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B26-0022 • 2025

Living Donor Protection Amendment Act of 2025

Living Donor Protection Amendment Act of 2025

Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
McDuffie
Last action
2025-07-18
Official status
Official Law
Effective date
Not listed

Plain English Breakdown

The official text specifies that insurers can act if there are 'actual, unique, and material actuarial risks,' but does not define what specific health conditions constitute these risks.

Living Donor Protection Amendment Act of 2025

This law stops insurance companies in Washington, D.C., from denying coverage or charging higher prices for life, disability, and long-term care policies based solely on a person's status as a living donor.

What This Bill Does

  • Defines a 'living donor' as an individual who has donated all or part of an organ or tissue and is not deceased.
  • Lists specific organs such as eyes, kidneys, livers, hearts, lungs, pancreases, esophagus, stomachs, intestines, and portions of the gastrointestinal tract.
  • Defines 'tissue' to include skin, bone, bone marrow, heart valves, spermatozoa, ova, arteries, veins, tendons, ligaments, blood, blood derivatives, pituitary glands, fluid, or other parts designated by rule.
  • Prohibits insurers from denying coverage based solely on an individual's status as a living donor without actual, unique, and material actuarial risks related to that status.
  • Stops insurers from canceling policies for individuals who are living donors if the action is based solely on their donor status.
  • Prevents insurance companies from refusing to issue policies or changing prices and terms for life, disability, or long-term care insurance based only on a person being a living donor.

Who It Names or Affects

  • Individuals in the District of Columbia who have donated all or part of an organ or tissue while alive.
  • Insurance companies selling life insurance, disability insurance, and long-term care insurance policies in the District of Columbia.
  • New life, disability, and long-term care insurance policies delivered or issued for delivery after January 1, 2026.

Terms To Know

Living donor
An individual who has donated all or part of an organ or tissue and is not deceased.
Organ
A human eye, kidney, liver, heart, lung, pancreas, esophagus, stomach, small or large intestine, a portion of the gastrointestinal tract, or another part designated by rule.
Tissue
A portion of the human body other than an organ, including skin, bone, bone marrow, heart valve, spermatozoon, ova, artery, vein, tendon, ligament, blood, blood derivatives, pituitary gland, fluid, or another part designated by rule.

Limits and Unknowns

  • The law only applies to life insurance, disability insurance, and long-term care insurance policies.
  • These rules apply only to new policies delivered or issued for delivery after January 1, 2026.
  • Insurers may still take action if there are actual, unique, and material actuarial risks related to the donor's health.

Bill History

  1. 2025-07-18 Council of the District of Columbia LIMS

    Law Number L26-0019 Effective from Jul 18, 2025

  2. 2025-06-06 Council of the District of Columbia LIMS

    Act A26-0073 Published in DC Register Vol 72 and Page 006445

  3. 2025-06-04 Council of the District of Columbia LIMS

    Transmitted to Congress

  4. 2025-05-29 Council of the District of Columbia LIMS

    Returned from Mayor

  5. 2025-05-28 Council of the District of Columbia LIMS

    Signed by the Mayor and Enacted with Act Number A26-0073

  6. 2025-05-15 Council of the District of Columbia LIMS

    Transmitted to Mayor, Response Due on May 30, 2025

  7. 2025-05-06 Council of the District of Columbia LIMS

    Legislative Meeting

  8. 2025-04-01 Council of the District of Columbia LIMS

    Legislative Meeting

  9. 2025-03-20 Council of the District of Columbia LIMS

    Committee Mark-up of B26-0022 by the Business and Economic Development Committee

  10. 2025-01-10 Council of the District of Columbia LIMS

    Notice of Intent to Act on B26-0022 Published in the District of Columbia Register

  11. 2025-01-07 Council of the District of Columbia LIMS

    Referred to Committee on Business and Economic Development

  12. 2025-01-06 Council of the District of Columbia LIMS

    B26-0022 Introduced by Councilmember McDuffie at Office of the Secretary

Official Summary Text

Living Donor Protection Amendment Act of 2025

Current Bill Text

Read the full stored bill text
ENROLLED ORIGINAL
ANACT
D.C. ACT 26-73
IN THE COUNCIL OF THE DISTRICT OF COLUMBIA.
MAY 28, 2025
To amend theInsuranceTradeand Economic Development Amendment Act of 2000 toprohibit
insurersfrom takingcertainactionsbasedsolelyon an individual’sstatusas a living
donor.
BE IT ENACTED BY THE COUNCIL OF THE DISTRICT OF COLUMBIA, Thatthis
actmay be citedasthe“LivingDonor ProtectionAmendment Act of2025”.
Sec.2.TheInsuranceTradeandEconomicDevelopmentAmendmentActof2000,effectiveApril3,2001(D.C.Law13-265;D.C.OfficialCode§31-2231.01etseq.),isamendedasfollows:(a)Section 101 (D.C. OfficialCode § 31-2231.01) isamended as follows:
(1)New paragraphs(7A)and(7B)areaddedtoreadasfollows:
“(7A)“Livingdonor”meansanindividualwhohasdonatedall,orpart,ofanorganoftissueandisnotdeceased.“(7B)“Organ”meansahumaneye,kidney,liver,heart,lung,pancreas,esophagus,stomach,smallorlargeintestine,aportionofthegastrointestinaltract,oranotherpartofthehumanbodydesignatedbytheCommissionerbyrule.”.(2)A newparagraph(8A)isaddedtoreadasfollows:“(8A)“Tissue”meansaportionofthehumanbodyotherthananorgan,includingskin,bone,bonemarrow,aheartvalve,aspermatozoon,anova,anartery,avein,atendon,aligament,blood,bloodderivatives,apituitarygland,fluid,oranotherportionofthehumanbodydesignatedbytheCommissionerbyrule.”.(b)Section 111 (D.C. OfficialCode § 31-2231.11)isamended by adding a new
subsection(c-1)toreadasfollows:
“(c-1)(1)Notwithstandinganyotherprovisioninthisact,noinsurershalldenycoverage,cancelcoverage,orrefusetoissue,determinethepriceorpremiumfor,orotherwisevaryanytermorconditionofa lifeinsurancepolicy,disabilityinsurancepolicy,orlong-termcareinsurancepolicyforanindividualbasedsolelyon,andwithoutanyactual,unique,andmaterialactuarialrisksrelatedto,thestatusoftheindividualasalivingdonor.

ENROLLED ORIGINAL.
(2)Paragraph(1)ofthissubsectionshallapplytolifeinsurancepolicies,disabilityinsurancepolicies,andlong-termcareinsurancepoliciesdeliveredorissuedfordeliveryafterJanuary1,2026.”.
Sec.3.Fiscalimpactstatement.
The Counciladoptsthefiscalimpactstatementinthecommittee reportasthefiscal
impactstatementrequiredbysection4aoftheGeneralLegislativeProceduresActof1975,
approved October 16,2006 (120 Stat.2038; D.C. OfficialCode § 1-301.47a).
Sec.4.Effectivedate.
ThisactshalltakeeffectfollowingapprovalbytheMayor(orintheeventofvetobytheMayor,actionbytheCounciltooverridetheveto)anda30-dayperiodofcongressionalreviewasprovidedinsection602(c)(1)oftheDistrictofColumbiaHomeRuleAct,approvedDecember24,1973(87Stat.813;D.C.Code§1-206(c)(1)).
LsMonte—‘rman
Councilofthe Districtof Columbia
Mayo!CE?BawaggbgolantiMAY 28, 2025

[DX]ITEMONCONSENTCALENDAR
[XTACTION
COUNCILOF THE DISTRICTOF COLUMBIA
WASHINGTON,DC,20004

FirstReading,CC
[X]VOTEDATE April1,2025
[XIVOICEVOTE Approved
RECORDEDVOTEONREQUEST
ABSENT

[JROLLCALLVOTE-Resut

CouncilMember[Aye[Nay[Nv[AB|Rec|CounciMember[Aye[Nay[NV[AB[Rec|CounciMember[Aye[Nay[NV[AB[Rec
ChairmanMendelson]x Henderson x Pinto x
‘Alen x LewisGeorge|x R.White x
Bonds x McDuffie x
Felder x Nadeau x
Frumin x Parker x
X-IndicateVote ‘AB-Absent NV-Present,NotVoting Rec-Recused
CERTIFICATIONRECORD
Soe
—"SeeretalytotheCounc Date
DocketNo,826-0022
[IX]ITEMONCONSENTCALENDAR
IX]ACTION FinalReading,CC
UX]VOTEDATE May6,2026
(X]VOICEVOTE ‘Approved
RECORDEDVOTEONREQUEST
ABSENT
{]ROLLCALLVOTE-Resut
CounciMember[Aye[Nay|NV[AB[Rec|CounciMember[Aye[Nay|NV[AB[Rec|CounciMember[Aye[Nay|NV[AB[Rec
ChairmanMendelson}X Henderson__| x Pinto x
Allen x LewisGeorge_| x R.White
Bonds x McDutio x
Felder x Nadeau x
Frumin x Parker x
X.-IndicateVote AB~Absent NV--Present,NotVoting Rec-Recused
CERTIFICATIONRECORD