{"id":26998,"date":"2025-09-17T00:00:00","date_gmt":"2025-09-17T04:00:00","guid":{"rendered":"https:\/\/www.resourcepro.com\/bulletin\/dc-requires-health-insurers-to-fully-cover-all-acip-recommended-vaccines-with-no-cost-sharing\/"},"modified":"2025-09-17T00:00:00","modified_gmt":"2025-09-17T04:00:00","slug":"dc-requires-health-insurers-to-fully-cover-all-acip-recommended-vaccines-with-no-cost-sharing","status":"publish","type":"bulletin","link":"https:\/\/www.resourcepro.com\/bulletin\/dc-requires-health-insurers-to-fully-cover-all-acip-recommended-vaccines-with-no-cost-sharing\/","title":{"rendered":"DC Requires Health Insurers to Fully Cover All ACIP-Recommended Vaccines With No Cost-Sharing"},"content":{"rendered":"\n<p><strong>DC<\/strong>| <a href=\"https:\/\/disb.dc.gov\/sites\/default\/files\/dc\/sites\/disb\/page_content\/attachments\/DISB%20Bulletin%202025%2009%2017%20Immunization.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Bulletin 25-IB-003-09\/17<\/a> from the <strong>DC Department of Insurance<\/strong>, Securities and Banking <span style=\"text-decoration: underline;\">instructs insurers offering health benefit plans in the District of Columbia to continue providing coverage for all ACIP-recommended vaccines (as of December 31, 2024), including COVID-19 vaccines, without cost-sharing or obstructive management in individual, small, and large group markets.<\/span> This interpretive guidance clarifies expectations under multiple local and federal laws, specifies that future updates may follow changes in medical organization immunization schedules, and notes exemptions for Medicare, self-funded arrangements, and limited-scope benefit plans.<\/p>\n\n\n\n<p><strong><span style=\"text-decoration: underline;\">Key Points:<\/span><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Insurers must cover all ACIP-recommended and DC-designated immunizations (including COVID-19), with no cost-sharing or restrictive management for eligible individuals in DC health plans.<\/li>\n\n\n\n<li>Exemptions apply to Medicare, self-funded plans, and limited-scope benefits; further DC guidance may follow medical organization schedule updates or public health designations.<\/li>\n<\/ul>\n\n\n\n<p><strong><em><a href=\"https:\/\/disb.dc.gov\/sites\/default\/files\/dc\/sites\/disb\/page_content\/attachments\/DISB%20Bulletin%202025%2009%2017%20Immunization.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Click here to see DC Bulletin 25-IB-003-09\/17<\/a><\/em><\/strong><\/p>\n\n\n\n<p><\/p>\n","protected":false},"featured_media":22559,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"department":[252],"state":[275],"class_list":["post-26998","bulletin","type-bulletin","status-publish","format-standard","has-post-thumbnail","hentry","department-department-of-insurance","state-district-of-columbia"],"acf":[],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/www.resourcepro.com\/wp-json\/wp\/v2\/bulletin\/26998","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.resourcepro.com\/wp-json\/wp\/v2\/bulletin"}],"about":[{"href":"https:\/\/www.resourcepro.com\/wp-json\/wp\/v2\/types\/bulletin"}],"version-history":[{"count":0,"href":"https:\/\/www.resourcepro.com\/wp-json\/wp\/v2\/bulletin\/26998\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.resourcepro.com\/wp-json\/wp\/v2\/media\/22559"}],"wp:attachment":[{"href":"https:\/\/www.resourcepro.com\/wp-json\/wp\/v2\/media?parent=26998"}],"wp:term":[{"taxonomy":"department","embeddable":true,"href":"https:\/\/www.resourcepro.com\/wp-json\/wp\/v2\/department?post=26998"},{"taxonomy":"state","embeddable":true,"href":"https:\/\/www.resourcepro.com\/wp-json\/wp\/v2\/state?post=26998"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}