IIB 

118TH CONGRESS 

1ST SESSION H. R. 1154 

IN THE SENATE OF THE UNITED STATES 

MARCH 28, 2023 

Received; read twice and referred to the Committee on Foreign Relations 

AN ACT 

To combat forced organ harvesting and trafficking in persons 

for purposes of the removal of organs, and for other 

purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 


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1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Stop Forced Organ 

3 Harvesting Act of 2023’’. 

4 SEC. 2. STATEMENT OF POLICY. 

5 It shall be the policy of the United States— 

6 (1) to combat international trafficking in per7 sons for purposes of the removal of organs; 

8 (2) to promote the establishment of voluntary 

9 organ donation systems with effective enforcement 

10 mechanisms in bilateral diplomatic meetings and in 

11 international health forums; 

12 (3) to promote the dignity and security of 

13 human life in accordance with the Universal Dec14 laration of Human Rights, adopted on December 10, 

15 1948; and 

16 (4) to hold accountable persons implicated, in17 cluding members of the Chinese Communist Party, 

18 in forced organ harvesting and trafficking in persons 

19 for purposes of the removal of organs. 

20 SEC. 3. DEFINITIONS. 

21 In this Act: 

22 (1) APPROPRIATE COMMITTEES OF CON23 GRESS.—The term ‘‘appropriate committees of Con24 gress’’ means— 


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1 (A) the Committee on Foreign Relations 

2 and the Committee on the Judiciary of the Sen3 ate; and 

4 (B) the Committee on Foreign Affairs and 

5 the Committee on the Judiciary of the House of 

6 Representatives. 

7 (2) FORCED ORGAN HARVESTING.—The term 

8 ‘‘forced organ harvesting’’ means the removal of one 

9 or more organs from a person by means of coercion, 

10 abduction, deception, fraud, or abuse of power or a 

11 position of vulnerability. 

12 (3) ORGAN.—The term ‘‘organ’’ has the mean13 ing given the term ‘‘human organ’’ in section 

14 301(c)(1) of the National Organ Transplant Act (42 

15 U.S.C. 274e(c)(1)). 

16 (4) TRAFFICKING IN PERSONS FOR PURPOSES

17 OF THE REMOVAL OF ORGANS.—The term ‘‘traf18 ficking in persons for purposes of the removal of or19 gans’’ means the recruitment, transportation, trans20 fer, harboring, or receipt of a person for the purpose 

21 of removing one or more of such person’s organs, by 

22 means of— 

23 (A) coercion; 

24 (B) abduction; 

25 (C) deception; 


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1 (D) fraud; 

2 (E) abuse of power or a position of vulner3 ability; or 

4 (F) transfer of payments or benefits to 

5 achieve the consent of a person having control 

6 over a person described in the matter preceding 

7 subparagraph (A). 

8 SEC. 4. AUTHORITY TO DENY OR REVOKE PASSPORTS. 

9 (a) IN GENERAL.—The Secretary of State may 

10 refuse to issue a passport to any individual who has been 

11 convicted of an offense under section 301 of the National 

12 Organ Transplant Act (42 U.S.C. 274e) and is subject 

13 to imprisonment or parole or other supervised release as 

14 the result of such conviction if such individual, in the com15 mission of such an offense, used a passport or crossed an 

16 international border. 

17 (b) REVOCATION.—The Secretary of State may re18 voke a passport previously issued to any individual de19 scribed in subsection (a). 

20 SEC. 5. REPORTS ON FORCED ORGAN HARVESTING AND 

21 TRAFFICKING IN PERSONS FOR PURPOSES 

22 OF THE REMOVAL OF ORGANS IN FOREIGN 

23 COUNTRIES. 

24 The Foreign Assistance Act of 1961 (22 U.S.C. 2151 

25 et seq.) is amended— 


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1 (1) in section 116 (22 U.S.C. 2151n), by add2 ing at the end the following: 

3 ‘‘(h) FORCED ORGAN HARVESTING AND TRAF4 FICKING IN PERSONS FOR PURPOSES OF THE REMOVAL

5 OF ORGANS.— 

6 ‘‘(1) IN GENERAL.—The report required by 

7 subsection (d) shall include an assessment of forced 

8 organ harvesting and trafficking in persons for pur9 poses of the removal of organs in each foreign coun10 try. 

11 ‘‘(2) DEFINITIONS.—In this subsection: 

12 ‘‘(A) FORCED ORGAN HARVESTING.—The 

13 term ‘forced organ harvesting’ means the re14 moval of one or more organs from a person by 

15 means of coercion, abduction, deception, fraud, 

16 or abuse of power or a position of vulnerability. 

17 ‘‘(B) ORGAN.—The term ‘organ’ has the 

18 meaning given the term ‘human organ’ in sec19 tion 301(c)(1) of the National Organ Trans20 plant Act (42 U.S.C. 274e(c)(1)). 

21 ‘‘(C) TRAFFICKING IN PERSONS FOR PUR22 POSES OF THE REMOVAL OF ORGANS.—The 

23 term ‘trafficking in persons for purposes of the 

24 removal of organs’ means the recruitment, 

25 transportation, transfer, harboring, or receipt of 


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1 a person for the purpose of removing one or 

2 more of such person’s organs, by means of— 

3 ‘‘(i) coercion; 

4 ‘‘(ii) abduction; 

5 ‘‘(iii) deception; 

6 ‘‘(iv) fraud; 

7 ‘‘(v) abuse of power or a position of 

8 vulnerability; or 

9 ‘‘(vi) transfer of payments or benefits 

10 to achieve the consent of a person having 

11 control over a person described in the mat12 ter preceding clause (i).’’; and 

13 (2) in section 502B (22 U.S.C. 2304)— 

14 (A) by redesignating the second subsection 

15 (i) (relating to child marriage status) as sub16 section (j); and 

17 (B) by adding at the end the following: 

18 ‘‘(k) FORCED ORGAN HARVESTING AND TRAF19 FICKING IN PERSONS FOR PURPOSES OF THE REMOVAL

20 OF ORGANS.— 

21 ‘‘(1) IN GENERAL.—The report required by 

22 subsection (b) shall include an assessment of forced 

23 organ harvesting and trafficking in persons for pur24 poses of the removal of organs in each foreign coun25 try. 


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1 ‘‘(2) DEFINITIONS.—In this subsection, the 

2 terms ‘forced organ harvesting’, ‘organ’, and ‘traf3 ficking in persons for purposes of the removal of or4 gans’ have the meanings given those terms in section 

5 116(h)(2).’’. 

6 SEC. 6. IMPOSITION OF SANCTIONS WITH RESPECT TO 

7 FORCED ORGAN HARVESTING OR TRAF8 FICKING IN PERSONS FOR PURPOSES OF THE 

9 REMOVAL OF ORGANS. 

10 (a) LIST REQUIRED.—Not later than 180 days after 

11 the date of the enactment of this Act, the President shall 

12 submit to the appropriate committees of Congress a list 

13 of each person that the President determines funds, spon14 sors, or otherwise facilitates forced organ harvesting or 

15 trafficking in persons for purposes of the removal of or16 gans. 

17 (b) IMPOSITION OF SANCTIONS.—The President shall 

18 impose the following sanctions with respect to a person 

19 on the list required by subsection (a): 

20 (1) PROPERTY BLOCKING.—The President shall 

21 exercise all of the powers granted by the Inter22 national Emergency Economic Powers Act (50 

23 U.S.C. 1701 et seq.) (except that the requirements 

24 of section 202 of such Act (50 U.S.C. 1701) shall 

25 not apply) to the extent necessary to block and proVerDate Sep 11 2014 00:49 Mar 29, 2023 Jkt 039200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\H1154.RFS H1154

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1 hibit all transactions in all property and interests in 

2 property of the person if such property and interests 

3 in property are in the United States, come within 

4 the United States, or are or come within the posses5 sion or control of a United States person. 

6 (2) ALIENS INADMISSIBLE FOR VISAS, ADMIS7 SION, OR PAROLE.— 

8 (A) VISAS, ADMISSION, OR PAROLE.—In 

9 the case of an individual, that individual is— 

10 (i) inadmissible to the United States; 

11 (ii) ineligible to receive a visa or other 

12 documentation to enter the United States; 

13 and 

14 (iii) otherwise ineligible to be admitted 

15 or paroled into the United States or to re16 ceive any other benefit under the Immigra17 tion and Nationality Act (8 U.S.C. 1101 et 

18 seq.). 

19 (B) CURRENT VISAS REVOKED.— 

20 (i) IN GENERAL.—The visa or other 

21 entry documentation of the individual shall 

22 be revoked, regardless of when such visa or 

23 other entry documentation is or was 

24 issued. 


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1 (ii) IMMEDIATE EFFECT.—A revoca2 tion under clause (i) shall— 

3 (I) take effect immediately; and 

4 (II) automatically cancel any 

5 other valid visa or entry documenta6 tion that is in the individual’s posses7 sion. 

8 (c) EXCEPTIONS.— 

9 (1) EXCEPTION RELATING TO IMPORTATION OF

10 GOODS.— 

11 (A) IN GENERAL.—The authorities and re12 quirements to impose sanctions under sub13 section (b)(1) shall not include the authority or 

14 a requirement to impose sanctions on the im15 portation of goods. 

16 (B) GOOD DEFINED.—In this paragraph, 

17 the term ‘‘good’’ means any article, natural or 

18 manmade substance, material, supply or manu19 factured product, including inspection and test 

20 equipment, and excluding technical data. 

21 (2) EXCEPTION TO COMPLY WITH INTER22 NATIONAL OBLIGATIONS.—Subsection (b)(2) shall 

23 not apply to the admission of an individual if the ad24 mission of the individual is necessary to comply with 

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1 tween the United Nations and the United States of 

2 America regarding the Headquarters of the United 

3 Nations, signed at Lake Success June 26, 1947, and 

4 entered into force November 21, 1947, under the 

5 Convention on Consular Relations, done at Vienna 

6 April 24, 1963, and entered into force March 19, 

7 1967, or under other applicable international agree8 ments or treaties. 

9 (3) EXCEPTION RELATING TO THE PROVISION

10 OF HUMANITARIAN ASSISTANCE.—Sanctions under 

11 this section may not be imposed with respect to 

12 transactions or the facilitation of transactions for— 

13 (A) the sale of agricultural commodities, 

14 food, or medicine; 

15 (B) the provision of vital humanitarian as16 sistance; 

17 (C) financial transactions relating to vital 

18 humanitarian assistance or for vital humani19 tarian purposes; or 

20 (D) transporting goods or services that are 

21 necessary to carry out operations relating to 

22 vital humanitarian assistance. 

23 (4) WAIVER.—The President may, on a case24 by-case basis and for periods not to exceed 180 days 

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1 tions imposed with respect to a person under this 

2 section if the President certifies to the appropriate 

3 committees of Congress not later than 15 days be4 fore such waiver is to take effect that the waiver is 

5 vital to the national security interests of the United 

6 States. 

7 (d) IMPLEMENTATION; PENALTIES.— 

8 (1) IMPLEMENTATION.—The President may ex9 ercise all authorities provided under sections 203 

10 and 205 of the International Emergency Economic 

11 Powers Act (50 U.S.C. 1702 and 1704) to carry out 

12 this section. 

13 (2) PENALTIES.—A person that violates, at14 tempts to violate, conspires to violate, or causes a 

15 violation of this section or any regulation, license, or 

16 order issued to carry out this section shall be subject 

17 to the penalties set forth in subsections (b) and (c) 

18 of section 206 of the International Emergency Eco19 nomic Powers Act (50 U.S.C. 1705) to the same ex20 tent as a person that commits an unlawful act de21 scribed in subsection (a) of that section. 

22 (e) DEFINITIONS.—In this section— 

23 (1) the term ‘‘person’’— 

24 (A) means an individual or entity; and 


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1 (B) includes a non-state actor (as such 

2 term is defined in Public Law 114–281); and 

3 (2) the term ‘‘United States person’’ means— 

4 (A) a United States citizen or an alien law5 fully admitted for permanent residence to the 

6 United States; or 

7 (B) an entity organized under the laws of 

8 the United States or any jurisdiction within the 

9 United States, including a foreign branch of 

10 such an entity. 

Passed the House of Representatives March 27, 

2023. 

Attest: CHERYL L. JOHNSON, 

Clerk. 


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