,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ghfh  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #i1 #bjbf ,ms4   
,del,bene 7= h]self1 ,mrs4 ,mill] ( ,we/
 ,virg9ia1 & ,ms4 ,s*ri]7 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 (  
#bjbf4  #b4 ,exp&+ support = liv+ donors
 ,section #cgg ( ! ,public ,heal?       
,s]vice ,act 7#db ,u4,s4,c4 #bgd;f7 is  
am5d$--  7#a7 by r$esignat+ subsections 
7f7 ?r\gh 7h7 z subsections 7h7 ?r\gh   
7j71 respectively2  7#b7 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
 subsection1 ! 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 
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>      
#bjbg1 #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  2  7#c7 9 subsection 7i71 z s  
r$esignat$1 by /rik+ is au?oriz$ 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 #bjbh     
?r\gh #bjcg2 &  7#d7 by am5d+ subsection
 7j71 z s r$esignat$1 to read z foll[s3 
7j7 ,annual report ,n lat] ?an ,decemb] 
#ca ( ea* ye>1 beg9n+ 9 fiscal ye>      
#bjbg1 ! ,secret>y %all-- 7#a7 prep>e1  
submit to ! ,congress1 & make public a  

report on--  7,a7 :e!r grants "u ?is    
section provid$ adequate fund+ dur+ !   
prec$+ fiscal ye> to reimburse all      
donat+ individuals p>ticipat+ 9 ! grant 
program "u ?is section = all qualify+   
exp5ses2 &  7,b7 ! impacts1 ongo+       
activities1 *all5ges1 & future ne$s ( ! 
program "u ?is section2 &  7#b7 include 
9 ea* su* report1 = ! fiscal ye> cov]$  
by ! report-- 7,a7 ! e/imat$ numb] ( all
 donat+ individuals p>ticipat+ 9 ! grant
 program "u ?is section :o did n receive
 reimbursem5t = all qualify+ exp5ses2   
7,b7 ! total am\nt ( fund+ t is e/imat$ 
to be necess>y to fully reimburse all   
donat+ individuals p>ticipat+ 9 ! grant 
program "u ?is section = all qualify+   
exp5ses2  7,c7 an ov]view ( ! program "u
 ?is section2  7,d7 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,e7
 ! 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 = ! fiscal ye> cov]$ by !  
report2 &  7,,ii7 cumulatively s9ce !   
program's creation2  7,f7 ! 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,g7 a
 description ( any ef=ts to exp& or     
improve ! program "u ?is section2  7,h7 
a description ( ! ef=ts ( ! ,secret>y & 
recipi5ts ( grants "u ?is section to    
increase aw>5ess ( ! program "u ?is     
section2  7,i7 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,j7 areas (     
conc]n reg>d+1 & id5tifi$ b>ri]s to1 !  
elim9ation ( f9ancial dis9c5tives to    
liv+ organ donation2 &  7,k7 su* o!r    
matt]s z ! ,secret>y det]m9es           
appropriate4  4  #c4 ,,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