The Aetna Life Insurance Company & Aetna Health, Inc. Health Benefits Contract Emergency Approval Resolution of 2025 seeks the Council's approval for a multiyear contract valued at approximately $1.58 billion, allowing Aetna to provide fully insured health benefits to District employees, their dependents, and retirees through the D.C. Employees Health Benefits Program. The contract, which will run until December 31, 2030, includes various health plan types such as Preferred Provider Organization (PPO) and Medicare Advantage. The District will cover 75% of the premium costs, while employees will contribute the remaining 25%. The total estimated cost for health insurance contracts across multiple vendors is projected to be around $3.75 billion over five years, with Aetna's share being a significant portion.

The bill outlines the responsibilities of the contractor administering the health benefits program, emphasizing compliance with federal and District laws, effective communication, and claims administration. It mandates the implementation of trauma-informed care and establishes guidelines for wellness programs, data protection, and subcontracting requirements. Additionally, the bill introduces amendments to existing laws regarding employment practices, including non-discrimination based on unemployment status and requirements for hiring District residents. It also specifies coverage options and limitations for various medical services, ensuring alignment with the District's Essential Health Benefits Benchmark Plan. Overall, the bill aims to enhance the quality and accessibility of health services while ensuring fair hiring practices and robust data protection measures.