I
106TH CONGRESS
1ST SESSION
H. R. 3471
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
NOVEMBER 18, 1999
Mr. GREENWOOD introduced the following bill; which was referred to the
Committee on 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), the Secretary shall consult with—
(1) experts in human organ allocation and
transplantation, including representatives from the
American Association of Transplant Surgeons and
representatives 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) FINANCIAL 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 Administrator of the
Health Care Financing Administration, after con-
sultation with the Director of the Office of Per-
sonnel Management and officials in such Office who
carry out life insurance programs regarding Federal
employees. Such projects shall—
(A) include actuarial safety standards to
ensure that the costs of the projects to tax-
payers 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, 2004, 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 2000 through 2004.
(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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