Bill > B26-0159

This bill, the PrEP DC Act of 2025, aims to improve access to HIV prevention medications and services in the District of Columbia by amending existing insurance laws and establishing a dedicated fund. It prohibits health benefit plans and insurers from imposing cost-sharing, requiring prior authorization, or implementing medically unnecessary restrictions on at least one regimen of HIV prevention medication, which includes treatments like PrEP (pre-exposure prophylaxis) and PEP (post-exposure prophylaxis) used to prevent HIV infection. The bill also prevents insurers from using prescription information for these HIV prevention treatments for medical underwriting, meaning they cannot use this information to determine an individual's premium for health insurance. Furthermore, insurance companies will be barred from considering the use of HIV prevention treatment when making decisions about issuing disability, life, or long-term care insurance policies. In addition to these insurance-related changes, the bill establishes a non-lapsing DC Health and Wellness Center Fund, which will collect revenue from insurance reimbursements and out-of-pocket payments for services provided by the DC Health and Wellness Center and its affiliated clinics, with these funds exclusively designated for the operations of these centers.

Business and Industry, Health and Social Services

https://lims.dccouncil.gov/Legislation/B26-0159