H.R. 3698 (119th)Bill Overview

Living Organ Donor Tax Credit Act

Taxation|Taxation
Cosponsors
Support
Lean Democratic
Introduced
Jun 3, 2025
Discussions
Bill Text
Current stageCommittee

Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for c…

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

Creates a new refundable federal tax credit (new IRC §36C) of up to $5,000 for living donors of specified organs to cover donation-related costs. Eligible expenses include transplantation costs, travel/lodging, medical and follow-up care, paperwork/legal fees, and lost wages; reimbursed amounts are excluded.

Why people may split

Adequacy of $5,000 cap versus need for more comprehensive support

Watch point

Relative to its intended legislative type, this bill creates a targeted refundable tax credit for living organ donors with defined eligible organs, covered expense categories, a statutory dollar cap, and consequential amendments to related statutes, but leaves substantive administrative, fiscal, and oversight specifics to regulation or elsewhere in the budgetary process.

Creates a new refundable federal tax credit (new IRC §36C) of up to $5,000 for living donors of specified organs to cover donation-related costs.

Eligible expenses include transplantation costs, travel/lodging, medical and follow-up care, paperwork/legal fees, and lost wages; reimbursed amounts are excluded.

Defines qualified organs, limits the credit to living donors and U.S.-lawful transplants, and amends the Public Health Service Act and National Organ Transplant Act to coordinate grants and clarify the credit’s treatment under organ-sale prohibitions.

Passage40/100

Technocratic, narrow reform with modest fiscal cost and ethical pushback risk; passage likely if bundled or scored favorably by CBO.

CredibilityPartially aligned

Relative to its intended legislative type, this bill creates a targeted refundable tax credit for living organ donors with defined eligible organs, covered expense categories, a statutory dollar cap, and consequential amendments to related statutes, but leaves substantive administrative, fiscal, and oversight specifics to regulation or elsewhere in the budgetary process.

Contention55/100

Adequacy of $5,000 cap versus need for more comprehensive support

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Likely helpedFederal agencies

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

Likely helped
  • Potential benefitReduces donors' out-of-pocket costs for donation-related expenses.
  • Potential benefitPotentially increases living organ donations by lowering financial barriers.
  • Potential benefitMay improve transplant access and recipient health outcomes by increasing available organs.
Likely burdened
  • Potential burdenMay be viewed as creating an inducement, raising ethical commodification concerns.
  • Federal agenciesIncreases federal budget outlays through refundable credits, raising fiscal costs.
  • Potential burdenCreates potential for fraudulent or improper claims requiring verification and enforcement.
03 · Why people split

Why the argument around this bill splits.

Adequacy of $5,000 cap versus need for more comprehensive support
Progressive85%

Generally supportive: the refundable credit reduces financial barriers for living donors and advances access to transplantation.

May view the $5,000 cap as modest and want stronger supports, plus safeguards for low-income donors.

Concerns about exploitation or insufficient follow-up care are possible but the bill’s limits and NOTA clarification are positive signs.

Leans supportive
Centrist65%

Pragmatically favorable: the bill addresses real financial barriers to living donation through a targeted, refundable credit.

Would seek clearer cost estimates, anti-fraud measures, and evaluation metrics.

Appreciates NOTA coordination but wants guardrails against unintended incentives and transparent budget scoring.

Split reaction
Conservative35%

Skeptical: supports incentives for private charitable acts but wary of refundable credits expanding federal spending.

Concerned the credit could be perceived as payment for organs despite NOTA clarification.

Prefers private or state solutions and tighter fiscal controls.

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 likelihood40/100

Technocratic, narrow reform with modest fiscal cost and ethical pushback risk; passage likely if bundled or scored favorably by CBO.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • Estimated federal cost and CBO score
  • Positions of medical ethics and transplant community stakeholders
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

Adequacy of $5,000 cap versus need for more comprehensive support

Technocratic, narrow reform with modest fiscal cost and ethical pushback risk; passage likely if bundled or scored favorably by CBO.

Unlocked analysis

Relative to its intended legislative type, this bill creates a targeted refundable tax credit for living organ donors with defined eligible organs, covered expense categories, a statutory dollar cap, and consequential a…

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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