I
107TH CONGRESS
2D SESSION
H. R. 5224
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 25, 2002
Mr. GREENWOOD
(for himself, Mr. FROST, Mr. MCGOVERN, Mrs.
CHRISTENSEN, and Mr. DAN MILLER of Florida) introduced the fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce
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, 2006, 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 2003 through 2007.
(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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