OpenPublica

Accountability starts with access.

© 2026 · Filed for the public record

Use casesAboutAPIPrivacyTermsLinkedIn
Home/Washington, District Of Columbia/Council of the District of Columbia
OPENPUBLICA · PUBLIC MEETING RECORD
Record of Proceedings

DC Council Committee on Health Hearing on HBX Bill 26-809, October 14, 2026

Council of the District of Columbia — Wednesday, October 14, 2026
BodyWashington, District Of Columbia
SessionCouncil of the District of Columbia
DateWednesday, October 14, 2026
StatusNEW · FILED
Video Record
0:00 / 22:53

Transcript — VerbatimClick a line to jump · ⧉ to share it

Speaker numbers apply only to this recording.

Speaker 1

0:00

Enabling legislation was not updated to eliminate different and conflicting provisions.

0:07

For example, HBX's enabling legislation prohibits actions that have a quote foreseeable material financial effect, end of quote, on an individual or their immediate family.

0:22

The code of conduct, on the other hand, prohibits actions that have a quote, direct and predictable effect on a person closely affiliated with the employee, end of quote.

0:35

This is just one example of different standards.

0:40

Bill 26-809 strikes the older provisions in the Establishment Act and makes clear that the code of conduct applies to HBX staff and board members.

0:54

The bill makes important clarifications to other conflict of interest standards, and these changes are consistent with the recommendations of our HBX Standing Advisory Board.

1:06

Whose members include consumer advocates, insurers, brokers, clinicians, and DC Health Link customers.

1:14

The bill clarifies that prohibited affiliations are financial affiliations.

1:21

It also clarifies the types of professional memberships that are prohibited for board members and staff.

1:28

Right now, interpreting the plain language of the statute, no physician who is a member of the American Medical Association is allowed to serve on the executive board or join our staff.

1:41

Note that we don't believe that mere membership was intended to disqualify an expert from serving on our board or being hired by us.

1:52

A simple statutory clarification addresses the risk of us being wrong.

1:58

The proposed legislation clarifies that the prohibition applies to those who are senior members rather than just members of a professional association.

2:08

The bill also clarifies purposes section.

2:12

HBX's responsibilities have changed since 2013 and include our partnership with Massachusetts, Health Care for Childcare, and Healthy DC plan.

2:24

The bill qualifies that HBX's purposes include any authority in the ACA or district law.

2:32

The bill also enables IT experts to serve on the HBX executive board.

2:38

HBX is governed by an executive board.

2:41

Our enabling legislation requires board members to have expertise in two specified areas, but none are IT.

2:50

At our core, we're an IT entity, building and operating an online health insurance marketplace.

2:58

In the past, HBX has benefited from having a board member with significant technical expertise in enterprise-wide IT systems design and security.

3:08

The HBX board supports the proposed the proposed legislation's requirement that one board member have expertise in information technology, including artificial intelligence, cybersecurity, and systems architecture.

3:26

Independent personnel authority.

3:51

Relying on that report, the council included independent procurement and personnel authority in the establishment act, but the establishment act's language consistent with clause in both the procurement and personnel sections created ambiguity.

4:17

Just like then, we support eliminating this ambiguous phrase from HBX's independent personnel authority.

4:28

Plain language will remove risk in the executive board and staff decisions, keep HBX competitive in recruiting and retaining top talent, and guarantee that HBX can move quickly to respond to changes in federal law.

5:02

And I see my time is running short, so I'm happy to take well I appreciate the opportunity to testify before you this afternoon, and I'm happy to answer any questions you may have.

Speaker 2

5:18

Great.

5:18

Thank you so much, uh director and your team.

5:22

I just have some uh clarifying questions that we want to get on the record.

5:28

Okay.

5:29

So you noted in your testimony that the last time that um the code language for HBX was modified.

5:37

Um

Unassigned speaker

5:37

was

Speaker 2

5:38

in 2019 when we did the Health Benefit Exchange Authority, independent procurement authority, amendment act of 2019 to remove consistent with language.

5:50

Um this was with regard to amendments and procurement practices.

5:55

Um this is more of a check-in question.

6:00

But since that time, um how has this modification enabled HBX to be able to do what you need to do from a procurement standpoint without let's see, the limitations of

Speaker 1

6:16

government.

6:18

Uh uh well, it was always our position that uh you, the council intended HBX to have independent procurement authority.

Speaker 2

6:26

Yeah.

Speaker 1

6:27

Um the phrase consistent with language um uh uh made it somewhat ambiguous, and we were not comfortable um exercising our full authority uh without getting clarification exactly um um uh what we needed to do to um to comply with um any applicable standards.

6:51

And so the council clarified the procurement authority and made it clear um essentially our board adopts uh policies for our procurement.

7:01

It's uh it's based on best practices, and um our board looked at not only DC government procurement practices but federal procurement practices in other states and and has updated our procurement uh policies a number of times.

7:17

Um you made it clear that contracts on uh over a million dollars need council approval, and so the rules are very clear, and what that does for us is we make sure, um, given clear rules that we know what we can do and what we're not allowed to do.

7:36

And it's worked very well for us.

7:38

Uh we engage in competitive uh uh process for contracts.

7:45

Uh we spend more than our minimum requirements on CBEs.

7:51

As I mentioned, we even use local CBEs to support our Massachusetts partnership work.

7:57

Um and having clear authority um helps us be more efficient and frankly helps us stay out of trouble.

8:05

We don't want to um uh make decisions that puts us uh put us at risk and with clear authority on procurement, we've been able to uh uh make uh good decisions.

Speaker 2

8:18

Okay.

8:18

So I would say what we're looking to do here is comparable, but um in some cases it's the we're dealing with the not in some cases, in a provision, we're talking about the Comprehensive Merit Personnel Act.

8:31

Um talk to me a little bit about now your existing relationship with um DC Department of Human Resources.

8:42

When you're doing hiring now, are you all going through the DCHR process and using their software systems, et cetera, to do so?

Speaker 1

8:52

Uh so yes and no.

8:54

We have an MOU, which we've um had for many years with DCHR.

9:00

Uh we do rely on um their expertise and uh we use PeopleSoft, for example.

9:07

Um we uh we pay them for providing us with services, but when uh we hire, for example, um we get the resumes directly.

9:20

We do not um rely on DCHR to look at the resumes or they

Discussion Breakdown — Share of Meeting
Miscellaneous█████████████████████████████████████████████47%
Insurance Regulation█████████████████████████████████34%
Personnel Matters███████████12%
Contract Procurement███████7%
Summary of Proceedings

DC Council Committee on Health Hearing on HBX Bill 26-809

The DC Council Committee on Health met on October 14, 2026, to hear testimony on Bill 26-809, legislation to update conflict-of-interest, personnel, and governance provisions in the Health Benefit Exchange Authority (HBX) Establishment Act. HBX officials testified in support of the bill and answered committee questions. No vote was taken.

HBX Leadership Testimony

  • HBX executive leadership testified that Bill 26-809 would remove conflicting standards between HBX's enabling legislation and the District's code of conduct. As an example, HBX's enabling legislation prohibits actions with a "foreseeable material financial effect" on an individual or immediate family, while the code of conduct prohibits actions with a "direct and predictable effect" on a closely affiliated person. The bill would strike older provisions in the Establishment Act and make the code of conduct apply to HBX staff and board members.
  • The testimony said the changes are consistent with recommendations from the HBX Standing Advisory Board, whose members include consumer advocates, insurers, brokers, clinicians, and DC Health Link customers.
  • The bill clarifies that prohibited affiliations are financial affiliations and that certain professional memberships disqualify only senior members, not ordinary members. HBX leadership pointed to the current plain language, under which no physician who is a member of the American Medical Association would be allowed to serve on the executive board or join the staff, and said that was not intended.
  • The bill would update HBX's purposes section to reflect responsibilities added since 2013, including the partnership with Massachusetts, Health Care for Childcare, and the Healthy DC plan, and to include authority under the ACA or District law.
  • The bill adds an information technology requirement for the executive board. HBX leadership supported the proposed requirement that one board member have IT expertise, including artificial intelligence, cybersecurity, and systems architecture, noting that HBX is fundamentally an IT entity. There is currently one vacancy, so the IT seat could be filled without removing a sitting member.
  • HBX leadership supported removing ambiguous "consistent with" language from HBX's independent personnel authority, similar to the 2019 independent procurement authority clarification. They argued plain language would reduce risk, help HBX recruit and retain talent, and allow it to respond quickly to changes in federal law.

Committee Questions and Responses

  • A committee member asked how the 2019 procurement authority change has worked. The HBX director said the earlier ambiguity made staff uncomfortable exercising their full authority. After the Council clarified independent procurement authority, the board adopted policies based on best practices from the District, federal government, and other states. Contracts over $1 million require Council approval, and the director said the process has worked well, uses competition, exceeds minimum CBE requirements, and uses local CBEs even for Massachusetts partnership work.
  • On personnel, HBX has a long-standing MOU with DCHR, uses PeopleSoft, and pays DCHR for services. The director said HBX receives resumes directly, DCHR does not participate in screening, and DCHR administers benefits. The director estimated the annual payment as "about 115, maybe 150 a year" (the transcript does not state the unit, such as thousand).
  • A committee member said the MOU and payment arrangement underscored that HBX has been operating as an independent agency for some time.
  • The director described board oversight: the board chair and vice chair—two of the three finance committee members—meet monthly to review expenses, contracts, and investments. The board makes major policy decisions, adopts procurement policies, and posts materials on the HBX website. Board meetings are open to the public, and the standing advisory board and working groups provide stakeholder input.
  • Councilmember Zachary Parker joined the hearing; no questions from him were recorded.
  • Asked about post-employment restrictions, Deputy Executive Director Pervey Kempf explained that the code of conduct contains permanent, two-year, and one-year restrictions consistent with federal law, while the 2012 Establishment Act separately bars former HBX employees from working for any health carrier offering a qualified health plan through an exchange for one year. HBX officials argued that one-year carrier ban is overly broad, can reach carriers with no D.C. connection, and hinders recruitment. They also said conflicting standards make guidance difficult because BIGA can provide guidance only on the code of conduct and OAG only on the Establishment Act, and OAG is not set up to receive direct employee inquiries.
  • The director said the bill would not create local costs because HBX is funded through an assessment on health carriers and receives no locally funded operational support.

Key Outcomes

  • No vote was taken on Bill 26-809.
  • The record remained open for written testimony until 5:00 p.m. on Wednesday, October 28, 2026, through the Council's hearing management system.
  • The chair said the committee needed more conversations on the Health Care Facilities Regulation Amendment Act, despite some pressing issues, but had what it needed to move forward on the HBX bill this fall, while noting the deadlines in the final months of the two-year Council period.
  • The Committee on Health will reconvene on October 15, 2026, at 1:30 p.m. in Room 412 of the Wilson Building for a public roundtable on long-term care for District residents with complex needs. Government witnesses were not invited; the roundtable will focus on best-practice frameworks for long-term care, the aging population, and aging in place.
  • The hearing adjourned at 12:53 p.m. per the transcript.

Meeting Transcript

Enabling legislation was not updated to eliminate different and conflicting provisions. For example, HBX's enabling legislation prohibits actions that have a quote foreseeable material financial effect, end of quote, on an individual or their immediate family. The code of conduct, on the other hand, prohibits actions that have a quote, direct and predictable effect on a person closely affiliated with the employee, end of quote. This is just one example of different standards. Bill 26-809 strikes the older provisions in the Establishment Act and makes clear that the code of conduct applies to HBX staff and board members. The bill makes important clarifications to other conflict of interest standards, and these changes are consistent with the recommendations of our HBX Standing Advisory Board. Whose members include consumer advocates, insurers, brokers, clinicians, and DC Health Link customers. The bill clarifies that prohibited affiliations are financial affiliations. It also clarifies the types of professional memberships that are prohibited for board members and staff. Right now, interpreting the plain language of the statute, no physician who is a member of the American Medical Association is allowed to serve on the executive board or join our staff. Note that we don't believe that mere membership was intended to disqualify an expert from serving on our board or being hired by us. A simple statutory clarification addresses the risk of us being wrong. The proposed legislation clarifies that the prohibition applies to those who are senior members rather than just members of a professional association. The bill also clarifies purposes section. HBX's responsibilities have changed since 2013 and include our partnership with Massachusetts, Health Care for Childcare, and Healthy DC plan. The bill qualifies that HBX's purposes include any authority in the ACA or district law. The bill also enables IT experts to serve on the HBX executive board. HBX is governed by an executive board. Our enabling legislation requires board members to have expertise in two specified areas, but none are IT. At our core, we're an IT entity, building and operating an online health insurance marketplace. In the past, HBX has benefited from having a board member with significant technical expertise in enterprise-wide IT systems design and security. The HBX board supports the proposed the proposed legislation's requirement that one board member have expertise in information technology, including artificial intelligence, cybersecurity, and systems architecture. Independent personnel authority. Relying on that report, the council included independent procurement and personnel authority in the establishment act, but the establishment act's language consistent with clause in both the procurement and personnel sections created ambiguity. Just like then, we support eliminating this ambiguous phrase from HBX's independent personnel authority. Plain language will remove risk in the executive board and staff decisions, keep HBX competitive in recruiting and retaining top talent, and guarantee that HBX can move quickly to respond to changes in federal law. And I see my time is running short, so I'm happy to take well I appreciate the opportunity to testify before you this afternoon, and I'm happy to answer any questions you may have. Great. Thank you so much, uh director and your team. I just have some uh clarifying questions that we want to get on the record. Okay. So you noted in your testimony that the last time that um the code language for HBX was modified. Um was in 2019 when we did the Health Benefit Exchange Authority, independent procurement authority, amendment act of 2019 to remove consistent with language. Um this was with regard to amendments and procurement practices. Um this is more of a check-in question. But since that time, um how has this modification enabled HBX to be able to do what you need to do from a procurement standpoint without let's see, the limitations of government. Uh uh well, it was always our position that uh you, the council intended HBX to have independent procurement authority. Yeah. Um the phrase consistent with language um uh uh made it somewhat ambiguous, and we were not comfortable um exercising our full authority uh without getting clarification exactly um um uh what we needed to do to um to comply with um any applicable standards. And so the council clarified the procurement authority and made it clear um essentially our board adopts uh policies for our procurement. It's uh it's based on best practices, and um our board looked at not only DC government procurement practices but federal procurement practices in other states and and has updated our procurement uh policies a number of times. Um you made it clear that contracts on uh over a million dollars need council approval, and so the rules are very clear, and what that does for us is we make sure, um, given clear rules that we know what we can do and what we're not allowed to do. And it's worked very well for us. Uh we engage in competitive uh uh process for contracts. Uh we spend more than our minimum requirements on CBEs. As I mentioned, we even use local CBEs to support our Massachusetts partnership work. Um and having clear authority um helps us be more efficient and frankly helps us stay out of trouble.

SUMMARIZED BY OPENPUBLICA AI
TRANSCRIPT VIA PUBLIC VIDEO
openpublica.com