I 
119TH CONGRESS 
1ST SESSION 
H. R. 628 
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 HOUSE OF REPRESENTATIVES 
JANUARY 22, 2025 
Mr. OBERNOLTE (for himself and Ms. DELBENE) introduced the following 
bill; which was referred to the Committee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to eliminate consid-
eration of the income of organ recipients in providing 
reimbursement of expenses to donating individuals, 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 ‘‘Honor Our Living Do-
nors Act’’. 
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SEC. 2. NO CONSIDERATION OF INCOME OF ORGAN RECIPI-
ENT. 
Section 377 of the Public Health Service Act (42 
U.S.C. 274f) is amended— 
(1) by redesignating subsections (c) through (f) 
as subsections (d) through (g), respectively; 
(2) by inserting after subsection (b) the fol-
lowing: 
‘‘(c) NO CONSIDERATION OF INCOME OF ORGAN RE-
CIPIENT.—The recipient of a grant under this section, in 
providing reimbursement to a donating individual through 
such grant, shall not give any consideration to the income 
of the organ recipient.’’; and 
(3) in subsection (f), as so redesignated— 
(A) in paragraph (1), by striking ‘‘sub-
section 
(c)(1)’’ 
and 
inserting 
‘‘subsection 
(d)(1)’’; and 
(B) in paragraph (2), by striking ‘‘sub-
section 
(c)(2)’’ 
and 
inserting 
‘‘subsection 
(d)(2)’’. 
SEC. 3. REMOVAL OF EXPECTATION OF PAYMENTS BY 
ORGAN RECIPIENTS. 
Section 377(e) of the Public Health Service Act (42 
U.S.C. 274f(e)), as redesignated by section 2, is amend-
ed— 
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(1) in paragraph (1), by adding ‘‘or’’ at the 
end; 
(2) in paragraph (2), by striking ‘‘; or’’ and in-
serting a period; and 
(3) by striking paragraph (3). 
SEC. 4. ANNUAL REPORT. 
Section 377 of the Public Health Service Act (42 
U.S.C. 274f), as amended by sections 2 and 3, is further 
amended by adding at the end the following: 
‘‘(h) ANNUAL REPORT.—Not later than December 31 
of each year, the Secretary shall— 
‘‘(1) prepare, submit to the Congress, and make 
public a report on whether grants under this section 
provided adequate funding during the preceding fis-
cal year to reimburse all donating individuals par-
ticipating in the grant program under this section 
for all qualifying expenses; and 
‘‘(2) include in each such report— 
‘‘(A) the estimated number of all donating 
individuals participating in the grant program 
under this section who did not receive reim-
bursement for all qualifying expenses during 
the preceding fiscal year; and 
‘‘(B) the total amount of funding that is 
estimated to be necessary to fully reimburse all 
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donating individuals participating in the grant 
program under this section for all qualifying ex-
penses.’’. 
Æ 
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