Healthcare (Long-Term Care)

This bill updates D.C. labor laws to explicitly include domestic workers and home care workers under minimum wage and overtime protections. It defines home care workers as individuals providing personal care, supervision, health services, or companionship to seniors and people with disabilities in private homes. The legislation ensures these workers retain local wage standards even if federal protections are reduced, aiming to help the District maintain a stable workforce for its aging population.

This bill prohibits insurance companies in Washington, D.C., from considering the use of HIV prevention medication (PrEP) when making decisions about disability, life, or long-term care insurance. It directly affects people using PrEP - such as daily pills (Truvada, Descovy) or the injection (Apretude) - who might otherwise face higher premiums, denied coverage, or limited benefits. The key provision amends existing anti-discrimination law to ban insurers from using PrEP use as a factor in underwriting, renewing, or pricing these policies. This aims to remove barriers to PrEP uptake and reduce stigma, supporting D.C.'s goal to lower new HIV diagnoses to under 130 annually by 2030.

The Living Donor Protection Amendment Act of 2025 would prevent life, disability, and long-term care insurance companies in the District of Columbia from discriminating against living organ donors. It bans insurers from denying coverage, charging higher premiums, or altering policy terms solely based on someone’s status as a living organ donor. The law directly affects approximately 567 living organ donors in the District (per the bill’s data) and requires insurers to base decisions on actual health risks, not donor status. It takes effect for new policies issued after January 1, 2025.