,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #gijj  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #ca1 #bjbj,mr4  
,c>twright 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 & promote organ donation d n   
violate t ,act1 & = o!r purposes4  #a4  
,%ort title ,?is ,act may be cit$ z !   
,organ ,donation ,cl>ification ,act (   
#bjbj4  #b4 ,f9d+s ,congress f9ds !     
foll[+3 7#a7 ,z ( ,june #bjbj1 #aaa1jjj 
p await an organ transplant1 ) #ic1jjj (
 ^? p wait+ = a kidney1 & av]age wait   
times are approa*+ five ye>s = a kidney1
 ) ne>ly twice z _m p be+ add$ to !     
wait+ li/s z gett+ a transplant4  7#b7  
,( ! 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#c7 ,on av]age1  

#bb p a day di$ :ile wait+ = an organ 9 
#bjai1 ) ! majority ( ^? p wait+ = a    
kidney4  7#d7 ,9 #bjai1 approximately   
#d1bjj p 7 remov$ f kidney wait+ li/s & 
approximately #a1gjj f liv]1 he>t1 &    
lungs wait+ li/s because !y became      
p]man5tly too sick to receive a         
transplant4  7#e7 ,n9ety p]c5t (        
dialysis pati5ts are n employ$ because  
dialysis requires multiple treatm5ts p] 
week :i* la/ sev]al h\rs & leave pati5ts
 dra9$1 ?us creat+ a huge f9ancial burd5
 on ! pati5ts1 _! families1 & !         
gov]nm5t2 moreov]1 lo/ tax rev5ue f ^!  
individuals is n includ$ 9 ! co/        
e/imates above1 & :i* c help lead to z  
few z #aj p]c5t ( dialysis pati5ts be+  
employ$4  7#f7 ,a pati5t receiv+ a      
kidney transplant1 & ?us no long] ne$+  
dialysis1 c enjoy a mu* high] quality ( 
life = ano!r #aj-ae ye>s on av]age4     
7#g7 ,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#h7 ,r\ghly sev5 p]c5t ( ! 
,m$ic>e budget goes to ! ,end ,/age     
,r5al ,disease ,program1 ) dialysis co/+
 ,m$ic>e ov] #ij1jjj 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#i7 ,a 
kidney transplant pays = itself 9 less  
?an two ye>s1 ) ea* transplant sav+ an  
av]age ( ov] #gjj1jjj 9 m$ical co/s ov] 
a #aj-ye> p]iod1 #he p]c5t ( :i* is     
sav+s to ! taxpay]s4  7#aj7 ,exp]ts     
project t if ! supply ( transplant      
kidneys c\ld be increas$ to meet ! dem&1
 taxpay]s w\ld save m ?an               
#ab1jjj1jjj1jjj p] ye> 9 m$ical co/s4   
7#aa7 ,! ,_w ,heal? ,organization       
e/imates t #aj p]c5t ( all transplants  
take place on ! int]national black      
m>ket1 ! la/ *oice = desp]ate pati5ts   
fac+ an alt]native ( dea?1 h[ev]        
recipi5ts (t5 receive infect$ kidneys & 
suff] poor heal? outcomes & donors are  
(t5 victimiz$4  7#ab7 ,pres5t policy on 
dome/ic donation 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#ac7 ,9 #bjaj1      
,israel implem5t$ sweep+ *anges to its  
national organ donation program includ+ 
r$uc+ f9ancial burd5s on donors1 giv+   
future transplantation priority to      
regi/]$ organ donors & _! families1 &   
promot+ donation by reimburs+ ! donor's 
m$ical co/s1 #dj days ( lo/ wages1 &    
five ye>s ( m$ical & life insurance     
co/s1 & z a result saw organ donation   
approximately triple ov] a #aj-ye>      
p]iod4  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 subsection-- 7,a7 ! 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]vices2 &  7,b7 ! t]m nonca%   
b5efit means any b5efit or ?+ ( value   
receiv$ by an organ donor t is          
impossible to sell1 trade1 or o!rwise   
transf] to ano!r individual4  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 less ?an #b1jjj1jjj1 adju/$      
annually = inflation2 &  7ii7 9 ! case (
 a disability insurance policy1 provides
 = paym5ts equal to or less ?an !       
reasonable e>n+s expectations ( ! donor4
  4