I 
118TH CONGRESS 
1ST SESSION H. R. 4362 
To require the Administrator of the Transportation Security Administration 
and the Administrator of the Federal Aviation Administration to jointly 
issue regulations relating to air carrier transport of human organs, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 23, 2023 
Ms. VAN DUYNE (for herself, Mr. GREEN of Tennessee, Mr. GRAVES of Lou-
isiana, Mr. COLLINS, and Mr. MCCORMICK) introduced the following bill; 
which was referred to the Committee on Transportation and Infrastruc-
ture, and in addition to the Committee on Homeland Security, for a pe-
riod to be subsequently determined by the Speaker, in each case for con-
sideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
A BILL 
To require the Administrator of the Transportation Security 
Administration and the Administrator of the Federal 
Aviation Administration to jointly issue regulations relat-
ing to air carrier transport of human organs, and for 
other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Saving Organs One 
Flight at a Time Act’’. 
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SEC. 2. REGULATIONS RELATING TO AIR CARRIER TRANS-
PORT OF HUMAN ORGANS. 
(a) IN GENERAL.—Not later than 180 days after the 
date of the enactment of this Act, the Administrator of 
the Transportation Security Administration and the Ad-
ministrator of the Federal Aviation Administration shall 
jointly take such actions as may be necessary to issue reg-
ulations to enable air carriers to efficiently and safely 
carry organs for transplant above wing. Such regulations 
shall include the following: 
(1) A definition of covered materials that in-
cludes organs and containers associated with the 
transfer of such organs. 
(2) Consideration of protocols for air control 
outages that impact timeliness of flights trans-
porting organs for transplant. 
(3) A requirement that air carriers implement 
a protocol for human person accompaniment of or-
gans to and from the aircraft and between con-
necting flights. 
(4) A standardized process for commercial air 
carrier acceptance, handling, and management of or-
gans in transit. 
(5) Consistent use of flight notes to indicate or-
gans on board to permit air traffic control to ensure 
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priority takeoff and landing of flights transporting 
organs for transplant. 
(b) CONSULTATION.—In promulgating the regula-
tions required under subsection (a), the Administrator of 
the Transportation Security Administrator and the Ad-
ministrator of the Federal Aviation Administration shall 
jointly consult with the Organ Procurement and Trans-
plantation Network (OPTN) to identify metrics regarding 
air carrier handling of organs and organ-related tissue in 
order to increase transparency and aid the development 
of best practices and improvement initiatives. 
(c) DEFINITION.—In this Act, the term ‘‘organ’’ has 
the meaning given such term in section 121.2 of title 42, 
Code of Federal Regulations. 
Æ 
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