Referred to the House Committee on Energy and Commerce.
This bill amends Section 377 of the Public Health Service Act to prohibit grantees from considering an organ recipient's income when reimbursing living donors. It removes provisions that create an expectation that recipients would pay donor expenses.
Whether prohibiting recipient-income consideration protects donors or subsidizes wealthy recipients
Relative to its intended legislative type, this bill makes targeted, concrete amendments to an existing statutory reimbursement program and adds a recurring reporting requirement.
This bill amends Section 377 of the Public Health Service Act to prohibit grantees from considering an organ recipient's income when reimbursing living donors.
It removes provisions that create an expectation that recipients would pay donor expenses.
It also requires an annual public report to Congress on whether grant funding adequately reimbursed donors and estimates of unmet needs and needed funding.
Narrow, low-controversy amendment with modest fiscal implications increases plausibility, but requires funding and procedural time.
Relative to its intended legislative type, this bill makes targeted, concrete amendments to an existing statutory reimbursement program and adds a recurring reporting requirement. The legal edits are specific and integrated into the Public Health Service Act, and the reporting provision establishes measurable accountability.
Whether prohibiting recipient-income consideration protects donors or subsidizes wealthy recipients
These are examples from the analysis, not a ranked list of the most-affected groups.
Whether prohibiting recipient-income consideration protects donors or subsidizes wealthy recipients
Likely supportive: the bill removes income-based barriers that could limit donor reimbursement and adds transparency.
It protects donating individuals from being denied assistance because a recipient is wealthy.
Advocates will note the reporting requirement could show underfunding and justify increases.
Cautiously favorable: the bill simplifies eligibility by removing recipient-income consideration and improves oversight with annual reporting.
However, it raises fiscal and targeting questions.
Supporters will want cost estimates and pragmatic guardrails to avoid unintended subsidies.
Skeptical: while sympathetic to supporting donors, the bill bars consideration of recipient ability to pay and removes recipient repayment expectations.
Conservatives will worry about federal funds subsidizing wealthier recipients and unclear fiscal impacts.
Reached or meaningfully advanced
Reached or meaningfully advanced
Still ahead
Still ahead
Still ahead
Narrow, low-controversy amendment with modest fiscal implications increases plausibility, but requires funding and procedural time.
The bill has not accumulated any surfaced votes yet.
Whether prohibiting recipient-income consideration protects donors or subsidizes wealthy recipients
Narrow, low-controversy amendment with modest fiscal implications increases plausibility, but requires funding and procedural time.
Relative to its intended legislative type, this bill makes targeted, concrete amendments to an existing statutory reimbursement program and adds a recurring reporting requirement. The legal edits are specific and integr…
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