B 26-0159 Legislature · 26th Council Period (2025-2026)

PrEP DC Act of 2025

The PrEP DC Act of 2025 prohibits health insurers in Washington, D.C., from: (1) using prescription history to set premiums or deny coverage, (2) delaying or restricting HIV prevention drugs like PrEP/PEP, and (3) charging copays, deductibles, or other costs for these medications. It directly affects D.C. residents at high risk of HIV - particularly those in Wards 5, 7, and 8, and young adults aged 18-24, who accounted for 22% of new HIV diagnoses in 2023. The bill aims to remove financial and administrative barriers to HIV prevention by requiring insurers to cover PrEP/PEP without cost-sharing. This aligns with D.C. Health’s existing PREP DAP program but expands protections to all insurers, not just specific programs.

Issues: ✓ Healthcare

Bill status signed all 4 stages cleared

Introduction

Feb 2025

Committee Review

Jan 2026

Council Passage

Mar 2026

Signed into Law

May 2026

Introduced Feb 28, 2025 Signed May 21, 2026

Maddy AI version diff · 2 comparisons

What changed between versions

Engrossment → Enrollment · 3 edits

MINOR

The bill was finalized and enacted as the 'PrEP DC Amendment Act of 2026' (originally 2025). The text was cleaned up to remove placeholder lines and formatting artifacts from the legislative process. The core policy content regarding insurance protections for HIV prevention remains consistent, though the summary of the bill's purpose was slightly reordered to emphasize the new restrictions on disability, life, and long-term care insurance before mentioning cost-sharing rules.

TECHNICAL

Removed blank lines and placeholder text (e.g., 'ENGROSSED ORIGINAL') to finalize the bill text.

TIMELINE

Updated the bill's citation year from '2025' to '2026' to reflect its final enrollment.

SCOPE

Reordered the summary of the bill's purpose to list the prohibition on factoring HIV prevention into disability, life, and long-term care insurance decisions before listing restrictions on cost-sharing and prior authorization.

Floor votes · Council Mar 3, 2026

How they voted

13–0

Passed

Total votes 13

Mar 3, 2026

D Democratic11

11 Yea

100% Yea

I Independent2

2 Yea

100% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Mar 3, 2026

Council · Passed

Council Vote: pass (13-0)

council

Feb 3, 2026

Introduced

Amendment (Henderson)

legislature

Jan 30, 2026

Committee

Re-Referral published.

legislature

Jan 20, 2026

Committee

Re-Referred to Committee on Health

legislature

Jan 9, 2026

Committee

Re-Referral published.

legislature

Jan 6, 2026

Committee

Re-Referred to Committee on Health, and Committee of the Whole

legislature

Dec 8, 2025

Legislature · Passed

Committee Mark-up of B26-0159 by the Health Committee

legislature

Mar 28, 2025

Committee

Re-Referral published.

legislature

Mar 18, 2025

Committee

Re-Referred to Committee on Health, and Committee on Business and Economic Development

legislature

Mar 4, 2025

Committee

Referred to Committee on Business and Economic Development with comments from the Committee on Health

legislature

Feb 28, 2025

Introduced

B26-0159 Introduced by Councilmember Parker at Office of the Secretary

legislature

1 primary · 0 co-sponsors