II 

118TH CONGRESS 

2D SESSION S. 5504 

To amend the Public Health Service Act to eliminate consideration of the 

income of organ recipients in providing reimbursement of expenses to 

donating individuals, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

DECEMBER 12, 2024 

Mr. LUJA ́N (for himself and Mr. BOOZMAN) introduced the following bill; 

which was read twice and referred to the Committee on Health, Education, Labor, and Pensions 

A BILL 

To amend the Public Health Service Act to eliminate consideration of the income of organ recipients in providing 

reimbursement of expenses to donating individuals, 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, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Honor Our Living Do5 nors Act’’. 


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1 SEC. 2. NO CONSIDERATION OF INCOME OF ORGAN RECIPI2 ENT. 

3 Section 377 of the Public Health Service Act (42 

4 U.S.C. 274f) is amended— 

5 (1) by redesignating subsections (c) through (f) 

6 as subsections (d) through (g), respectively; 

7 (2) by inserting after subsection (b) the fol8 lowing: 

9 ‘‘(c) NO CONSIDERATION OF INCOME OF ORGAN RE10 CIPIENT.—The recipient of a grant under this section, in 

11 providing reimbursement to a donating individual through 

12 such grant, shall not give any consideration to the income 

13 of the organ recipient.’’; and 

14 (3) in subsection (f), as so redesignated— 

15 (A) in paragraph (1), by striking ‘‘sub16 section (c)(1)’’ and inserting ‘‘subsection 

17 (d)(1)’’; and 

18 (B) in paragraph (2), by striking ‘‘sub19 section (c)(2)’’ and inserting ‘‘subsection 

20 (d)(2)’’. 

21 SEC. 3. REMOVAL OF EXPECTATION OF PAYMENTS BY 

22 ORGAN RECIPIENTS. 

23 Section 377(e) of the Public Health Service Act (42 

24 U.S.C. 274f(e)), as redesignated by section 2(1), is 

25 amended— 


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1 (1) in paragraph (1), by adding ‘‘or’’ at the 

2 end; 

3 (2) in paragraph (2), by striking ‘‘; or’’ and in4 serting a period; and 

5 (3) by striking paragraph (3). 

6 SEC. 4. ANNUAL REPORT. 

7 Section 377 of the Public Health Service Act (42 

8 U.S.C. 274f), as amended by sections 2 and 3, is amended 

9 by adding at the end the following: 

10 ‘‘(h) ANNUAL REPORT.—Not later than December 31 

11 of each year, the Secretary shall— 

12 ‘‘(1) prepare, submit to the Congress, and make 

13 public a report on whether grants under this section 

14 provided adequate funding during the preceding fis15 cal year to reimburse all donating individuals par16 ticipating in the grant program under this section 

17 for all qualifying expenses; and 

18 ‘‘(2) include in each such report— 

19 ‘‘(A) the estimated number of all donating 

20 individuals participating in the grant program 

21 under this section who did not receive reim22 bursement for all qualifying expenses during 

23 the preceding fiscal year; and 

24 ‘‘(B) the total amount of funding that is 

25 estimated to be necessary to fully reimburse all 


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1 donating individuals participating in the grant 

2 program under this section for all qualifying ex3 penses.’’. 

Æ 


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