District of Columbia Highlights
23 District of Columbia's 2019 Rank
To learn more about state rank, visit our 2019 Scorecard on State Health System Performance.
Source: Commonwealth Fund 2019
Key Demographics
| District of Columbia | US Average | |
|---|---|---|
| Total Population | 684,065 | 320,842,721 |
| Median Household Income | $89,996 | $65,727 |
| Below 200% of Federal Poverty Level (FPL) | 30% | 31% |
| % White Race, Non-Hispanic | 37% | 61% |
| % Black Race, Non-Hispanic | 45% | 12% |
| % Other Race, Non-Hispanic | 7% | 9% |
| % Hispanic Ethnicity | 11% | 18% |
Key Health Policies in District of columbia
District Of Columbia Performance Data
District Of Columbia Policy Data
| Policy | Source | Action Taken | Notes | Info |
|---|---|---|---|---|
| <p>Medicaid expansion status</p> | The Commonwealth Fund | 1 | Traditionally expanded Medicaid | - |
| <p>Medicaid work requirement status</p> | The Commonwealth Fund | 0 | No work requirement | - |
| <p>Affordable Care Act health insurance marketplace type</p> | Center on Health Insurance Reforms, Georgetown University Health Policy Institute | 3 | State-based marketplace | The state is responsible for all marketplace functions, including health plan management, consumer assistance, eligibility and enrollment, financing, and marketing and outreach. The state manages its own marketplace website where individuals can enroll in coverage. |
| State-operated individual market reinsurance programs supported by federal funding from an ACA innovation waiver | J. Giovannelli, K. Lucia, and S. Corlette, "To Understand How Consumers Are Faring in the Individual Health Insurance Markets, Watch the States." The Commonwealth Fund | 0 | State does not operate a reinsurance program | Has not applied for a future waiver |
| State requirements for individuals to maintain adequate health coverage (individual mandates) | J. Giovannelli, K. Lucia, and S. Corlette, "To Understand How Consumers Are Faring in the Individual Health Insurance Markets, Watch the States." The Commonwealth Fund | 1 | State requires individuals to maintain adequate health coverage (effective 2019) | - |
| State subsidies for individual market coverage | J. Giovannelli, K. Lucia, and S. Corlette, "To Understand How Consumers Are Faring in the Individual Health Insurance Markets, Watch the States." The Commonwealth Fund | 0 | State does not provide premium or cost-sharing subsidies for individual market coverage | - |
| <p>State regulation of short-term limited duration coverage </p> | J. Giovannelli, K. Lucia, and S. Corlette, "To Understand How Consumers Are Faring in the Individual Health Insurance Markets, Watch the States." The Commonwealth Fund | 2 | State regulations are stricter than the federal government: short-term coverage is allowed, but contract duration and the length of time a consumer can be enrolled is limited | Short-term coverage contract duration limited to 3 months, and coverage cannot exceed 3 months per insurer in a 12-month period |
| <p>State decisions to extend the annual open enrollment period for ACA marketplace coverage </p> | J. Giovannelli, K. Lucia, and S. Corlette, "To Understand How Consumers Are Faring in the Individual Health Insurance Markets, Watch the States." The Commonwealth Fund | 2 | 2018 and 2019 open enrollment periods extended | Open enrollment for 2018 extended through Jan. 31, 2018, and enrollment for 2019 extended through Feb. 6, 2019 |
| <p>Rules to a promote competitive marketplace </p> | J. Giovannelli, K. Lucia, and S. Corlette, "To Understand How Consumers Are Faring in the Individual Health Insurance Markets, Watch the States." The Commonwealth Fund | 4 | Individual and small-group markets are merged to the create a broader risk pool; Individual market coverage must be sold through the ACA marketplace | The District requires insurers to merge the claims experience of its individual and small-group markets for purposes of developing the premium index rate. The index rate may then be modified to account for market-specific effects of risk adjustment. |
| State decisions regarding whether to allow non-compliant transitional policies in the individual market | J. Giovannelli, K. Lucia, and S. Corlette, "To Understand How Consumers Are Faring in the Individual Health Insurance Markets, Watch the States." The Commonwealth Fund | 0 | State prohibits insurers from selling non-compliant transitional policies in the individual market | - |
| <p>State decisions to exempt other coverage products from federal and state consumer protections</p> | J. Giovannelli, K. Lucia, and S. Corlette, "To Understand How Consumers Are Faring in the Individual Health Insurance Markets, Watch the States." The Commonwealth Fund | 0 | State does not exempt other coverage products from federal and state rules for individual market insurance | - |
| <p>Status of state Affordable Care Act innovation waivers</p> | J. Giovannelli and K. Lucia, "States See Opportunities for Flexibility in the ACA’s Innovation Waiver Program." The Commonwealth Fund | 0 | No waiver | - |