,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #higb  ,,in ,,the ,,house ,,of  
,,representatives  ,december #ae1       
#bjbj,mr4 ,smith of ,new ,jersey 7for   
himself and ,mr4 ,suozzi7 introduced the
 following bill2 which was referred to  
the ,committee on ,foreign ,affairs1 and
 in addition to the ,committees on      
,energy and ,commerce1 and the          
,judiciary1 for a period to be          
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,a ,,bill  ,to combat forced organ      
harvesting and trafficking in persons   
for purposes of the removal of organs1  
and for other purposes4  #a4 ,short     
title ,this ,act may be cited as the    
,stop ,forced ,organ ,harvesting ,act of
 #bjbj4  #b4 ,statement of policy ,it   
shall be the policy of the ,united      
,states-- 7#a7 to combat international  
trafficking in persons for purposes of  
the removal of organs2  7#b7 to promote 

the establishment of voluntary organ    
donation systems with effective         
enforcement mechanisms in bilateral     
diplomatic meetings and in international
 health forums2 and  7#c7 to promote the
 dignity and security of human life in  
accordance with the ,universal          
,declaration of ,human ,rights1 adopted 
on ,december #aj1 #aidh4  #c4           
,definitions ,in this ,act3 7#a7        
,appropriate committees of ,congress    
,the term appropriate committees of     
,congress means-- 7,a7 the ,committee on
 ,foreign ,relations of the ,senate2 and
  7,b7 the ,committee on ,foreign       
,affairs of the ,house of               
,representatives4  7#b7 ,forced organ   
harvesting ,the term forced organ       
harvesting means the removal of one or  
more organs from a person by means of   
coercion1 abduction1 deception1 fraud1  
or abuse of power or a position of      
vulnerability4  7#c7 ,organ ,the term   
organ has the meaning given the term    
human organ in section #cja7;c77#a7 of  

the ,national ,organ ,transplant ,act   
7#db ,u4,s4,c4 #bgd;e7c77#a774  7#d7    
,trafficking in persons for purposes of 
the removal of organs ,the term         
trafficking in persons for purposes of  
the removal of organs means the         
recruitment1 transportation1 transfer1  
harboring1 or receipt of a person for   
the purpose of removing one or more of  
such person's organs1 by means of-- 7,a7
 coercion2  7,b7 abduction2  7,c7       
deception2  7,d7 fraud2  7,e7 abuse of  
power or a position of vulnerability2 or
  7,f7 transfer of payments or benefits 
to achieve the consent of a person      
having control over a person described  
in the matter preceding subparagraph    
7,a74  #d4 ,authority to deny or revoke 
passports ,section #djgf of the ,revised
 ,statutes 7#bb ,u4,s4,c4 #bab7 is      
amended-- 7#a7 by inserting 7a7 before  
,no passport2 and  7#b7 by adding at the
 end the following3  7b7 7#a7 ,the      
,secretary of ,state may refuse to issue
 a passport to any individual who has   

been convicted of an offense under      
section #cja of the ,national ,organ    
,transplant ,act 7#db ,u4,s4,c4 #bgd;e7 
if such individual1 in the commission of
 such an offense1 used a passport or    
crossed an international border4  7#b7  
,the ,secretary of ,state may revoke a  
passport previously issued to any       
individual described in paragraph 7#a74 
4  #e4 ,reports on forced organ         
harvesting and trafficking in persons   
for purposes of the removal of organs in
 foreign countries  7a7 ,inclusion of   
information in annual country reports on
 human rights practices ,the ,foreign   
,assistance ,act of #aifa 7#bb ,u4,s4,c4
 #baea et seq47 is amended-- 7#a7 in    
section #aaf 7#bb ,u4,s4,c4 #baean71 by 
adding at the end the following3  7h7   
,forced organ harvesting and trafficking
 in persons for purposes of the removal 
of organs  7#a7 ,in general ,the report 
required by subsection 7d7 shall include
 an assessment of forced organ          
harvesting and trafficking in persons   

for purposes of the removal of organs in
 each foreign country4  7#b7            
,definitions ,in this subsection3 7,a7  
,forced organ harvesting ,the term      
forced organ harvesting means the       
removal of one or more organs from a    
person by means of coercion1 abduction1 
deception1 fraud1 or abuse of power or a
 position of vulnerability4  7,b7 ,organ
 ,the term organ has the meaning given  
the term human organ in section         
#cja7;c77#a7 of the ,national ,organ    
,transplant ,act 7#db ,u4,s4,c4         
#bgd;e7c77#a774  7,c7 ,trafficking in   
persons for purposes of the removal of  
organs ,the term trafficking in persons 
for purposes of the removal of organs   
means the recruitment1 transportation1  
transfer1 harboring1 or receipt of a    
person for the purpose of removing one  
or more of such person's organs1 by     
means of-- 7i7 coercion2  7ii7          
abduction2  7iii7 deception2  7iv7      
fraud2  7v7 abuse of power or a position
 of vulnerability2 or  7vi7 transfer of 

payments or benefits to achieve the     
consent of a person having control over 
a person described in the matter        
preceding clause 7i74  2 and  7#b7 in   
section #ejb;,b 7#bb ,u4,s4,c4 #bcjd7-- 
7,a7 by redesignating the second        
subsection 7i7 7relating to child       
marriage status7 as subsection 7j72 and 
7,b7 by adding at the end the following3
  7k7 ,forced organ harvesting and      
trafficking in persons for purposes of  
the removal of organs  7#a7 ,in general 
,the report required by subsection 7b7  
shall include an assessment of forced   
organ harvesting and trafficking in     
persons for purposes of the removal of  
organs in each foreign country4  7#b7   
,definitions ,in this subsection1 the   
terms forced organ harvesting1 organ1   
and trafficking in persons for purposes 
of the removal of organs have the       
meanings given those terms in section   
#aaf7;h77#b74  4  7b7 ,additional       
reports  7#a7 ,in general ,not later    
than #cj days after the date on which   

each annual report required by sections 
#aaf and #ejb;,b of the ,foreign        
,assistance ,act of #aifa 7#bb ,u4,s4,c4
 #baean1 #bcjd71 as amended by          
subsection 7a71 is submitted1 the       
,assistant ,secretary of ,state for     
,democracy1 ,human ,rights1 and ,labor  
7in this subsection referred to as the  
,assistant ,secretary71 shall submit to 
the appropriate committees of ,congress 
a report that includes the following3   
7,a7 ,with respect to each foreign      
country1 an identification of any       
agencies1 instrumentalities1 or         
officials of the country that are       
responsible for forced organ harvesting 
or trafficking in persons for purposes  
of the removal of organs4  7,b7 ,a      
tiered ranking described in paragraph   
7#b74  7#b7 ,tiered ranking ,the tiered 
ranking described in this paragraph is a
 tiered ranking of all foreign countries
 as follows3 7,a7 ,tier #a countries    
,the ,assistant ,secretary shall        
designate a country as tier #a if the   

country has low levels of forced organ  
harvesting or trafficking in persons for
 purposes of the removal of organs and  
the government of such country is making
 significant efforts to combat those    
practices4  7,b7 ,tier #b countries ,the
 ,assistant ,secretary shall designate a
 country as tier #b if the country has--
 7i7 low or intermediate levels of      
forced organ harvesting or trafficking  
in persons for purposes of the removal  
of organs and the government of such    
country is not making significant       
efforts to combat those practices2 or   
7ii7 intermediate levels of forced organ
 harvesting or trafficking in persons   
for purposes of the removal of organs   
and the government of such country is   
making significant efforts to combat    
those practices4  7,c7 ,tier #c         
countries ,the ,assistant ,secretary    
shall designate a country as tier #c    
if-- 7i7 the country has high levels of 
forced organ harvesting or trafficking  
in persons for purposes of the removal  

of organs2 or  7ii7 the government of   
such country is directly or indirectly  
supporting forced organ harvesting or   
trafficking in persons for purposes of  
the removal of organs4  7#c7 ,form ,the 
report required by this subsection shall
 be submitted in unclassified form4  7c7
 ,interim reports ,in addition to the   
annual reports required by sections #aaf
 and #ejb;,b of the ,foreign ,assistance
 ,act of #aifa 7#bb ,u4,s4,c4 #baean1   
#bcjd71 as amended by subsection 7a71   
the ,secretary of ,state may submit to  
the appropriate committees of ,congress 
at any time one or more interim reports 
with respect to the status of forced    
organ harvesting and trafficking in     
persons for purposes of the removal of  
organs in foreign countries1 including  
information about countries whose       
governments have begun or ceased to make
 significant efforts to combat those    
practices since the date on which the   
most recent annual report was submitted 
under such sections4  7d7 ,consideration

 of significant efforts ,in determining 
whether the government of a country is  
making significant efforts to combat    
forced organ harvesting and trafficking 
in persons for purposes of the removal  
of organs under subsections 7b7 and 7c71
 the ,secretary of ,state shall         
consider-- 7#a7 the extent to which the 
country is a country of origin1 transit1
 or destination for forced organ        
harvesting and trafficking in persons   
for purposes of the removal of organs2  
7#b7 the extent of efforts by the       
government to combat forced organ       
harvesting and trafficking in persons   
for purposes of the removal of organs1  
and1 particularly1 the extent to which  
officials or employees of the government
 have participated in1 facilitated1 or  
condoned1 or are otherwise complicit in1
 those practices2 and  7#c7 the measures
 that would be reasonable for the       
government to combat forced organ       
harvesting and trafficking in persons   
for purposes of the removal of organs1  

considering the resources and           
capabilities of the government4  #f4    
,report on ,united ,states medical and  
educational institutions at which organ 
transplant surgeons from tier #c        
countries are trained  7a7 ,in general  
,not later than #ahj days after the date
 on which each annual report required by
 sections #aaf and #ejb;,b of the       
,foreign ,assistance ,act of #aifa 7#bb 
,u4,s4,c4 #baean1 #bcjd71 as amended by 
section #e7;a71 is submitted1 the       
,secretary of ,state1 in consultation   
with the ,secretary of ,health and      
,human ,services1 shall submit to       
,congress a report on medical and       
educational institutions and other      
entities in the ,united ,states at which
 organ transplant surgeons are trained4 
7b7 ,elements  7#a7 ,in general ,each   
report required by subsection 7a7 shall 
include an identification of each       
medical or educational institution or   
other entity in the ,united ,states at  
which one or more organ transplant      

surgeons described in paragraph 7#b7 are
 trained as of the date on which the    
report is submitted4  7#b7 ,organ       
transplant surgeon described ,an organ  
transplant surgeon described in this    
paragraph is an organ transplant surgeon
 who-- 7,a7 as of the date on which the 
report required by subsection 7a7 is    
submitted1 is employed by or affiliated 
with an agency or instrumentality       
identified in the most recent additional
 report required by section #e7;b7 as   
being responsible for forced organ      
harvesting or trafficking in persons for
 purposes of the removal of organs2 and 
7,b7 is a citizen or national of a      
country designated as a tier #c country 
in the most recent additional report    
required by section #e7;b74  #g4        
,prohibition on the export of organ     
transplant surgery devices to certain   
entities ,section #hja of the ,federal  
,food1 ,drug1 and ,cosmetic ,act 7#ba   
,u4,s4,c4 #cha7 is amended by adding at 
the end the following3  7v7 ,prohibition

 on export of organ transplant surgery  
devices to certain entities  7#a7 ,in   
general ,notwithstanding any other      
provision of this ,act1 a device that is
 intended for use in organ transplant   
surgery may not be exported to any      
entity that is identified in the most   
recent additional report required by    
section #e7;b7 of the ,stop ,forced     
,organ ,harvesting ,act of #bjbj as     
being responsible for forced organ      
harvesting or trafficking in persons for
 purposes of the removal of organs4     
7#b7 ,coordination with the ,secretary  
of ,commerce ,the ,secretary shall      
coordinate with the ,secretary of       
,commerce to ensure compliance with     
paragraph 7#a74  4  #h4 ,imposition of  
sanctions with respect to forced organ  
harvesting or trafficking in persons for
 purposes of the removal of organs      
facilitated by tier #c countries  7a7   
,list required ,not later than #ahj days
 after the date on which each annual    
report required by sections #aaf and    

#ejb;,b of the ,foreign ,assistance ,act
 of #aifa 7#bb ,u4,s4,c4 #baean1 #bcjd71
 as amended by section #e7;a71 is       
submitted1 the ,president shall submit  
to ,congress a list of each person that 
the ,president determines-- 7#a7 funds1 
supports1 sponsors1 or otherwise        
facilitates forced organ harvesting or  
trafficking in persons for purposes of  
the removal of organs2 and  7#b7 is--   
7,a7 an individual who is a citizen or  
national of a country designated as a   
tier #c country in the most recent      
additional report required by section   
#e7;b72 or  7,b7 an entity organized    
under the laws of such a country or     
otherwise subject to the jurisdiction of
 the government of such a country4  7b7 
,imposition of sanctions ,the ,president
 shall impose the following sanctions   
with respect to a person on the list    
required by subsection 7a73 7#a7        
,property blocking ,the ,president shall
 exercise all of the powers granted by  
the ,international ,emergency ,economic 

,powers ,act 7#ej ,u4,s4,c4 #agja et    
seq47 7except that the requirements of  
section #bjb of such ,act 7#ej ,u4,s4,c4
 #agja7 shall not apply7 to the extent  
necessary to block and prohibit all     
transactions in all property and        
interests in property of the person if  
such property and interests in property 
are in the ,united ,states1 come within 
the ,united ,states1 or are or come     
within the possession or control of a   
,united ,states person4  7#b7 ,aliens   
inadmissible for visas1 admission1 or   
parole  7,a7 ,visas1 admission1 or      
parole ,in the case of an individual1   
that individual is-- 7i7 inadmissible to
 the ,united ,states2  7ii7 ineligible  
to receive a visa or other documentation
 to enter the ,united ,states2 and      
7iii7 otherwise ineligible to be        
admitted or paroled into the ,united    
,states or to receive any other benefit 
under the ,immigration and ,nationality 
,act 7#h ,u4,s4,c4 #aaja et seq474  7,b7
 ,current visas revoked  7i7 ,in general

 ,the visa or other entry documentation 
of the individual shall be revoked1     
regardless of when such visa or other   
entry documentation is or was issued4   
7ii7 ,immediate effect ,a revocation    
under clause 7i7 shall-- 7,i7 take      
effect immediately2 and  7,,ii7         
automatically cancel any other valid    
visa or entry documentation that is in  
the individual's possession4  7c7       
,exceptions  7#a7 ,exception relating to
 importation of goods  7,a7 ,in general 
,the authorities and requirements to    
impose sanctions under subsection       
7b77#a7 shall not include the authority 
or a requirement to impose sanctions on 
the importation of goods4  7,b7 ,good   
defined ,in this paragraph1 the term    
good means any article1 natural or      
manmade substance1 material1 supply or  
manufactured product1 including         
inspection and test equipment1 and      
excluding technical data4  7#b7         
,exception to comply with international 
obligations ,subsection 7b77#b7 shall   

not apply to the admission of an        
individual if the admission of the      
individual is necessary to comply with  
,united ,states obligations under the   
,agreement between the ,united ,nations 
and the ,united ,states of ,america     
regarding the ,headquarters of the      
,united ,nations1 signed at ,lake       
,success ,june #bf1 #aidg1 and entered  
into force ,november #ba1 #aidg1 under  
the ,convention on ,consular ,relations1
 done at ,vienna ,april #bd1 #aifc1 and 
entered into force ,march #ai1 #aifg1 or
 under other international agreements4  
7d7 ,implementation2 penalties  7#a7    
,implementation ,the ,president may     
exercise all authorities provided under 
sections #bjc and #bje of the           
,international ,emergency ,economic     
,powers ,act 7#ej ,u4,s4,c4 #agjb and   
#agjd7 to carry out this section4  7#b7 
,penalties ,a person that violates1     
attempts to violate1 conspires to       
violate1 or causes a violation of this  
section or any regulation1 license1 or  

order issued to carry out this section  
shall be subject to the penalties set   
forth in subsections 7b7 and 7c7 of     
section #bjf of the ,international      
,emergency ,economic ,powers ,act 7#ej  
,u4,s4,c4 #agje7 to the same extent as a
 person that commits an unlawful act    
described in subsection 7a7 of that     
section4  7e7 ,united states person     
defined ,in this section1 the term      
,united ,states person means-- 7#a7 a   
,united ,states citizen or an alien     
lawfully admitted for permanent         
residence to the ,united ,states2 or    
7#b7 an entity organized under the laws 
of the ,united ,states or any           
jurisdiction within the ,united ,states1
 including a foreign branch of such an  
entity4