Text of DC B 260525 (2026)

Personal Health Data Security Amendment Act of 2025

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COUNCIL OF THE DISTRICT OF COLUMBIA The John A. Wilson Building 1350 Pennsylvania Avenue, NW Washington, D.C. 20004 Statement of Introduction Personal Health Data Security Amendment Act of 2025 December 1, 2025 Today, I am proud to introduce the Personal Health Data Security Amendment Act of 2025, alongside Councilmembers Brianne K. Nadeau, Matthew Frumin, Anita Bonds, Janeese Lewis George, Charles Allen, and Robert White. This legislation would establish privacy protections for the personal health data of District residents. Every day, thousands of DC residents use apps, search engines, and devices to track their health, schedule medical appointments, and access critical care. At the same time, private companies can collect and share that same data with hundreds of third parties for purposes beyond the app’s core functionality or disclosed third-party sharing, often without an individual’s consent or knowledge. Even when health-related apps have privacy policies, they often do not fully disclose how personal health data is shared. In a study of 36 popular smartphone apps for depression and smoking cessation, only 43% of apps that sent data to Google and 50% of apps that sent data to Facebook fully disclosed these practices.1 As more companies continue to collect personal health data for corporate purposes, states are seeking to regulate the collection and use of personal health information by private entities. Currently, 20 states have enacted comprehensive legislation strengthening protections for personal data, and twenty additional state legislatures have introduced data privacy bills.2 The Personal Health Data Security Amendment Act establishes clear rules for transparency, consent, and accountability. This bill would: • Prohibit geofencing around facilities that provide health services, preventing the tracking or targeting of individuals based on their location. • Require controllers (the entities that determine how and why personal health data is used) to publish clear, accessible privacy policies describing what data is collected, how it is used, and with whom it is shared. • Mandate consent before any collection, processing, or disclosure of personal health data, and allows individuals to withdraw consent at any time. • Create a right to deletion, requiring entities to establish a deletion process, honor verified deletion requests within 183 days, and ensure that their partners do the same. I look forward to working with my colleagues to advance this bill and provide residents with the ability to control their personal health data and privacy. 1 1 ____________________________ ____________________________ 2 Councilmember Janeese Lewis George Councilmember Christina Henderson 3 4 5 _____________________________ _____________________________ 6 Councilmember Brianne K. Nadeau Councilmember Anita Bonds 7 8 9 10 11 _____________________________ _____________________________ 12 Councilmember Matthew Frumin Councilmember Charles Allen 13 14 15 ____________________________ 16 Councilmember Robert White 17 A BILL 18 19 _______________ 20 21 22 IN THE COUNCIL OF THE DISTRICT OF COLUMBIA 23 24 _______________________ 25 26 To amend Chapter 38 of Title 28 of the District of Columbia Official Code to prohibit the use of 27 geofencing technology around entities providing in-person health care services, to 28 prohibit the processing of personal health data by controllers without first gaining consent 29 from a data subject, to require controllers to maintain a publicly available personal health 30 data privacy policy, to ban the processing of personal health data in a manner inconsistent 31 with a controller’s published personal health data privacy policy, to require controllers to 32 establish and maintain a process for the deletion of personal health data, to require 33 controllers to delete personal health data upon request from a data subject and to notify 34 and direct processors, affiliates, and third parties to delete such data, to require processors 35 to notify sub-processors of a deletion request and confirm deletion in writing, and to 36 grant data subjects the right to confirm whether a controller is processing their personal 37 health data, to request deletion of their personal health data, and to withdraw consent 38 from a controller. 39 40 BE IT ENACTED BY THE COUNCIL OF THE DISTRICT OF COLUMBIA, That this 41 act may be cited as the “Personal Health Data Security Amendment Act of 2025”. 42 2 Sec. 2. Chapter 39 of Title 28 of the District of Columbia Official Code is amended as 43 follows: 44 (a) The table of contents is amended by adding a new subchapter designation to read as 45 follows: 46 “Subchapter V. Personal Health Data Security. 47 “28-3881. Definitions. 48 “28-3882. Personal health data security protections.”. 49 (b) A new subchapter V is added to read as follows: 50 “Subchapter V. Personal Health Data Security. 51 “§ 28-3881. Definitions. 52 “For purposes of this subchapter, the term: 53 “(1) “Affiliate” means an entity that controls, is controlled by, or is under 54 common control with another entity. 55 “(2) “Control” means ownership or the power to exercise a controlling influence 56 over the management or policies of an entity. 57 “(3) “Controller” means a person, organization, entity, or affiliate that determines 58 the purposes and means of processing personal health data, which includes how and why 59 personal health data is collected, shared, disclosed, used, and stored. 60 “(4) “Data subject” means an individual who is identified or identifiable, directly 61 or indirectly, through their personal health data, including byname, identification number, online 62 identifier, location data, or other factors specific to the individual’s physical or mental health, 63 reproductive or gender-affirming care status, or biometric information. 64 3 “(5) “Deidentified data” means information that cannot reasonably be used to 65 infer information about, or otherwise be linked to a particular individual, household, or device. 66 “(6) “Geofence” means technology that uses global positioning coordinates, cell 67 tower connectivity, cellular data, radio frequency identification, Wi-fi data, or any other form of 68 spatial or location detection to establish a virtual boundary or to locate an individual within a 69 virtual boundary 2,000 feet or less from the perimeter of a specific physical location. 70 “(7) “Personal health data” means any information that is reasonably linkable to 71 an individual in connection with the physical or mental health of that individual, including: 72 “(A) Medical records, histories, or diagnoses; 73 “(B) Genetic information, biometric data, or other physiological 74 indicators; 75 “(C) Prescription and medication information; 76 “(D) Laboratory test results; 77 “(E) Health insurance, billing, or payment records related to health care or 78 services; and 79 “(F) Any information collected by a health care provider, health plan, or 80 legal entity regarding the individual’s health status, care, or related payments. 81 “(8) “Process” means an operation or set of operations performed on personal 82 health data, including the collection, use, access, sharing, sale, monetization, analysis, retention, 83 creation, generation, derivation, recording, organization, structuring, storage, disclosure, 84 transmission, disposal, licensing, destruction, deletion, or modification of personal health data. 85 4 “(9) “Processor” means any person, organization, entity, or affiliate that processes 86 personal health data on behalf of a controller but does not independently determine the purposes 87 or means of processing. 88 “(10) “Sell” means to transfer personal health data to a third party for monetary 89 value or other forms of consideration. The term “sell” does not include the transferring of 90 personal health data to a third party as part of a merger, acquisition, bankruptcy, or other 91 transaction in which the third party assumes control of all or part of the controller’s assets. 92 “(11) “Sub-processor” means a person or entity engaged by a data processor to 93 process personal data on behalf of a data controller. 94 “(12) “Third party” means a person or entity, other than the individual who is the 95 subject of the personal health data, a controller, or a processor, that receives, obtains, or 96 otherwise accesses personal health data for the third party’s own independent purposes.”. 97 “§ 28-3882. Personal health data protection procedures. 98 “(a) No person or entity may implement a geofence around a location that 99 provides in-person health care services where the geofence is used to: 100 “(1) Identify or track individuals seeking health care services; 101 “(2) Collect personal health data; or 102 “(3) Send notifications, messages, or advertisements to individuals related 103 to their personal health data or health care services. 104 “(b) A controller that enters into an agreement with a processor to process personal health 105 data on behalf of the controller shall: 106 “(1) Maintain a health data privacy policy thar clear and conspicuously discloses: 107 “(A) The categories of personal health data collected; 108 5 “(B) The purposes for which the personal health data is collected, 109 including how the data will be used; 110 “(C) The categories of sources from which the personal health data is 111 collected; 112 “(D) The categories of personal health data that are shared; 113 “(E) A list of the categories of third parties and the specific affiliates with 114 whom the controller shares the personal health data, whether actively or passively, and the 115 purposes for such sharing; 116 “(F) The length of time the controller intends to retain each category of 117 personal health data, or if that is not possible, the criteria used to determine that period; and 118 “(G) How an individual can exercise the rights provided in subsection (d) 119 of this section; and 120 “(2) Limit access to personal health data to individuals or entities who need it to: 121 “(A) carry out the purposes for which the data subject gave consent; or 122 “(B) provide a product or service requested by the data subject. 123 “(c) A controller may not: 124 “(1) Sell or offer to sell personal health data without the data subject’s affirmative 125 consent; 126 “(2) Collect or disclose personal health data for a purpose not reasonably 127 necessary to provide a product or service requested by the data subject without obtaining 128 consent; 129 “(3) Retaliate against or deny services to a data subject for exercising rights 130 provided under this section; 131 6 “(4) Fail to delete personal health data upon verified request from the data 132 subject; 133 “(5) Contract with a processor to process personal health data in a manner 134 inconsistent with the controller’s privacy policy; or 135 “(6) Disclose personal health data to a third party unless the disclosure is 136 consistent with the controller’s published policy and the data subject’s consent. 137 “(d) Data subjects may exercise the right to: 138 “(1) Confirm whether a controller is processing personal health data in relation to 139 the data subject; 140 “(2) Withdraw consent that was once given to a controller to process personal 141 health data at any time for whatever reason; and 142 “(3) Request to delete personal health data that is associated with the data subject 143 within the database of the controller and any other legal entity whom the controller disclosed the 144 personal health data to, except to the extent necessary to comply with the controller’s legal 145 obligations. 146 “(e) Each controller shall establish, maintain, and make publicly available a secure and 147 accessible process by which a data subject may request the deletion of their personal health data. 148 The deletion process shall: 149 “(1) Allow a data subject to submit a request electronically and, where applicable, 150 through the interface the data subject regularly uses to access the controller’s product or service; 151 “(2) Include commercially reasonable methods for authenticating the identity of 152 the requesting data subject; 153 7 “(3) Provide a mechanism for a data subject to track the status of their deletion 154 request; and 155 “(4) Establish internal procedures for promptly transmitting verified deletion 156 requests to all processors and third parties with whom the controller has shared the data. 157 “(f) Upon receiving a valid request for data deletion from a data subject, the controller 158 shall: 159 “(1) Delete the personal health data of the data subject from all systems within its 160 possession or control, including active databases, archived storage, and backup systems within 161 183 days, unless retention is required by District or federal law; and 162 “(2) Notify all processors, affiliates, and third parties to whom the controller has 163 disclosed the personal health data of the data subject’s deletion request and direct each to delete 164 such data in accordance with this subchapter within the preceding 24 months, unless retention is 165 required by District or federal law; or 166 “(3) Where deletion within 183 days is not feasible, the controller shall, within 167 that period, submit a written explanation to the Office of the Attorney General identifying the 168 reason for the delay, the data retained, and any other relevant information. 169 “(g)(1) Each processor who is notified by a controller of a deletion request pursuant to 170 subsection (f) of this section shall, in turn, notify all sub-processors engaged in processing the 171 data of the deletion request and ensure deletion is completed and confirmed in writing to the 172 controller. 173 “(2) Processors and third parties shall complete deletion within 120 days of 174 receiving the controller’s direction and shall confirm deletion in writing to the controller. 175 8 “(h)(1) A controller shall respond to a verified deletion request within 183 days of receipt 176 of the request. 177 “(2) The controller may extend the response period once for an additional 60 days 178 when reasonably necessary, taking into account the complexity and number of requests. Any 179 such extension shall be communicated to the data subject within the initial 183-day period, 180 including the reasons for the delay. 181 “(3) A controller shall provide information in response to a deletion request at 182 least twice during any 12-month period. 183 “(h)(1) The controller shall take reasonable steps to authenticate the request for data 184 deletion promptly and shall not use authentication procedures to delay compliance with this 185 section. 186 “(2) If a controller is unable to authenticate a data subject’s request for data 187 deletion using commercially reasonable efforts, the controller shall not required to comply with 188 the request and may request that the data subject provide additional information reasonably 189 necessary to authenticate the individual and the request. 190 “(3) In the event that a controller determines that a data subject’s requests for 191 deletion are excessive or repetitive, the controller may: 192 “(A) Charge a reasonable fee to cover administrative costs; or 193 “(B) Decline to act on the request; provided, that the controller bears the 194 burden of demonstrating the manifestly unfounded, excessive, or repetitive nature of the request. 195 “(4) Controllers shall maintain written documentation of all deletion requests, actions 196 taken, and confirmations received for at least two years for inspection by the Office of the 197 Attorney General. 198 9 “(i)(1) The Office of the Attorney General shall have exclusive authority to enforce the 199 provisions of this subchapter. 200 “(2) The Attorney General may investigate alleged violations of this act, issue 201 subpoenas, compel the production of documents or testimony, and bring a civil action in the 202 Superior Court of the District of Columbia to: 203 “(A) Enjoin further violations of this subchapter; 204 “(B) Obtain restitution or other appropriate relief for individuals whose 205 personal health data was processed in violation of this subchapter; and 206 “(C) Seek civil penalties of not more than $10,000 for each violation, or 207 such other amount as the court deems just and reasonable. 208 “(m) The Office of the Attorney General, pursuant to § 2-501 et seq., shall issue rules to 209 implement the provisions of this subchapter. 210 Sec. 3. Fiscal impact statement. 211 The Council adopts the fiscal impact statement in the committee report as the fiscal 212 impact statement required by section 4a of the General Legislative Procedures Act of 1975, 213 approved October 16, 2006 (120 Stat. 2038; D.C. Official Code § 1-301.47a). 214 Sec. 4. Effective date. 215 This act shall take effect following approval by the Mayor (or in the event of veto by the 216 Mayor, action by the Council to override the veto) and a 30-day period of congressional review 217 as provided in section 602(c)(1) of the District of Columbia Home Rule Act, approved December 218 24, 1973 (87 Stat. 813; D.C. Official Code § 1-206.02(c)(1)). 219