{"data":{"id":"us-dc/d.c.-code-44-303.01","jurisdiction":"us-dc","citation":"D.C. Code § 44-303.01","heading":"When a health care provider leaves a plan.","body":"If a contract between an insurer and a health care provider is terminated by either party for any reason other than termination for failure to meet applicable quality standards of care or fraud, and a member is undergoing a course of treatment from the physician at the time of the termination, the insurer shall notify the member on a timely basis of the termination. When medically necessary, persons with serious illness undergoing a course of treatment or who are in the second trimester of a pregnancy shall be permitted to continue to receive medically necessary covered services, with respect to the cause of treatment, by the physician, certified nurse-midwife, or certified midwife during a transitional period of at least 90 days from the date of the notice under the same terms and conditions as specified under the provider contract.","path":["Title 44. Charitable and Curative Institutions.","Chapter 3. Grievance Procedures for Health Benefits Plans.","Subchapter III. Notification of Health Care Provider Termination; Continuance of Coverage."],"source_url":"https://code.dccouncil.gov/us/dc/council/code/sections/44-303.01","current_through":"2026-08-20 (D.C. Law 26-175)","vintage":"","retrieved_at":"2026-08-29T05:44:07Z","sha256":"4f3988f108e94ab9ffd571db45798a23df1d4180eaf622753c18d2820d5dd8f5","source_id":"us-dc","stale":false,"prev":"us-dc/d.c.-code-44-302.03","next":"us-dc/d.c.-code-44-304.01"},"notice":"GroundRules: Original legal text. Not legal advice."}