assistance for any remaining balance; or
“(2) If denied, notify the patient of the denial and include an explanation of the
basis for the denial of financial assistance and the process for appealing the decision.
“(f) A patient’s refusal to be screened for financial assistance shall not be grounds for
refusing to provide medically necessary health services or denying financial assistance if the
patient later decides to apply.
“(g) The financial assistance policy shall, at a minimum, provide:
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ENROLLED ORIGINAL
“(1) Free care to patients with a household income of 200% or less of the federal
poverty level; and
“(2) Reduced-cost care to patients with a household income of more than 200%
but not more than 500% of the federal poverty level by reducing the patient’s out-of-pocket
expenses for the health service, based on the amounts generally billed under 26 U.S.C. §
501(r)(5), by:
“(A) 75%, for a patient with a household income of more than 200% but
not more than 300% of the federal poverty level;
“(B) 60%, for a patient with a household income of more than 300% but
not more than 400% of the federal poverty level; and
“(C) 40%, for a patient with a household income of more than 400% but
not more than 500% of the federal poverty level.
“(h) Nothing in this section shall be construed to prohibit or limit a health care facility
from:
“(1) Granting financial assistance notwithstanding a patient’s failure to provide
one of the required forms of documentation described in subsection (c) of this section;
“(2) Granting financial assistance to patients at income levels higher than those
specified in this section or to provide greater amounts of financial assistance to patients than
those required by this section;
“(3) Requiring a patient to undertake good faith efforts to apply for and enroll in
insurance programs for which the patient may be eligible as a condition of awarding financial
assistance; or
“(4) Coordinating insurance benefits with other states.
“Sec. 204. Medical expenses payment plans.
“(a)(1) For a patient who is approved for reduced-cost care financial assistance under
section 203 (“eligible patient”), a health care facility-FAP shall offer a payment plan with a
monthly installment payment not to exceed 3% of the patient’s monthly household income and
with the first payment not due until at least 30 days after the patient is discharged or finished
treatment at the facility; provided, that, upon written request by the patient, or if the patient
currently has a payment plan within the same health care system as the health care facility-FAP
with a higher monthly installment percentage, the health care facility-FAP may offer a payment
plan with a higher monthly installment payment.
“(2) Any medical debt sold by a health care facility-FAP to a collection entity
shall retain the terms of the payment plan.
“(b)(1) A health care facility-FAP shall provide each eligible patient with:
“(A) An itemized medical bill;
“(B) A document explaining the existence of a payment plan option, the
eligible patient’s eligibility, and how to request a payment plan; and
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ENROLLED ORIGINAL
“(C) An opportunity to discuss with staff the payment plan option prior to
the eligible patient being discharged.
“(2) An eligible patient shall have 45 days after receiving the first statement to
decide whether to enter a payment plan.
“(c) A health care facility-FAP shall provide patients who enter into a payment plan with
a written copy, via mail or email, of the payment plan within 21 days after the agreement, which
shall, at a minimum, include:
“(1) The total amount of debt owed, including principal, fees, and any other
charges;
“(2) The schedule of installment payments, including the expected date by which
the medical bill will be paid in full; and
“(3) Information on whether late or missed payments would incur penalties.
“(d) A health care facility-FAP or collection entity may accelerate a payment plan or
declare it in default or no longer operative if:
“(1) The patient fails to make scheduled payments for at least 3 consecutive
months;
“(2) The health care facility-FAP or collection entity has made at least 3
reasonable attempts to contact the patient by telephone or another method of contact preferred by
the patient;
“(3) The health care facility-FAP or collection entity has provided the patient
written notice that the payment plan may be declared in default and with an opportunity to
renegotiate the payment plan; and
“(4) The health care facility-FAP or collection entity has made a good faith effort
to renegotiate the terms of the payment plan, if requested by the patient.
“(e) A health care facility-FAP or collection entity shall not commence a civil action
against the patient for nonpayment until at least 90 days after the payment plan is declared in
default.
“Sec. 205. Compliance and enforcement.
“(a) A violation of this title shall be considered a violation of section 17.
“(b) The Department shall make the information reported by a health care facility-FAP
pursuant to section 6(a-2) and any corrective action plans or fines imposed for a violation of this
title publicly available.
“(c)(1) The Department shall create a process for patients to submit a complaint relating
to a health care facility’s noncompliance with this title.
“(2) The Department shall review complaints submitted pursuant to paragraph (1)
of this subsection within 30 days after receipt of the complaint.
“(d) The Department shall share information obtained pursuant to this title and section
6(a-2) with the Office of the Attorney General, upon request, within 30 days after the request is
made.
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ENROLLED ORIGINAL
“Sec. 206. Rulemaking.
“(a) No later than the applicability date of the Medical Debt Mitigation Amendment Act
of 2026, passed on 2nd reading on June 2, 2026 (Enrolled version of Bill 26-438), the Mayor,
pursuant to Title I of the District of Columbia Administrative Procedure Act, approved October
21, 1968 (82 Stat. 1204; D.C. Official Code § 2-501 et seq.), shall issue rules to implement the
provisions of this title, including:
“(1) Minimum requirements for patient appeals regarding their eligibility for
financial assistance; and
“(2) The process for patients to submit a complaint to the Department pursuant to
section 205(c).
“(b) The Department shall engage with health care facilities and patient advocates in the
rulemaking process in order to minimize administrative costs for health care providers and
ensure a streamlined application process for patients.”.
Sec. 3. Title 28 of the District of Columbia Official Code is amended as follows:
(a) Chapter 38 is amended as follows:
(1) Section 28-3814 is amended by adding a new subsection (dd) to read as
follows:
“(dd)(1) Notwithstanding any other provision of this section, a health care provider or
debt collector shall not engage in medical debt collection until 180 days after the date the
consumer receives the first posted medical bill and shall provide at least 90 days’ notice to the
patient before commencing medical debt collection; provided, that, if the services were provided
at a health care facility-FAP, the health care facility-FAP or debt collector shall:
“(A) Include with the notice a statement that explains the availability of
free or discounted care for qualifying patients and the process to apply for financial assistance;
and
“(B) Not engage in medical debt collection against a patient who is
eligible for financial assistance under section 203 of the Health Services Planning Program Re-
establishment Act of 1996, passed on 2nd reading on June 2, 2026 (Enrolled version of Bill 26-
438), unless the patient has refused financial assistance or is receiving discounted care under the
health care facility-FAP’s financial assistance policy and has defaulted on their payment plan.
“(2) Interest on medical debt shall not exceed 3% annually; except, that a debt
collector shall not charge any interest on medical debt related to services received at a health care
facility-FAP if the patient is receiving financial assistance and has not defaulted.
“(3) If a court has entered a judgment on a medical debt authorizing a health care
facility-FAP or debt collector to collect on a medical debt and it is later determined that the
patient was not screened for financial assistance eligibility and is determined to qualify for
financial assistance, the health care facility-FAP or debt collector shall:
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ENROLLED ORIGINAL
“(A) Request the court to vacate the judgment in any collection lawsuit
over the medical debt and attempt to enter into a payment plan with the patient;
“(B) Request the court to reduce the amount of the judgment, including
any fees and costs related to the collection lawsuit, to the total amount the patient owes pursuant
to the financial assistance policy that the patient qualifies for, attempt to enter into a payment
plan with the patient, and suspend all execution on the judgment while the patient is in
compliance with the terms of the payment plan;
“(C) File a partial satisfaction of judgment such that the remaining unpaid
balance of the judgment, including any fees and costs related to the collection lawsuit, is equal to
the total amount the patient owes under the financial assistance policy that the patient qualifies
for, attempt to enter into a payment plan with the patient, and suspend all execution on the
judgment while the patient is compliant with the terms of the payment plan; or
“(D) File a satisfaction of judgment and refund any excess amount to the
patient if the patient has paid any part of the medical debt in excess of the amount that the patient
owes after being screened for financial assistance eligibility.
“(4)(A) A health care provider or debt collector who knows or should have known
about an appeal of a health insurance decision that is pending or was pending within the previous
90 days that forms the basis of the medical debt shall not:
“(i) Communicate with the patient regarding the unpaid charges for
the purpose of seeking to collect the medical debt;
“(ii) Initiate a lawsuit or arbitration proceeding against the patient
relating to the medical debt; or
“(iii) Refer, sell, or send the medical debt to a debt buyer.
“(B) For the purposes of this paragraph, an appeal of a health insurance
decision includes:
“(i) An appeal or grievance filed with an insurer for a review of a
decision to deny, reduce, limit, terminate, or delay covered health services;
“(ii) An independent medical review by the health care provider
providing medical services;
“(iii) An appeal regarding Medicare coverage consistent with
federal law and regulations; or
“(iv) An appeal or request for an external review.
“(5) A health care provider or debt collector collecting on medical debt shall not:
“(A) File a property lien against a patient’s primary residence, or
“(B) Garnish the wages of a patient with an annual household income less
than 500% of the federal poverty level.
“(6)(A) A health care provider or debt collector shall not report to a consumer
reporting agency the amount or existence of any medical debt that a patient owes.
“(B) Subparagraph (A) of this paragraph shall not be construed to
otherwise limit a consumer reporting agency from reporting known debts.
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ENROLLED ORIGINAL
“(7) For purposes of this subsection, the term:
“(A) “Health care facility-FAP” shall have the same meaning as provided
in § 44-401(10A).
“(B) “Health care provider” means a person whose primary business is to
provide medical services, products, or devices, including a health care facility, as that term is
defined in § 44-401(10).
“(C) “Medical debt” shall have the same meaning as provided in section
201(5) of the Health Services Planning Program Re-establishment Act of 1996, passed on 2nd
reading on June 2, 2026 (Enrolled version of Bill 26-438).
“(D) “Medical debt collection” means debt collection of medical debt.
The term “medical debt collection” does not include the act of posting the first medical bill,
sending monthly statements, or an attempt to verify insurance coverage or eligibility.”.
(2) A new section 28-3820 is added to read as follows:
“§ 28-3820. Prohibition on certain medical lending promotion.
“(a) For the purposes of this section, the term “medical lending product” shall have the
same meaning as provided in section 201(6) of the Health Services Planning Program Re-
establishment Act of 1996, passed on 2nd reading on June 2, 2026 (Enrolled version of Bill 26-
438).
“(b) A health care provider, as that term is defined in § 28-3814(dd)(7)(B), shall not:
“(1) Complete, or assist a patient in completing, any portion of an application for
a medical lending product;
“(2) Promote a medical lending product to a patient who:
“(A) Is under the influence of general anesthesia, conscious sedation, or
moderation sedation, including any period in which the patient has been advised not to engage in
activities due to such influence;
“(B) Is being administered treatment; or
“(C) Is in a treatment area, including an exam room, surgical room, or
other area where medical treatment is administered, unless an area separated from the treatment
area does not exist on site;
“(3) Charge a medical lending product for a medical procedure before the date of
the procedure or before costs have been incurred;
“(4) Charge a medical lending product or another form of credit when the
patient’s insurance, including Medicaid, will cover the services, unless the amount is for a copay,
deductible, or co-insurance;
“(5) Require credit card pre-authorization or require the patient to have a credit
card on file prior to administering emergency health services; or
“(6) If the services were provided at a health care facility-FAP, as defined in § 44-
401(10A), offer a medical lending product or another form of credit until the health care facility-
FAP has offered or conducted a financial assistance eligibility screening pursuant to section 203
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ENROLLED ORIGINAL
of the Health Services Planning Program Re-establishment Act of 1996, passed on 2nd reading
on June 2, 2026 (Enrolled version of Bill 26-438).”.
(b) Chapter 39 is amended as follows:
(1) Section 28-3904 is amended as follows:
(A) Subsection (nn) is redesignated as subsection (ll).
(B) Subsection (ll) is amended to read as follows:
“(ll) violate any provision of Chapter 54 of this title; or”.
(C) A new subsection (mm) is added to read as follows:
“(mm) violate any provision of § 28-3820.”.
(2) Section 28-3909(a) is amended by striking the phrase “28-3819, 28-3851” and
inserting the phrase “28-3819, 28-3820, 28-3851” in its place.
Sec. 4. Section 1 of An Act To establish a lien for moneys due hospitals for services
rendered in cases caused by negligence or fault of others and providing for the recording and
enforcing of such liens, approved June 30, 1939 (53 Stat. 990; D.C. Official Code § 40-201), is
amended as follows:
(a) Designate the existing text as subsection (a).
(b) Subsection (a) is amended by striking the phrase “have a lien upon that part going or
belonging to such patient, of any recovery or sum had or collected or to be collected by such
patient” and inserting the phrase “have a lien upon that part going or belonging to such patient,
of any recovery or sum had or collected or to be collected by such patient; provided, that the lien
shall not exceed 33% of the award” in its place.
(c) A new subsection (b) is added to read as follows:
“(b) Notwithstanding subsection (a) of this section, a lien recorded against a patient with
health insurance injured by reason of an accident shall be limited to the amount of the patient’s
responsibility under their health insurance policy if the insurance claim is paid or the negotiated
amount with the health insurer if the claim is not paid.”.
Sec. 5. Section 15-103 of the District of Columbia Official Code is amended as follows:
(a) Designate the existing text as subsection (a).
(b) A new subsection (b) is added to read as follows:
“(b) Notwithstanding subsection (a) of this section, an order of revival shall not be
granted for a judgment or decree to enforce the collection of medical debt, as that term is defined
in section 201(5) of the Health Services Planning Program Re-establishment Act of 1996, passed
on 2nd reading on June 2, 2026 (Enrolled version of Bill 26-438).”.
Sec. 6. Applicability.
(a) This act shall apply 6 months after the date of inclusion of its fiscal effect in an
approved budget and financial plan.
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ENROLLED ORIGINAL
(b) The Chief Financial Officer shall certify the date of the inclusion of the fiscal effect in
an approved budget and financial plan, and provide notice to the Budget Director of the Council
of the certification.
(c)(1) The Budget Director shall cause the notice of the certification to be published in
the District of Columbia Register.
(2) The date of publication of the notice of the certification shall not affect the
applicability of this act.
Sec. 7. Fiscal impact statement.
The Council adopts the fiscal impact statement in the committee report as the fiscal
impact statement required by section 4a of the General Legislative Procedures Act of 1975,
approved October 16, 2006 (120 Stat. 2038; D.C. Official Code § 1-301.47a).
Sec. 8. Effective date.
This act shall take effect following approval by the Mayor (or in the event of veto by the
Mayor, action by the Council to override the veto) and a 30-day period of congressional review
as provided in section 602(c)(1) of the District of Columbia Home Rule Act, approved December
24, 1973 (87 Stat. 813; D.C. Official Code § 1-206.02(c)(1)).
___________________________________
Chairman
Council of the District of Columbia
_________________________________
Mayor
District of Columbia
12

As introduced, Bill 26-438 would, among other things, require facilities to offer payment plans to low-income patients with unpaid medical bills and prohibit the reporting of medical debt to credit reporting agencies. It would prohibit wage garnishments, home liens for medical debt and prohibit lawsuits and collection actions in certain cases. It would also establish uniform income eligibility criteria and require documentation to prove income. It would require facilities to provide good faith estimates about the cost of health care services to patients before treatment, except in emergency circumstances. It would also grant enforcement power to DC Health and the Office of the Attorney General. FISCAL NOTE - This bill is passed Subject to Appropriations. Please see the Fiscal Impact Statement for more information.

Sponsors

Sen. Christina Henderson (I) sponsors B 26-0438, and 7 members have co-sponsored it.

Committees

B 26-0438 went before 1 committee: Health.

Health
Health
Referred to · Oct 21, 2025 · 11 Bills

History

B 26-0438 has taken 15 actions since Oct 20, 2025, the latest on Aug 20, 2026.

ChamberAction
Aug 20, 2026
Council
Law Number L26-0172 Effective from Aug 20, 2026
Jul 10, 2026
Council
Act A26-0365 Published in DC Register Vol 73 and Page 009402
Jul 9, 2026
Council
Transmitted to Congress
Jul 6, 2026
Council
Returned from Mayor
Jul 2, 2026
Council
Enacted without Mayor's Signature with Act Number A26-0365

Votes

B 26-0438 went to 2 roll calls in the Council, the latest on Jun 2, 2026 at 130.

ChamberQuestion
Yea
Nay
Jun 2, 2026
Council
Final Reading, CC
13
0
May 5, 2026
Council
First Reading, CC
13
0

Source: lims.dccouncil.gov · legiscan.com