,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #fddh  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #ai1 #bjah,mr4  
,c>twright 7= himself1 ,mr4 ,lewis (    
,m9nesota1 ,mr4 ,coh51 ,mr4 ,grijalva1  
,ms4 ,j5k9s ( ,kansas1 ,ms4 ,eddie      
,b]nice ,johnson ( ,texas1 ,mr4 ,khanna1
 ,mr4 ,m>9o1 ,mr4 ,polis1 ,mr4 ,"y (    
,alaska1 ,mr4 ,bi%op ( ,georgia1 ,mr4   
,fitzpatrick1 ,mr4 ,posey1 ,mr4 ,kelly (
 ,p5nsylvania1 ,mr4 ,mc,govern1 & ,mr4  
,c>son ( ,indiana7 introduc$ ! foll[+   
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce  ,a ,,bill  ,to am5d !
 ,national ,organ ,transplant ,act to   
cl>ify ! def9ition ( valuable           
consid]ation1 to cl>ify t pilot programs
 t honor & rew>d organ donation d n     
violate t ,act1 & = o!r purposes4  #a4  
,%ort title ,?is ,act may be cit$ z !   
,organ ,donation ,cl>ification ,act (   
#bjah4  #b4 ,f9d+s ,congress f9ds !     
foll[+3  7#a7 ,z ( ,june #bjah1 #aae1jjj
 p await an organ transplant1 ) #ie1jjj 
( ^? p wait+ = a kidney1 & av]age wait  

times are approa*+ five ye>s = a kidney1
 ) twice z _m p be+ add$ to wait+ li/s z
 gett+ a transplant4  7#b7 ,liv+ donor  
kidney transplants peak$ 9 #bjjd & h    
decl9$ s9ce due to a sc>city ( liv+     
donors4  7#c7 ,( ! r\ghly two million   
,am]icans :o die annually1 only #aj1ejj 
to #ac1hjj1 repres5t+ less ?an "o p]c5t 
( all dea?s ea* ye>1 possess major      
organs heal?y en\gh = transplant+4  7#d7
 ,on av]age1 #bj p a day di$ :ile wait+ 
= an organ 9 #bjag1 ) ! majority ( ^? p 
wait+ = a kidney4  7#e7 ,9 #bjag1 #d1gjj
 p 7 p]man5tly remov$ f kidney wait+    
li/s & #a1hjj f liv]1 he>t1 & lungs     
wait+ li/s because !y became p]man5tly  
too sick to receive a transplant4  7#f7 
,n9ety p]c5t ( dialysis pati5ts are n   
employ$ because dialysis requires       
multiple treatm5ts p] week :i* la/      
sev]al h\rs & leave pati5ts dra9$1 ?us  
creat+ a huge f9ancial burd5 on !       
pati5ts1 _! families1 & ! gov]nm5t :i*  
is n includ$ 9 ! co/ e/imates above1 &  
:i* c help lead to z few z t5 p]c5t (   

dialysis pati5ts be+ employ$4  7#g7 ,a  
pati5t receiv+ a kidney transplant on   
av]age c g #aj-ae ye>s liv+ )\t dialysis
 :ile enjoy+ a mu* high] quality ( life4
  7#h7 ,z m$ical advances ext5d p's     
lives on dialysis1 ! numb] ( pati5ts on 
dialysis w increase significantly1 z w !
 co/s = individuals & ! ,f$]al          
,gov]nm5t4  7#i7 ,r\ghly sev5 p]c5t ( ! 
,m$ic>e budget goes to ! ,end ,/age     
,r5al ,disease ,program1 ) dialysis co/+
 ,m$ic>e ov] #hg1jjj p] pati5t p] ye>1 z
 ,f$]al law dictates t ,m$ic>e w cov]   
dialysis = ev]yone :o has made m9imal   
,social ,security tax paym5ts4  7#aj7 ,a
 kidney transplant pays = itself 9 less 
?an two ye>s1 ) ea* transplant sav+ an  
av]age ( ov] #gjj1jjj 9 m$ical co/s ov] 
a #aj-ye> p]iod1 #he p]c5t ( :i* is     
sav+s to ! taxpay]s4  7#aa7 ,exp]ts     
project t if ! supply ( transplant      
kidneys c\ld be increas$ to meet ! dem&1
 taxpay]s w\ld save m ?an               
#ab1jjj1jjj1jjj p] ye> 9 m$ical co/s4   
7#ab7 ,! ,_w ,heal? ,organization       

e/imates t #aj p]c5t ( all transplants  
take place on ! int]national black      
m>ket1 ! la/ *oice = desp]ate pati5ts   
fac+ an alt]native ( dea?1 h[ev]        
recipi5ts (t5 face infect$ kidneys & h  
poor heal? outcomes & donors are (t5    
victimiz$4  7#ac7 ,pres5t policy on     
dome/ic donation1 :i* is n evid5ce bas$ 
& has nev] be5 subject to /udies or     
pilots to det]m9e effectiv5ess 9        
increas+ ! availability ( donat$ organs 
& ! effectiv5ess ( safegu>ds t prev5t   
co]cion or exploitation1 precludes all b
 altrui/ic donation1 prohibit+ any =m ( 
inc5tive or b5efit = donors4  7#ad7     
,exp]ts are arriv+ at a cons5sus t      
trials are necess>y to f9d new me?ods ( 
promot+ additional organ donation :i* w 
save lives & r$uce organ traffick+4  #c4
 ,cl>ification ( c]ta9 provisions ( !   
,national ,organ ,transplant ,act  7a7  
,relation to o!r laws ,section #cja ( ! 
,national ,organ ,transplant ,act 7#db  
,u4,s4,c4 #bgd;e7 is am5d$ by add+ at ! 
end ! foll[+3  7d7 ,relation to o!r laws

  7#a7 ,gov]nm5ts enc\rag+ organ        
donation ,?is section %all n-- 7,a7     
apply to actions tak5 by ! ,gov]nm5t ( !
 ,unit$ ,/ates or any ,/ate1 t]ritory1  
tribe1 or local gov]nm5t ( ! ,unit$     
,/ates to c>ry out a cov]$ pilot        
program2 or  7,b7 prohibit acceptance ( 
any nonca% b5efits provid$ by ! pilot   
program "u subp>agraph 7,a74  7#b7 ,no  
prohibition on o!r b5efits programs     
,no?+ 9 ?is subsection %all be con/ru$  
to prohibit actions1 o!r ?an actions    
describ$ 9 ?is section1 tak5 by any     
,/ate1 t]ritory1 tribe1 or unit ( local 
gov]nm5t 9 ! ,unit$ ,/ates to provide   
b5efits = human organ donation4  7#c7   
,cov]$ pilot program ,= purposes ( ?is  
subsection1 ! t]m cov]$ pilot program   
means a pilot program approv$ by !      
,secret>y ( ,heal? & ,human ,s]vices1   
subject to an e?ical review bo>d        
process1 ) a t]m ( n m ?an #e fiscal    
ye>s1 = ! purpose ( measur+ ! effect (  
remov+ dis9c5tives or provid+ a nonca%  
b5efit t may increase ! organ pool4     

,di/ributions ( organs f deceas$ donors 
"u ! pilot program %all be conduct$ only
 ?r\gh ! ,organ ,procurem5t &           
,transplantation ,network at a          
transplant c5t] approv$ by ! ,unit$     
,network = ,organ ,%>+ or any o!r entity
 designat$ by ! ,secret>y ( ,heal? &    
,human ,s]vices4  4  7b7 ,valuable      
consid]ation ,section #cja7;c77#b7 ( !  
,national ,organ ,transplant ,act 7#db  
,u4,s4,c4 #bgd;e7c77#b77 is am5d$ to    
read z foll[s3  7#b7 ,! t]m valuable    
consid]ation does n include ! foll[+3   
7,a7 ,reasonable paym5ts associat$ ) !  
removal1 transportation1 implantation1  
process+1 pres]vation1 quality control1 
& /orage ( a human organ4  7,b7         
,reimbursem5t = travel1 lodg+1 food dur+
 travel1 & o!r logi/ical exp5ses relat$ 
to donation4  7,c7 ,provision ( advanc$ 
paym5ts or reimbursem5t = dep5d5t c>e   
ne$s = pre-transplant appo9tm5ts 9      
addition to dur+ ! p]iod ( donation &   
po/-transplant foll[ up c>e relat$ to ! 
donation = up to a #aj-ye> p]iod4  7,d7 

,reimbursem5t = lo/ wages relat$ to     
donation4  7,e7 ,m$ical exp5ses relat$  
to donation & all relat$ foll[-up c>e   
includ+ prev5tative foll[-up c>e &      
m$ication = up to a #aj-ye> p]iod4  7,f7
 ,pap]work or legal co/s relat$ to      
donation4  7,g7 ,any t]m life insurance 
policy aga9/ ! risk ( dea? or disability
 z a result ( donat+ an organ or ! long]
 t]m heal? effects ( hav+ donat$ an     
organ1 t--  7i7 9 ! case ( a life       
insurance policy1 provides = paym5ts 9  
am\nts great] ?an #b1jjj1jjj1 adju/$    
annually = inflation2 &  7ii7 9 ! case (
 a disability insurance policy1 provides
 = paym5ts beyond ! reasonable e>n+s    
expectations ( ! donor4  4