H.R. 1520 (119th)Bill Overview

Charlotte Woodward Organ Transplant Discrimination Prevention Act

Health|Administrative remediesCivil actions and liability
Cosponsors
Support
Bipartisan
Introduced
Feb 24, 2025
Discussions
Bill Text
Current stageCommittee

Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

Prohibits covered health care providers and transplant hospitals from denying, refusing, or otherwise discriminating against individuals for organ transplantation solely because of a disability. Requires reasonable modifications, auxiliary aids, supported decision-making, and consideration of support networks; preserves physician medical judgment after individualized evaluations.

Why people may split

Progressives emphasize civil-rights and access for disabled candidates

Watch point

Narrow civil-rights focus, low fiscal impact, and clear exceptions lower resistance; historically such measures win House approval.

Prohibits covered health care providers and transplant hospitals from denying, refusing, or otherwise discriminating against individuals for organ transplantation solely because of a disability.

Requires reasonable modifications, auxiliary aids, supported decision-making, and consideration of support networks; preserves physician medical judgment after individualized evaluations.

Provides an HHS Office for Civil Rights complaint route, clarifies interaction with other disability laws, and does not preempt stronger state protections.

Passage45/100

Substantive, narrow civil-rights bill with modest burdens increases plausibility, but medical-community concerns and Senate procedural barriers reduce likelihood.

CredibilityPartial

How solid the drafting looks.

Contention65/100

Progressives emphasize civil-rights and access for disabled candidates

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Likely helpedLikely burdened

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • Potential benefitExpands nondiscrimination protections for people with disabilities regarding organ transplant eligibility and listings.
  • Potential benefitEncourages reasonable accommodations, supported decision-making, and communication aids in transplant evaluations and c…
  • Potential benefitProvides an HHS Office for Civil Rights enforcement avenue for transplant discrimination complaints.
Likely burdened
  • Potential burdenMay increase administrative and compliance costs for transplant centers and hospitals.
  • Potential burdenCould raise litigation and legal risk over interpreting 'medically significant' disabilities.
  • Potential burdenMay require additional staffing for care coordination, documentation, and auxiliary services.
03 · Why people split

Why the argument around this bill splits.

Progressives emphasize civil-rights and access for disabled candidates
Progressive90%

Likely strongly supportive as a civil-rights measure ensuring people with disabilities can access life‑saving transplants.

Views the bill as closing a gap where disabled people were sometimes summarily excluded from transplant consideration.

Leans supportive
Centrist75%

Generally favorable but cautious; appreciates nondiscrimination plus the individualized medical‑judgment exception.

Wants clarity on operational, cost, and legal standards to avoid unintended consequences or excessive litigation.

Leans supportive
Conservative25%

Skeptical; concerned about federal mandates interfering with medical decisionmaking, increasing costs, and exposing providers to litigation.

Might accept protections for disabled patients if medical authority is clearly preserved.

Likely resistant
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood45/100

Substantive, narrow civil-rights bill with modest burdens increases plausibility, but medical-community concerns and Senate procedural barriers reduce likelihood.

Scope and complexity
52%
Scopemoderate
52%
Complexitymedium
Why this could stall
  • Views of transplant professional organizations and hospitals
  • How OCR will manage increased complaint volume and adjudication
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Progressives emphasize civil-rights and access for disabled candidates

Substantive, narrow civil-rights bill with modest burdens increases plausibility, but medical-community concerns and Senate procedural barr…

Unlocked analysis

Pro readers get the full perspective split, passage barriers, legislative design review, stakeholder impact map, and lens-based policy tradeoff analysis for Charlotte Woodward Organ Transplant Discrimination Prevention…

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
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