I 

108TH CONGRESS 

1ST SESSION H. R. 2856

To authorize the Secretary of Health and Human Services to carry out 

demonstration projects to increase the supply of organs donated for 

human transplantation. 

IN THE HOUSE OF REPRESENTATIVES 

JULY 24, 2003

Mr. GREENWOOD (for himself, Mr. FROST, and Mrs. CHRISTENSEN) introduced the following bill; which was referred to the Committee on Energy 

and Commerce 

A BILL

To authorize the Secretary of Health and Human Services 

to carry out demonstration projects to increase the supply of organs donated for human transplantation.

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

3 SECTION 1. DEMONSTRATION PROJECTS REGARDING SUP4 PLY OF DONATED ORGANS. 

5 (a) IN GENERAL.—The Secretary of Health and 

6 Human Services (in this section referred to as the ‘‘Sec7 retary’’) shall make grants to public and nonprofit private 

8 entities to establish or operate demonstration projects for 
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1 the purpose of increasing the supply of organs donated 

2 for human transplantation. 

3 (b) CONSULTATIONS.—In carrying out subsection (a) 

4 for each grant, the Secretary shall consult with—

5 (1) experts in human organ allocation and 

6 transplantation, including representatives from the 

7 American Society of Transplant Surgeons and rep8 resentatives from the Organ Procurement and 

9 Transplantation Network; 

10 (2) entities with other appropriate expertise, in11 cluding physicians, practitioners in end-of-life psy12 chiatry, teaching hospitals, and nonprofit private or13 ganizations concerned with organ donation; 

14 (3) professional medical associations, including 

15 the American Medical Association; and 

16 (4) business leaders, religious leaders, and other 

17 community representatives. 

18 (c) INCENTIVES.—

19 (1) IN GENERAL.—Subject to compliance with 

20 section 301 of the National Organ Transplant Act, 

21 demonstration projects under subsection (a) may in22 clude projects that facilitate the purpose described in 

23 such subsection by establishing appropriate financial 

24 incentives with respect to the donation of organs, in25 cluding projects to provide for the payment of travel 
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1 and subsistence expenses incurred by individuals to2 ward making living donations of their organs. 

3 (2) LIFE INSURANCE; ANNUITIES.—Demonstra4 tion projects providing financial incentives pursuant 

5 to paragraph (1) shall include one or more projects 

6 to provide payments for the purchase of life insur7 ance policies or annuities, payable to a donor’s des8 ignee. Such projects shall be carried out by the Sec9 retary acting through the Director of the Centers for 

10 Medicare & Medicaid Services, after consultation 

11 with the Director of the Office of Personnel Manage12 ment and officials in such Office who carry out life 

13 insurance programs regarding Federal employees. 

14 Such projects shall—

15 (A) include actuarial safety standards con16 sistent with insurance industry standards to en17 sure that the costs of the projects to taxpayers 

18 are minimal; and 

19 (B) be designed to operate independently 

20 of the Secretary after receiving payments under 

21 this section for the initial costs of the projects. 

22 (d) EVALUATIONS.—The Secretary shall (directly or 

23 through grants or contracts) provide for the evaluation of 

24 demonstration projects under subsection (a) in order to 

25 determine the extent to which the projects have been effec-
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1 tive in carrying out the purpose described in such sub2 section. 

3 (e) REPORT.—Not later than December 1, 2007, the 

4 Secretary shall submit to the Congress a report that de5 scribes the activities carried out by the Secretary under 

6 this section, contains summaries of the evaluations under 

7 subsection (d), provides the findings of the Secretary re8 garding effective means of carrying out the purpose de9 scribed in subsection (a), and provides the recommenda10 tions of the Secretary regarding the provision of further 

11 appropriations to carry out this section. 

12 (f) FUNDING.—

13 (1) AUTHORIZATION OF APPROPRIATIONS.—For 

14 the purpose of carrying out this section, there is au15 thorized to be appropriated $25,000,000 for each of 

16 the fiscal years 2004 through 2008. 

17 (2) ALLOCATION.—Of the amounts appro18 priated under paragraph (1) for a fiscal year, the 

19 Secretary shall reserve not more than five percent 

20 for evaluations under subsection (d).

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