,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #ajbhb  ,,9 ,,! ,,h\se ,,(         
,,repres5tatives  ,decemb] #d1 #bjbd,ms4
 ,del,bene 7= h]self1 ,mr4 ,buc%on1 ,ms4
 ,s*ri]1 ,mrs4 ,mill] ( ,we/ ,virg9ia1  
,mr4 ,nadl]1 & ,ms4 ,kelly ( ,ill9ois7  
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committee on ,ways &     
,means1 = a p]iod to be subsequ5tly     
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,a
 ,,bill  ,to am5d ! ,public ,heal?      
,s]vice ,act ) respect to ! ,liv+ ,organ
 ,donation ,reimbursem5t ,program4  #a4 
,%ort title ,?is ,act may be cit$ z !   
,exp&+ ,support = ,liv+ ,donors ,act (  
#bjbd4  #b4 ,no consid]ation ( income ( 
organ recipi5t ,section #cgg ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#bgd;f7 is am5d$-- 7#a7 by r$esignat+   
subsections 7c71 7d71 7e71 & 7f7 z      
subsections 7d71 7e71 7i71 & 7j71       
respectively2  7#b7 by ins]t+ aft]      

subsection 7b7 ! foll[+3  7c7 ,no       
consid]ation ( income ( organ recipi5t  
,! recipi5t ( a grant "u ?is section1 9 
provid+ reimbursem5t to a donat+        
individual ?r\gh su* grant1 %all n give 
any consid]ation to ! income ( ! organ  
recipi5t4  2 &  7#c7 9 subsection 7i71 z
 s r$esignat$-- 7,a7 9 p>agraph 7#a71 by
 /rik+ subsection 7c77#a7 & ins]t+      
subsection 7d77#a72 &  7,b7 9 p>agraph  
7#b71 by /rik+ subsection 7c77#b7 &     
ins]t+ subsection 7d77#b74  #c4 ,removal
 ( expectation ( paym5ts by organ       
recipi5ts ,section #cgg7;e7 ( ! ,public 
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bgd;f7e771 z r$esignat$ by section #b1 
is am5d$-- 7#a7 9 p>agraph 7#a71 by add+
 or at ! end2  7#b7 9 p>agraph 7#b71 by 
/rik+ 2 or & ins]t+ a p]iod2 &  7#c7 by 
/rik+ p>agraph 7#c74  #d4 ,ensur+       
eligibility ( donat+ individuals ^:     
h\sehold income is at or bel[ #gjj p]c5t
 ( ! pov]ty l9e ,section #cgg ( !       
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bgd;f71 z am5d$ by section   

#b1 is fur!r am5d$ by ins]t+ aft]       
subsection 7e7 ! foll[+3  7f7           
,eligibility ( donat+ individuals bas$  
on h\sehold income  7#a7 ,9 g5]al ,9    
provid+ reimbursem5t to donat+          
individuals us+ funds f grant aw>ds "u  
?is section1 ! recipi5t ( ! grant aw>d  
%all n limit ! eligibility ( a donat+   
individual = su* reimbursem5t bas$ on ! 
individual's income if ! individual's   
h\sehold income is at or bel[ #gjj p]c5t
 ( ! pov]ty l9e4  7#b7 ,def9ition ,9 ?is
 section1 ! t]m pov]ty l9e means !      
applicable pov]ty l9e z set =? 9 ! mo/  
rec5t pov]ty guidel9es ( ! ,dep>tm5t (  
,heal? & ,human ,s]vices publi%$ "u !   
au?ority ( section #fgc7b7 ( !          
,community ,s]vices ,block ,grant ,act4 
4  #e4 ,maximum am\nt ( reimbursem5t    
,section #cgg ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #bgd;f71 z am5d$ by
 section #d1 is fur!r am5d$ by ins]t+   
aft] subsection 7f7 ! foll[+3  7g7      
,reimbursem5t am\nt  7#a7 ,9 g5]al ,!   
am\nt ( reimbursem5t ( qualify+ exp5ses 

provid$ by a recipi5t ( a grant aw>d "u 
?is section to ea* su* donat+ individual
 %all be ! less] (-- 7,a7 ! total am\nt 
( ! donat+ individual's qualify+        
exp5ses2 &  7,b7 ! maximum p]missible   
am\nt describ$ 9 p>agraph 7#b74  7#b7   
,maximum p]missible am\nt  7,a7 ,rule   
,subject to subp>agraph 7,b71 ! maximum 
p]missible am\nt describ$ 9 ?is section 
is-- 7i7 = fiscal ye> #bjbf1 #aj1jjj2 & 
7ii7 = subsequ5t fiscal ye>s1 ! maximum 
p]missible am\nt all[$ "u ?is subsection
 = ! prec$+ fiscal ye> adju/$ by ! total
 p]c5tage *ange 7r\nd$ to ! ne>e/       
hundr$?7 t occurr$ 9 ! ,consum] ,price  
,index = all urban consum]s 7all items2 
,unit$ ,/ates city av]age7 = ! prec$+   
fiscal ye>4  7,b7 ,exception = recipi5ts
 bas$ on insuffici5t funds ,! ,secret>y 
may1 ) respect to reimbursem5t provid$  
by a recipi5t ( a grant aw>d "u ?is     
section to donat+ individuals1 l[] !    
maximum p]missible am\nt "u subp>agraph 
7,a7 = a fiscal ye> if ! ,secret>y-- 7i7
 det]m9es t su* recipi5t has insuffici5t

 funds to provide ! full am\nt t w\ld   
o!rwise apply "u p>agraph 7#a7 to all   
donat+ individuals2 &  7ii7 at lea/ #cj 
days be=e mak+ su* det]m9ation          
effective1 provides to ! ,congress      
writt5 notice ( su* det]m9ation1 includ+
 a ju/ification4  7,c7 ,special rules   
,if ! ,secret>y1 ) respect to           
reimbursem5t provid$ by a recipi5t ( a  
grant aw>d "u ?is section to donat+     
individuals1 makes a det]m9ation "u     
subp>agraph 7,b7 to l[] ! maximum       
p]missible am\nt "u subp>agraph 7,a7 = a
 fiscal ye>-- 7i7 su* det]m9ation %all n
 affect ! am\nt ( reimbursem5t = any    
approv$ donat+ individual prior to !    
effective date ( su* det]m9ation2 &     
7ii7 ! maximum p]missible am\nt "u      
subp>agraph 7,a77ii7 = any subsequ5t ye>
 %all be calculat$ )\t reg>d to su* l[]$
 am\nt4  4  #f4 ,annual report ,section 
#cgg ( ! ,public ,heal? ,s]vice ,act    
7#db ,u4,s4,c4 #bgd;f71 z am5d$ by      
section #e1 is am5d$ by ins]t+ aft]     
subsection 7g7 ! foll[+3  7h7 ,annual   

report ,n lat] ?an ! end ( fiscal ye>   
#bjbe & annually !reaft]1 ! ,secret>y-- 
7#a7 %all submit to ! ,congress1 & make 
publicly available1 a report on !       
impacts1 ongo+ activities1 *all5ges1 &  
future ne$s ( ! program "u ?is section2 
7#b7 %all include 9 ea* su* report1 = ! 
ye> cov]$ by ! report-- 7,a7 an ov]view 
( ! program "u ?is section2  7,b7 curr5t
 & tr5d$ hi/orical in=mation ab\t !     
program "u ?is section1 includ+-- 7i7 ! 
total numb] ( donat+ individuals apply+ 
= reimbursem5t2  7ii7 ! av]age & m$ian  
reimbursem5t am\nt provid$ to donat+    
individuals2  7iii7 demographic         
in=mation reg>d+-- 7,i7 donat+          
individuals apply+ = reimbursem5t2 &    
7,,ii7 donat+ individuals approv$ =     
reimbursem5t2  7iv7 ! types ( exp5ses = 
:i* reimbursem5t 0 reque/$ 7includ+     
reque/s = reimbursem5t ( non-qualify+   
exp5ses72  7v7 ! am\nt ( fund+ provid$  
to donat+ individuals ) respect to ea*  
su* type ( exp5ses2  7vi7 ! am\nt (     
fund+ provid$ to donat+ individuals )   

respect to ea* organ category2  7vii7 ! 
total am\nt exp5d$ to c>ry out ?is      
section1 disaggregat$ by-- 7,i7 ! am\nt 
exp5d$ by ! ,secret>y & ! recipi5ts (   
grants "u ?is section on adm9i/rative   
exp5ses2 &  7,,ii7 ! am\nt provid$ to   
donat+ individuals z reimbursem5t2  7,c7
 ! impacts ( ! program "u ?is section1  
includ+-- 7i7 ! numb] ( complet$        
donations = :i* reimbursem5t 0 provid$2 
7ii7 ! proportion ( liv+ donor          
transplants 9 ! ,unit$ ,/ates 9 :i* !   
donor receiv$ reimbursem5t ?r\gh !      
program "u ?is section2  7iii7 an       
e/imate ( ! sav+s to ! ,m$ic>e program  
"u title ,,xviii ( ! ,social ,security  
,act result+ f ! program "u ?is section1
 bo?-- 7,i7 = ! ye> cov]$ by ! report2 &
  7,,ii7 cumulatively s9ce ! program's  
creation2  7,d7 ! types ( donations made
 by donat+ individuals receiv+          
reimbursem5t1 disaggregat$ accord+ to-- 
7i7 ! type ( organ donat$2 &  7ii7 :e!r 
! donations 7 direct$1 non-direct$1 or a
 pair$ ex*ange2  7,e7 a description (   

any ef=ts to exp& or improve ! program  
"u ?is section2  7,f7 a description ( ! 
ef=ts ( ! ,secret>y & recipi5ts ( grants
 "u ?is section to increase aw>5ess ( ! 
program "u ?is section2  7,g7 a         
description ( *all5ges exp]i5c$ by !    
program "u ?is section1 includ+-- 7i7 ! 
numb] & p]c5tage ( donat+ individuals   
apply+ = reimbursem5t ^: qualify+       
exp5ses approa*$ or exce$$ ! maximum    
am\nt all[$ "u subsection 7g72 &  7ii7  
an e/imate ( ! total fund+ ne$$ to fully
 reimburse1 )\t reg>d to ! maximum am\nt
 all[$ "u subsection 7g7 or donor income
 eligibility caps1 all donat+           
individuals 9 ! ,unit$ ,/ates = all     
qualify+ exp5ses2 &  7,h7 areas ( conc]n
 reg>d+1 & id5tifi$ b>ri]s to1 !        
elim9ation ( f9ancial dis9c5tives to    
liv+ organ donation2 &  7#c7 9 addition 
to ! matt]s li/$ 9 p>agraph 7#b71 may   
include o!r su* o!r matt]s z may be     
specifi$ by ! ,secret>y4  4  #g4        
,au?orization ( appropriations          
,subsection 7j7 ( section #cgg ( !      

,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bgd;f71 z r$esignat$ by      
section #b1 is am5d$ by /rik+ is        
au?oriz$ to be appropriat$ #e1jjj1jjj = 
ea* ( ! fiscal ye>s #bjje ?r\gh #bjji & 
ins]t+ are au?oriz$ to be appropriat$   
su* sums z may be necess>y = fiscal ye>s
 #bjbf ?r\gh #bjce4  #h4 ,,gao /udy ,n  
lat] ?an #a ye> aft] ! date ( enactm5t (
 ?is ,act1 ! ,comptroll] ,g5]al ( !     
,unit$ ,/ates %all-- 7#a7 conduct a /udy
 on h[ ! ,m$ic>e program "u title       
,,xviii ( ! ,social ,security ,act 7#db 
,u4,s4,c4 #acie et seq47 c\ld1 "u exi/+ 
/atutory au?orities1 pay co/s t w\ld    
o!rwise be paid ?r\gh ! ,liv+ ,organ    
,donation ,reimbursem5t ,program "u     
section #cgg ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bgd;f72 &  7#b7    
submit to ! ,congress a report on !     
results ( su* /udy1 includ+             
recomm5dations = any *anges ne$$ to     
a*ieve su* purpose4