S. 532 (119th)Bill Overview

OPTN Fee Collection Authority Act

Health|Computers and information technologyCongressional oversight
Cosponsors
Support
Republican
Introduced
Feb 12, 2025
Discussions
Bill Text
Current stageCommittee

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

The bill authorizes the HHS Secretary to collect registration fees from members of the Organ Procurement and Transplantation Network (OPTN) for each transplant candidate placed on the national list. Collected fees must only support OPTN operations, be credited as discretionary offsetting collections, and be distributed as appropriated; the Secretary must post quarterly fee amounts and uses publicly.

Why people may split

Liberal emphasizes patient access, transparency, and EHR benefits

Watch point

Narrow, technical bill with oversight and sunset likely to attract bipartisan support; stakeholder fee concerns could slow momentum.

The bill authorizes the HHS Secretary to collect registration fees from members of the Organ Procurement and Transplantation Network (OPTN) for each transplant candidate placed on the national list.

Collected fees must only support OPTN operations, be credited as discretionary offsetting collections, and be distributed as appropriated; the Secretary must post quarterly fee amounts and uses publicly.

The bill also encourages EHR integration and remote donor-record access (HIPAA-compliant) and asks OPTN to consider a frequently updated transplant dashboard; the fee authority sunsets after three years with a GAO review due within two years.

Passage65/100

Modest fiscal footprint, targeted scope, transparency and sunset increase acceptability; stakeholder opposition over fees or EHR access is the main risk.

CredibilityPartial

How solid the drafting looks.

Contention55/100

Liberal emphasizes patient access, transparency, and EHR benefits

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 benefitProvides a dedicated revenue source to support OPTN operational activities and modernization.
  • Potential benefitQuarterly postings and a GAO review may increase transparency and accountability for OPTN spending.
  • Potential benefitEncouraging EHR APIs and remote access could accelerate donor referrals and transplant coordination.
Likely burdened
  • Potential burdenHospitals, transplant centers, and OPOs may incur new per-candidate fees, raising operational costs.
  • Potential burdenSmaller centers or organ procurement organizations could face disproportionate financial burdens from fees.
  • Potential burdenFee collection, reporting, and public-posting requirements may increase administrative and compliance workloads.
03 · Why people split

Why the argument around this bill splits.

Liberal emphasizes patient access, transparency, and EHR benefits
Progressive80%

Likely broadly supportive because the bill provides dedicated funding for OPTN operations, increases transparency, and promotes EHR integration that may improve donor referrals and equity.

Concerns would focus on protecting privacy and ensuring fees do not shift costs to patients or reduce access.

The GAO review and sunset are seen as useful oversight.

Leans supportive
Centrist70%

Generally favorable if implemented with clear fee structures, minimal administrative burden, and demonstrated value.

The transparency, GAO review, and three-year sunset make the policy more acceptable, but centrists will want assurances fees are efficient and non-duplicative.

Leans supportive
Conservative35%

Skeptical of expanding HHS fee-collection authority and new federal financial interventions; may view this as added bureaucracy and a potential cost on hospitals or private entities.

Some conservatives may welcome efficiency measures like EHR integration and transparency, but overall worry about federal overreach and new mandatory fees.

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 likelihood65/100

Modest fiscal footprint, targeted scope, transparency and sunset increase acceptability; stakeholder opposition over fees or EHR access is the main risk.

Scope and complexity
52%
Scopemoderate
24%
Complexitylow
Why this could stall
  • No cost estimate or projected revenue amounts provided
  • Potential opposition from transplant centers or hospitals over new fees
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

Liberal emphasizes patient access, transparency, and EHR benefits

Modest fiscal footprint, targeted scope, transparency and sunset increase acceptability; stakeholder opposition over fees or EHR access is…

Unlocked analysis

Pro readers get the full perspective split, passage barriers, legislative design review, stakeholder impact map, and lens-based policy tradeoff analysis for OPTN Fee Collection Authority Act.

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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