How do you spend $48 million in unbudgeted taxpayer money without getting an OK from elected lawmakers? In the District of Columbia, there’s pretty much only one way, and that’s the way Mayor Vincent C. Gray is proposing to settle a high-stakes dispute with D.C. Chartered Health Plan. Gray spokesman Pedro Ribeiro confirmed Wednesday that the plan is to pay the District’s share of the settlement — a little over $35 million, with federal Medicaid dollars accounting for the rest — out of the city’s contingency cash reserve (DeBonis, 7/24).