,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #ejaf  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #ae1 #bjbj,mr4
 ,cotton introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,=eign ,relations  ,a ,,bill  ,to combat
 =c$ organ h>ve/+ & traffick+ 9 p]sons =
 purposes ( ! removal ( organs1 & = o!r 
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,/op ,=c$ ,organ ,h>ve/+   
,act ( #bjbj4  #b4 ,/atem5t ( policy ,x 
%all be ! policy ( ! ,unit$ ,/ates--    
7#a7 to combat int]national traffick+ 9 
p]sons = purposes ( ! removal ( organs2 
7#b7 to promote ! e/abli%m5t ( volunt>y 
organ donation sy/ems ) effective       
en=cem5t me*anisms 9 bilat]al diplomatic
 meet+s & 9 int]national heal? =ums2 &  
7#c7 to promote ! dignity & security (  
human life 9 accordance ) ! ,univ]sal   
,decl>ation ( ,human ,rights1 adopt$ on 
,decemb] #aj1 #aidh4  #c4 ,def9itions ,9
 ?is ,act3 7#a7 ,appropriate committees 
( ,congress ,! t]m appropriate          
committees ( ,congress means-- 7,a7 !   

,committee on ,=eign ,relations ( !     
,s5ate2 &  7,b7 ! ,committee on ,=eign  
,affairs ( ! ,h\se ( ,repres5tatives4   
7#b7 ,=c$ organ h>ve/+ ,! t]m =c$ organ 
h>ve/+ means ! removal ( "o or m organs 
f a p]son by means ( co]cion1 abduction1
 deception1 fraud1 or abuse ( p[] or a  
position ( vuln]ability4  7#c7 ,organ ,!
 t]m organ has ! mean+ giv5 ! t]m human 
organ 9 section #cja7;c77#a7 ( !        
,national ,organ ,transplant ,act 7#db  
,u4,s4,c4 #bgd;e7c77#a774  7#d7         
,traffick+ 9 p]sons = purposes ( !      
removal ( organs ,! t]m traffick+ 9     
p]sons = purposes ( ! removal ( organs  
means ! recruitm5t1 transportation1     
transf]1 h>bor+1 or receipt ( a p]son = 
! purpose ( remov+ "o or m ( su* p]son's
 organs1 by means (-- 7,a7 co]cion2     
7,b7 abduction2  7,c7 deception2  7,d7  
fraud2  7,e7 abuse ( p[] or a position (
 vuln]ability2 or  7,f7 transf] (       
paym5ts or b5efits to a*ieve ! cons5t ( 
a p]son hav+ control ov] a p]son        
describ$ 9 ! matt] prec$+ subp>agraph   

7,a74  #d4 ,au?ority to d5y or revoke   
passports ,section #djgf ( ! ,revis$    
,/atutes 7#bb ,u4,s4,c4 #bab7 is am5d$--
 7#a7 by ins]t+ 7a7 be=e ,no passport2 &
  7#b7 by add+ at ! end ! foll[+3  7b7  
7#a7 ,! ,secret>y ( ,/ate may refuse to 
issue a passport to any individual :o   
has be5 convict$ ( an (f5se "u section  
#cja ( ! ,national ,organ ,transplant   
,act 7#db ,u4,s4,c4 #bgd;e7 if su*      
individual1 9 ! commission ( su* an     
(f5se1 us$ a passport or cross$ an      
int]national bord]4  7#b7 ,! ,secret>y (
 ,/ate may revoke a passport previ\sly  
issu$ to any individual describ$ 9      
p>agraph 7#a74  4  #e4 ,reports on =c$  
organ h>ve/+ & traffick+ 9 p]sons =     
purposes ( ! removal ( organs 9 =eign   
c\ntries  7a7 ,inclusion ( in=mation 9  
annual c\ntry reports on human rights   
practices ,! ,=eign ,assi/ance ,act (   
#aifa 7#bb ,u4,s4,c4 #baea et seq47 is  
am5d$-- 7#a7 9 section #aaf 7#bb        
,u4,s4,c4 #baean71 by add+ at ! end !   
foll[+3  7h7 ,=c$ organ h>ve/+ &        

traffick+ 9 p]sons = purposes ( !       
removal ( organs  7#a7 ,9 g5]al ,!      
report requir$ by subsection 7d7 %all   
include an assessm5t ( =c$ organ h>ve/+ 
& traffick+ 9 p]sons = purposes ( !     
removal ( organs 9 ea* =eign c\ntry4    
7#b7 ,def9itions ,9 ?is subsection3 7,a7
 ,=c$ organ h>ve/+ ,! t]m =c$ organ     
h>ve/+ means ! removal ( "o or m organs 
f a p]son by means ( co]cion1 abduction1
 deception1 fraud1 or abuse ( p[] or a  
position ( vuln]ability4  7,b7 ,organ ,!
 t]m organ has ! mean+ giv5 ! t]m human 
organ 9 section #cja7;c77#a7 ( !        
,national ,organ ,transplant ,act 7#db  
,u4,s4,c4 #bgd;e7c77#a774  7,c7         
,traffick+ 9 p]sons = purposes ( !      
removal ( organs ,! t]m traffick+ 9     
p]sons = purposes ( ! removal ( organs  
means ! recruitm5t1 transportation1     
transf]1 h>bor+1 or receipt ( a p]son = 
! purpose ( remov+ "o or m ( su* p]son's
 organs1 by means (-- 7i7 co]cion2  7ii7
 abduction2  7iii7 deception2  7iv7     
fraud2  7v7 abuse ( p[] or a position ( 

vuln]ability2 or  7vi7 transf] ( paym5ts
 or b5efits to a*ieve ! cons5t ( a p]son
 hav+ control ov] a p]son describ$ 9 !  
matt] prec$+ clause 7i74  2 &  7#b7 9   
section #ejb;,b 7#bb ,u4,s4,c4 #bcjd7-- 
7,a7 by r$esignat+ ! second subsection  
7i7 7relat+ to *ild m>riage /atus7 z    
subsection 7j72 &  7,b7 by add+ at ! end
 ! foll[+3  7k7 ,=c$ organ h>ve/+ &     
traffick+ 9 p]sons = purposes ( !       
removal ( organs  7#a7 ,9 g5]al ,!      
report requir$ by subsection 7b7 %all   
include an assessm5t ( =c$ organ h>ve/+ 
& traffick+ 9 p]sons = purposes ( !     
removal ( organs 9 ea* =eign c\ntry4    
7#b7 ,def9itions ,9 ?is subsection1 !   
t]ms =c$ organ h>ve/+1 organ1 &         
traffick+ 9 p]sons = purposes ( !       
removal ( organs h ! mean+s giv5 ^? t]ms
 9 section #aaf7;h77#b74  4  7b7        
,additional reports  7#a7 ,9 g5]al ,n   
lat] ?an #cj days aft] ! date on :i* ea*
 annual report requir$ by sections #aaf 
& #ejb;,b ( ! ,=eign ,assi/ance ,act (  
#aifa 7#bb ,u4,s4,c4 #baean1 #bcjd71 z  

am5d$ by subsection 7a71 is submitt$1 ! 
,assi/ant ,secret>y ( ,/ate =           
,democracy1 ,human ,rights1 & ,labor 79 
?is subsection ref]r$ to z ! ,assi/ant  
,secret>y71 %all submit to ! appropriate
 committees ( ,congress a report t      
includes ! foll[+3 7,a7 ,) respect to   
ea* =eign c\ntry1 an id5tification ( any
 ag5cies1 in/rum5talities1 or (ficials (
 ! c\ntry t are responsible = =c$ organ 
h>ve/+ or traffick+ 9 p]sons = purposes 
( ! removal ( organs4  7,b7 ,a ti]$     
rank+ describ$ 9 p>agraph 7#b74  7#b7   
,ti]$ rank+ ,! ti]$ rank+ describ$ 9 ?is
 p>agraph is a ti]$ rank+ ( all =eign   
c\ntries z foll[s3 7,a7 ,ti] #a c\ntries
 ,! ,assi/ant ,secret>y %all designate a
 c\ntry z ti] #a if ! c\ntry has l[     
levels ( =c$ organ h>ve/+ or traffick+ 9
 p]sons = purposes ( ! removal ( organs 
& ! gov]nm5t ( su* c\ntry is mak+       
significant ef=ts to combat ^?          
practices4  7,b7 ,ti] #b c\ntries ,!    
,assi/ant ,secret>y %all designate a    
c\ntry z ti] #b if ! c\ntry has-- 7i7 l[

 or int]m$iate levels ( =c$ organ h>ve/+
 or traffick+ 9 p]sons = purposes ( !   
removal ( organs & ! gov]nm5t ( su*     
c\ntry is n mak+ significant ef=ts to   
combat ^? practices2 or  7ii7 int]m$iate
 levels ( =c$ organ h>ve/+ or traffick+ 
9 p]sons = purposes ( ! removal ( organs
 & ! gov]nm5t ( su* c\ntry is mak+      
significant ef=ts to combat ^?          
practices4  7,c7 ,ti] #c c\ntries ,!    
,assi/ant ,secret>y %all designate a    
c\ntry z ti] #c if-- 7i7 ! c\ntry has   
high levels ( =c$ organ h>ve/+ or       
traffick+ 9 p]sons = purposes ( !       
removal ( organs2 or  7ii7 ! gov]nm5t ( 
su* c\ntry is directly or indirectly    
support+ =c$ organ h>ve/+ or traffick+ 9
 p]sons = purposes ( ! removal ( organs4
  7#c7 ,=m ,! report requir$ by ?is     
subsection %all be submitt$ 9           
unclassifi$ =m4  7c7 ,int]im reports ,9 
addition to ! annual reports requir$ by 
sections #aaf & #ejb;,b ( ! ,=eign      
,assi/ance ,act ( #aifa 7#bb ,u4,s4,c4  
#baean1 #bcjd71 z am5d$ by subsection   

7a71 ! ,secret>y ( ,/ate may submit to !
 appropriate committees ( ,congress at  
any "t "o or m int]im reports ) respect 
to ! /atus ( =c$ organ h>ve/+ &         
traffick+ 9 p]sons = purposes ( !       
removal ( organs 9 =eign c\ntries1      
includ+ in=mation ab\t c\ntries ^:      
gov]nm5ts h begun or ceas$ to make      
significant ef=ts to combat ^? practices
 s9ce ! date on :i* ! mo/ rec5t annual  
report 0 submitt$ "u su* sections4  7d7 
,consid]ation ( significant ef=ts ,9    
det]m9+ :e!r ! gov]nm5t ( a c\ntry is   
mak+ significant ef=ts to combat =c$    
organ h>ve/+ & traffick+ 9 p]sons =     
purposes ( ! removal ( organs "u        
subsections 7b7 & 7c71 ! ,secret>y (    
,/ate %all consid]-- 7#a7 ! ext5t to :i*
 ! c\ntry is a c\ntry ( orig91 transit1 
or de/9ation = =c$ organ h>ve/+ &       
traffick+ 9 p]sons = purposes ( !       
removal ( organs2  7#b7 ! ext5t ( ef=ts 
by ! gov]nm5t to combat =c$ organ h>ve/+
 & traffick+ 9 p]sons = purposes ( !    
removal ( organs1 &1 p>ticul>ly1 ! ext5t

 to :i* (ficials or employees ( !       
gov]nm5t h p>ticipat$ 91 facilitat$1 or 
condon$1 or are o!rwise complicit 91 ^? 
practices2 &  7#c7 ! measures t w\ld be 
reasonable = ! gov]nm5t to combat =c$   
organ h>ve/+ & traffick+ 9 p]sons =     
purposes ( ! removal ( organs1 consid]+ 
! res\rces & capabilities ( ! gov]nm5t4 
#f4 ,report on ,unit$ ,/ates m$ical &   
educational in/itutions at :i* organ    
transplant surgeons f ti] #c c\ntries   
are tra9$  7a7 ,9 g5]al ,n lat] ?an #ahj
 days aft] ! date on :i* ea* annual     
report requir$ by sections #aaf &       
#ejb;,b ( ! ,=eign ,assi/ance ,act (    
#aifa 7#bb ,u4,s4,c4 #baean1 #bcjd71 z  
am5d$ by section #e7;a71 is submitt$1 ! 
,secret>y ( ,/ate1 9 consultation ) !   
,secret>y ( ,heal? & ,human ,s]vices1   
%all submit to ,congress a report on    
m$ical & educational in/itutions & o!r  
entities 9 ! ,unit$ ,/ates at :i* organ 
transplant surgeons are tra9$4  7b7     
,elem5ts  7#a7 ,9 g5]al ,ea* report     
requir$ by subsection 7a7 %all include  

an id5tification ( ea* m$ical or        
educational in/itution or o!r entity 9 !
 ,unit$ ,/ates at :i* "o or m organ     
transplant surgeons describ$ 9 p>agraph 
7#b7 are tra9$ z ( ! date on :i* !      
report is submitt$4  7#b7 ,organ        
transplant surgeon describ$ ,an organ   
transplant surgeon describ$ 9 ?is       
p>agraph is an organ transplant surgeon 
:o-- 7,a7 z ( ! date on :i* ! report    
requir$ by subsection 7a7 is submitt$1  
is employ$ by or affiliat$ ) an ag5cy or
 in/rum5tality id5tifi$ 9 ! mo/ rec5t   
additional report requir$ by section    
#e7;b7 z be+ responsible = =c$ organ    
h>ve/+ or traffick+ 9 p]sons = purposes 
( ! removal ( organs2 &  7,b7 is a      
citiz5 or national ( a c\ntry designat$ 
z a ti] #c c\ntry 9 ! mo/ rec5t         
additional report requir$ by section    
#e7;b74  #g4 ,prohibition on ! export ( 
organ transplant surg]y devices to c]ta9
 entities ,section #hja ( ! ,f$]al      
,food1 ,drug1 & ,cosmetic ,act 7#ba     
,u4,s4,c4 #cha7 is am5d$ by add+ at !   

end ! foll[+3  7v7 ,prohibition on      
export ( organ transplant surg]y devices
 to c]ta9 entities  7#a7 ,9 g5]al       
,not)/&+ any o!r provision ( ?is ,act1 a
 device t is int5d$ = use 9 organ       
transplant surg]y may n be export$ to   
any entity t is id5tifi$ 9 ! mo/ rec5t  
additional report requir$ by section    
#e7;b7 ( ! ,/op ,=c$ ,organ ,h>ve/+ ,act
 ( #bjbj z be+ responsible = =c$ organ  
h>ve/+ or traffick+ 9 p]sons = purposes 
( ! removal ( organs4  7#b7 ,coord9ation
 ) ! ,secret>y ( ,comm]ce ,! ,secret>y  
%all coord9ate ) ! ,secret>y ( ,comm]ce 
to ensure compliance ) p>agraph 7#a74  4
  #h4 ,imposition ( sanctions ) respect 
to =c$ organ h>ve/+ or traffick+ 9      
p]sons = purposes ( ! removal ( organs  
facilitat$ by ti] #c c\ntries  7a7 ,li/ 
requir$ ,n lat] ?an #ahj days aft] !    
date on :i* ea* annual report requir$ by
 sections #aaf & #ejb;,b ( ! ,=eign     
,assi/ance ,act ( #aifa 7#bb ,u4,s4,c4  
#baean1 #bcjd71 z am5d$ by section      
#e7;a71 is submitt$1 ! ,presid5t %all   

submit to ,congress a li/ ( ea* p]son t 
! ,presid5t det]m9es-- 7#a7 funds1      
supports1 sponsors1 or o!rwise          
facilitates =c$ organ h>ve/+ or         
traffick+ 9 p]sons = purposes ( !       
removal ( organs2 &  7#b7 is-- 7,a7 an  
individual :o is a citiz5 or national ( 
a c\ntry designat$ z a ti] #c c\ntry 9 !
 mo/ rec5t additional report requir$ by 
section #e7;b72 or  7,b7 an entity      
organiz$ "u ! laws ( su* a c\ntry or    
o!rwise subject to ! jurisdiction ( !   
gov]nm5t ( su* a c\ntry4  7b7           
,imposition ( sanctions ,! ,presid5t    
%all impose ! foll[+ sanctions ) respect
 to a p]son on ! li/ requir$ by         
subsection 7a73 7#a7 ,prop]ty block+ ,! 
,presid5t %all ex]cise all ( ! p[]s     
grant$ by ! ,int]national ,em]g5cy      
,economic ,p[]s ,act 7#ej ,u4,s4,c4     
#agja et seq47 7except t ! requirem5ts (
 section #bjb ( su* ,act 7#ej ,u4,s4,c4 
#agja7 %all n apply7 to ! ext5t necess>y
 to block & prohibit all transactions 9 
all prop]ty & int]e/s 9 prop]ty ( !     

p]son if su* prop]ty & int]e/s 9 prop]ty
 are 9 ! ,unit$ ,/ates1 come )9 ! ,unit$
 ,/ates1 or are or come )9 ! possession 
or control ( a ,unit$ ,/ates p]son4     
7#b7 ,ali5s inadmissible = visas1       
admission1 or p>ole  7,a7 ,visas1       
admission1 or p>ole ,9 ! case ( an      
individual1 t individual is-- 7i7       
inadmissible to ! ,unit$ ,/ates2  7ii7  
ineligible to receive a visa or o!r     
docum5tation to ent] ! ,unit$ ,/ates2 & 
7iii7 o!rwise ineligible to be admitt$  
or p>ol$ into ! ,unit$ ,/ates or to     
receive any o!r b5efit "u ! ,immigration
 & ,nationality ,act 7#h ,u4,s4,c4 #aaja
 et seq474  7,b7 ,curr5t visas revok$   
7i7 ,9 g5]al ,! visa or o!r entry       
docum5tation ( ! individual %all be     
revok$1 reg>dless ( :5 su* visa or o!r  
entry docum5tation is or 0 issu$4  7ii7 
,imm$iate effect ,a revocation "u clause
 7i7 %all-- 7,i7 take effect imm$iately2
 &  7,,ii7 automatically cancel any o!r 
valid visa or entry docum5tation t is 9 
! individual's possession4  7c7         

,exceptions  7#a7 ,exception relat+ to  
importation ( goods  7,a7 ,9 g5]al ,!   
au?orities & requirem5ts to impose      
sanctions "u subsection 7b77#a7 %all n  
include ! au?ority or a requirem5t to   
impose sanctions on ! importation (     
goods4  7,b7 ,good def9$ ,9 ?is         
p>agraph1 ! t]m good means any article1 
natural or manmade sub/ance1 mat]ial1   
supply or manufactur$ product1 includ+  
inspection & te/ equipm5t1 & exclud+    
te*nical data4  7#b7 ,exception to      
comply ) int]national obligations       
,subsection 7b77#b7 %all n apply to !   
admission ( an individual if ! admission
 ( ! individual is necess>y to comply ) 
,unit$ ,/ates obligations "u ! ,agreem5t
 betwe5 ! ,unit$ ,nations & ! ,unit$    
,/ates ( ,am]ica reg>d+ ! ,headqu>t]s ( 
! ,unit$ ,nations1 sign$ at ,lake       
,success ,june #bf1 #aidg1 & ent]$ into 
=ce ,novemb] #ba1 #aidg1 "u ! ,conv5tion
 on ,consul> ,relations1 done at ,vi5na 
,april #bd1 #aifc1 & ent]$ into =ce ,m>*
 #ai1 #aifg1 or "u o!r int]national     

agreem5ts4  7d7 ,implem5tation2 p5alties
  7#a7 ,implem5tation ,! ,presid5t may  
ex]cise all au?orities provid$ "u       
sections #bjc & #bje ( ! ,int]national  
,em]g5cy ,economic ,p[]s ,act 7#ej      
,u4,s4,c4 #agjb & #agjd7 to c>ry out ?is
 section4  7#b7 ,p5alties ,a p]son t    
violates1 attempts to violate1 conspires
 to violate1 or causes a violation ( ?is
 section or any regulation1 lic5se1 or  
ord] issu$ to c>ry out ?is section %all 
be subject to ! p5alties set =? 9       
subsections 7b7 & 7c7 ( section #bjf ( !
 ,int]national ,em]g5cy ,economic ,p[]s 
,act 7#ej ,u4,s4,c4 #agje7 to ! same    
ext5t z a p]son t commits an unlawful   
act describ$ 9 subsection 7a7 ( t       
section4  7e7 ,unit$ /ates p]son def9$  
,9 ?is section1 ! t]m ,unit$ ,/ates     
p]son means-- 7#a7 a ,unit$ ,/ates      
citiz5 or an ali5 lawfully admitt$ =    
p]man5t resid5ce to ! ,unit$ ,/ates2 or 
7#b7 an entity organiz$ "u ! laws ( !   
,unit$ ,/ates or any jurisdiction )9 !  
,unit$ ,/ates1 includ+ a =eign bran* (  

su* an entity4