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) intro-
duced 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 sup-
ply of organs donated for human transplantation.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. DEMONSTRATION PROJECTS REGARDING SUP-
PLY OF DONATED ORGANS. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services (in this section referred to as the ‘‘Sec-
retary’’) shall make grants to public and nonprofit private 
entities to establish or operate demonstration projects for
the purpose of increasing the supply of organs donated 
for human transplantation. 
(b) CONSULTATIONS.—In carrying out subsection (a) 
for each grant, the Secretary shall consult with—
(1) experts in human organ allocation and 
transplantation, including representatives from the 
American Society of Transplant Surgeons and rep-
resentatives from the Organ Procurement and 
Transplantation Network; 
(2) entities with other appropriate expertise, in-
cluding physicians, practitioners in end-of-life psy-
chiatry, teaching hospitals, and nonprofit private or-
ganizations concerned with organ donation; 
(3) professional medical associations, including 
the American Medical Association; and 
(4) business leaders, religious leaders, and other 
community representatives. 
(c) INCENTIVES.—
(1) IN GENERAL.—Subject to compliance with 
section 301 of the National Organ Transplant Act, 
demonstration projects under subsection (a) may in-
clude projects that facilitate the purpose described in 
such subsection by establishing appropriate financial 
incentives with respect to the donation of organs, in-
cluding projects to provide for the payment of travel
and subsistence expenses incurred by individuals to-
ward making living donations of their organs. 
(2) LIFE INSURANCE; ANNUITIES.—Demonstra-
tion projects providing financial incentives pursuant 
to paragraph (1) shall include one or more projects 
to provide payments for the purchase of life insur-
ance policies or annuities, payable to a donor’s des-
ignee. Such projects shall be carried out by the Sec-
retary acting through the Director of the Centers for 
Medicare & Medicaid Services, after consultation 
with the Director of the Office of Personnel Manage-
ment and officials in such Office who carry out life 
insurance programs regarding Federal employees. 
Such projects shall—
(A) include actuarial safety standards con-
sistent with insurance industry standards to en-
sure that the costs of the projects to taxpayers 
are minimal; and 
(B) be designed to operate independently 
of the Secretary after receiving payments under 
this section for the initial costs of the projects. 
(d) EVALUATIONS.—The Secretary shall (directly or 
through grants or contracts) provide for the evaluation of 
demonstration projects under subsection (a) in order to 
determine the extent to which the projects have been effec-
tive in carrying out the purpose described in such sub-
section. 
(e) REPORT.—Not later than December 1, 2007, the 
Secretary shall submit to the Congress a report that de-
scribes the activities carried out by the Secretary under 
this section, contains summaries of the evaluations under 
subsection (d), provides the findings of the Secretary re-
garding effective means of carrying out the purpose de-
scribed in subsection (a), and provides the recommenda-
tions of the Secretary regarding the provision of further 
appropriations to carry out this section. 
(f) FUNDING.—
(1) AUTHORIZATION OF APPROPRIATIONS.—For 
the purpose of carrying out this section, there is au-
thorized to be appropriated $25,000,000 for each of 
the fiscal years 2004 through 2008. 
(2) ALLOCATION.—Of the amounts appro-
priated under paragraph (1) for a fiscal year, the 
Secretary shall reserve not more than five percent 
for evaluations under subsection (d).
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